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Rural Medicine Interest Group Spring Break ‘09
Laura Goodman, Kevin Kralik, Lindsay Tawa, Mirat Shah, Jon Halevy, Jessica Lee, Lindsay Hintz, Eliana Bonifacino,
Ben Meza
Why?• Service
– See need– Collaborate– RMIG, GHIG …
• Learning– Improve H & P skills
• Non-threatening, unhurried, • Motivational interviewing
– Practice awkward conversations
– Learn about different cultures• “the sugar”• A non-tertiary care
environment
Washington• 15,268 people• 81.88% White• 14.60% African American• 0.15% Native American• 0.45% Asian• 0.02% Pacific Islander• Hispanic or Latino of any race were 0.94%• The median income for a household in the city was
$25,764• and the median income for a family was $34,862.• 16.4% of families were below the poverty line
Charleroi
• Males: 2,048 (44.9%) Females: 2,517 (55.1%)• Estimated median household income in 2007
$29,673Pennsylvania: $48,576
• White (94.9%) • Black (3.2%) • Hispanic (0.7%)
THERE’S A HEALTH FAIR COMING TO YOUR
TOWN!!!When: Sunday, March 15th from Noon-4:00pmWhere: Burgettstown Community Library
Medical students from the University of Pittsburgh will be taking blood pressure
measuring body mass indexes (BMI) giving eye examinations
PLUS providing information on: smoking cessation high blood pressure
diabetes mental health
exercise and diet
ALL FOR FREE!
Adults and children welcome
Patient Demographics
• Saw 64 Patients through 3 Community SitesMean Age = 71 yrs old
• Mostly came from local towns, mostly caucasian
Majority of patients were women:• More proactive about health• More likely to go to library/senior center
Top health concerns included:1.Blood Pressure2.Cholesterol3.Diabetes4.Arthritis5.Watching weight
Health Care Concerns: • Many were happy with their health services • Quality of physicians, proximity to physicians• Lack of specialty health care- i.e. Dentists, Optometrists• Lack of emergency services
How can we reach the people who need our services the most?
•Local Contacts to identify potential target populations•e.g. teenage mothers without prenatal care, house-bound seniors
•Advance Planning/Advertising•Local paper, flyering, church announcements
•Accessibility•Location, arranging car pools?
Lessons Learned
Access to doctors in rural areas is variable Services available Convenience Quality
Small towns may have multiple potential target groups which require different strategies to reach
Elderly (particularly those with limited mobility) Parents with young children Teens
Logistical issues
Future Plans
Additional trips: Participate in health fair in the fall Repeat health screenings; add additional services such
as flu shots Perform needs assessments to better target offerings Plan programs addressing community-specific needs
such as teen pregnancy Work with community contacts to publicize events and
better reach underserved groups
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