National Rural Health Association Rural Health Care Access- A National Policy Perspective
NRHA Mission
The National Rural Health Association is a national
membership organization with more than 21000
members whose mission is to provide leadership on
rural issues through advocacy communications
education and research
The State of Rural America
bull Workforce Shortages
bull Vulnerable Populations
bull Chronic Poverty
THE IMPORTANCE OF TODAY
Rural healthcare is critical for rural patients and the rural economy
bull You canrsquot have a healthy rural economy without a healthy rural community
bull Quality rural healthcare saves lives provides skilled jobs attracts businesses and reinvests millions back into rural communities
MetroNon Metro Life Expectancy
Chart1
Metro Both Sexes
Non-Metro Both Sexes
Metro Males
Non-Metro Males
Metro Females
Non-Metro Females
709
704
0
0
717
712
731
727
738
736
745
744
748
747
751
75
758
755
76
755
768
759
772
762
778
763
788
768
791
771
A
A
Ist SES Decile (Most Deprived) 1980-1982
1st SES Decile (Most Deprived) 1998-2000
10th SES Decile (Least Deprived) 1980-1982
10th SES Decile (Least Deprived) 1998-2000
Life expectancy (years)
Male Life Expectancy by Age and Area DeprivationUnited States 1980-2000
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Men by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Women by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Men Aged 25-64 Years by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Women Aged 25-64 Years by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Women Aged 65+ Years by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Men Aged 65+ Years by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Cardiovascular Disease (CVD) Mortality Among US Men Aged 25-64 Years by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Cardiovascular Disease (CVD) Mortality Among US Women Aged 25-64 Years by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Men
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Women
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Cardiovascular Disease (CVD) Mortality Among US White Men Aged 25-64 Years by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Cardiovascular Disease (CVD) Mortality Among US White Women Aged 25-64 Years by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
White Men
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
White Women
1980-1982
1989-1991
1998-2000
Age
Difference in life expectancy (years)
US Men
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Men by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Women by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Men Aged 25-64 Years by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Women Aged 25-64 Years by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Women Aged 65+ Years by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Heart Disease Mortality Among US Men Aged 65+ Years by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Cardiovascular Disease (CVD) Mortality Among US Men Aged 25-64 Years by Area Socioeconomic Status (II)1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Cardiovascular Disease (CVD) Mortality Among US Women Aged 25-64 Years by Area Socioeconomic Status (II) 1969-1998
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard
Men
Ist Quintile (Low SES)
2nd Quintile
3rd Quintile
4th Quintile
5th Quintile (High SES)
Age-Adjusted Death Rate per 100000 Population1970 US Population Used as Standard