RT Journal
A1 Kane WJ
T1 RUral health care-reply
JF JAMA
JO JAMA
YR 1979
FD June 22
VO 241
IS 25
SP 2700
OP 2700
DO 10.1001/jama.1979.03290510014006
UL http://dx.doi.org/10.1001/jama.1979.03290510014006
AB Mr Frary's comments are appreciated, and I believe that we have no strong disagreement. I believe that isolated rural areas will receive their health care from physician extenders with support and backup from physicians. My experience with residency graduates leads me to believe that there will be few physicians willing to enter a rural area without another physician and that the team composed of a family physician and a physician's assistant will not be overly popular. Since the laws in most states will require the physician to be immediately available to the physician's assistant, the physician will still be subject to extremely long hours and little time off. The satellite clinic model is still the most suitable answer, with most physicians located in areas with a population density of 5,000 to 6,000 people.Despite problems with the recent Rural Health Clinics legislation, I still think that legislation will