The virginia state office of rural health was established in 1991 to create fund and support quality and sustainable rural healthcare infrastructure the purpose of this office is to address and rectify health disparities affecting the states rural residents. West virginia health sciences and rural health report card 2015 a review of medical school enrollment licensing rates student debt ratios residency training and retention rates in west virginia with a special focus on the rural health initiative program. Selected social determinants of health for rural virginia 9 of virginia residents lack health insurance kaiser 2017 according to the usda economic research service the average per capita income for virginia residents in 2017 was 55105 although rural per capita income lagged at 37833. Use of psychotherapy among rural veterans increasing a 2015 study by researchers at three va medical centers evaluated changes in rural and urban veterans use of psychotherapy between 2007 10 a period in which va was making significant efforts to engage rural veterans in mental health care they found that in those years the percentage of . Appalachian communities in virginia shoulder the burden of significantly higher rates of poverty and lower educational levels contributing to decreased access to preventive and medical care 1718 a 2006 virginia department of health report recognized that the southwest region of virginia is the most medically underserved region in the state 19
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