Alternative Models for the Delivery of Rural Health Care: A Case Study of a Western Frontier State*

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Abstract
This is a case study illustrating the wide variety of models for rural health care delivery found in a western “frontier” state. In response to a legislative mandate, the University of Nevada School of Medicine created the Office of Rural Health in 1977. Utilizing a cooperative, community development approach, this office served as a resource, as well as a catalyst, in the development and expansion of a variety of alternative practice models for health care delivery to small, underserved rural communities. These models included small, single, and multispecialty group practices; self‐supporting and subsidized solo practices; contract physicians; midlevel practitioners; and National Health Service Corps personnel. The rural health care System that was created featured regional and consortial arrangements, urban and medical school outreach programs, and a “flying doctor” service.