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New Appalachia is a term referring to the San Joaquin Valley of California. The term originated in 2005 when U.S. congressional researchers compared the economically distressed Valley to the traditionally impoverished Appalachia region of the Appalachian Mountains. [1] [2]
The San Joaquin Valley consists of the southern half of the Central Valley, between the Sacramento-San Joaquin River Delta in the north and the Tehachapi Mountains in the south.
Insufficient access to medicine in the United States, in particular prenatal and preventive care, is typified by both rural and inner city communities. Early and adequate access to prenatal care is important to maternal and child health and is another comparative indicator of community health. According to the California Department of Health Services, 37% of births in Merced County occurred with no or late prenatal care and the San Joaquin Valley average was 19.5% of births with no or late prenatal care. By comparison, the California average was 13.6% of births and the national average was 10% of births [3]
Likewise, the counties of the San Joaquin Valley have relatively high ratios of population to physicians, suggesting relatively low access, with the highest in Kings County at 1,027 patients per a physician, the San Joaquin Valley average at approximately 671 patients per a physician and the California average of 400 patients per a physician. [4] Another measure of access is licensed acute care hospital beds per thousand population, where the Kings County average of 1.1 beds per a thousand and the San Joaquin Valley average of 1.8 beds per a thousand were again less than the state average of 2.1 bed per a thousand. [5] Consequently, the age adjusted death rate is significantly higher than the rest of California.
Moreover, the poverty rate for persons under the age of 18 was as high as 32% in Tulare County and 25.6% in the San Joaquin Valley, compared to 19% in California as a whole.[ citation needed ]
In 2011 Forbes, after taking the fluctuation of median home values, five of the top twenty "most miserable cities" were located in the San Joaquin Valley. [6] Aside from the collapse of median home values, persistent crime, unemployment and poverty were common factors between Bakersfield, Fresno, Merced, Modesto and Stockton; every major city of the San Joaquin Valley.
In response the University of California with the University of California, Merced is exploring opening a research medical school specializing in rural care, in hopes that some graduates will settle in the San Joaquin Valley and provide better healthcare [7]
Merced is a city in, and the county seat of, Merced County, California, United States, in the San Joaquin Valley. As of the 2020 Census, the city had a population of 86,333, up from 78,958 in 2010. Incorporated on April 1, 1889, Merced is a charter city that operates under a council–manager government. It is named after the Merced River, which flows nearby.
Planada is a census-designated place (CDP) in Merced County, California, United States. Planada is 9 miles (14 km) east of Merced, the county seat, at an elevation of 226 feet (69 m). The population was 4,164 at the 2020 census, down from 4,584 at the 2010 census.
The San Joaquin Valley is the area of the Central Valley of the U.S. state of California that lies south of the Sacramento–San Joaquin River Delta and is drained by the San Joaquin River. It comprises eight counties of Northern and one of Southern California, including, in the north, all of San Joaquin and Kings counties, most of Stanislaus, Merced, and Fresno counties, and parts of Madera and Tulare counties, along with a majority of Kern County, in Southern California. Although the valley is predominantly rural, it has densely populated urban centers: Fresno, Bakersfield, Stockton, Modesto, Porterville, Tulare, Visalia, and Merced.
The University of California, Irvine Medical Center is a major research hospital located in Orange, California. It is the teaching hospital for the University of California, Irvine School of Medicine.
UC Davis Medical Center (UCDMC) is part of UC Davis Health and a major academic health center located in Sacramento, California. It is owned and operated by the University of California as part of its University of California, Davis campus. The medical center sits on a 142-acre (57 ha) campus (often referred to as the Sacramento Campus to distinguish it from the main campus in nearby Davis) located between the Elmhurst, Tahoe Park, and Oak Park residential neighborhoods. The site incorporates the land and some of the buildings of the former Sacramento Medical Center (which was acquired from the County of Sacramento in 1973) as well as much of the land (and two buildings) previously occupied by the California State Fair until its 1967 move to a new location.
UC San Diego Health is the academic health system of the University of California, San Diego in San Diego, California. It is the only academic health system serving San Diego and has one of only two adult Level I trauma centers in the region. In operation since 1966, it comprises UC San Diego Medical Center in Hillcrest as well as Jacobs Medical Center, Moores Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and Koman Family Outpatient Pavilion, all located in La Jolla. It also includes several outpatient sites located throughout San Diego County. The health system works closely with the university's School of Medicine and Skaggs School of Pharmacy to provide training to medical and pharmacy students and advanced clinical care to patients.
Unassisted childbirth (UC) refers to the process of intentionally giving birth without the assistance of a medical birth attendant. It may also be known as freebirth, DIY (do-it-yourself) birth, unhindered birth, and unassisted home birth. Unassisted childbirth is by definition a planned process, and is thus distinct from unassisted birth due to reasons of emergency, lack of access to a skilled birth attendant, or other. It is also different from homebirth, although most UCs also happen within the home.
University of California Television is a 24-hour television channel presenting educational and enrichment programming from the campuses, national laboratories, and affiliated institutions of the University of California system. UCTV's non-commercial programming delivers science, health and medicine, public affairs, humanities, and the arts to a general audience, as well as specialized programming for health care professionals and teachers. Programming includes documentaries, lectures, debates, interviews, performances and more.
Los Angeles County Department of Health Services operates the public hospitals and clinics in Los Angeles County, and is the United States' second largest municipal health system, after NYC Health + Hospitals.
Maternal health is the health of women during pregnancy, childbirth, and the postpartum period. In most cases, maternal health encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to ensure a positive and fulfilling experience. In other cases, maternal health can reduce maternal morbidity and mortality. Maternal health revolves around the health and wellness of pregnant women, particularly when they are pregnant, at the time they give birth, and during child-raising. WHO has indicated that even though motherhood has been considered as a fulfilling natural experience that is emotional to the mother, a high percentage of women develop health problems and sometimes even die. Because of this, there is a need to invest in the health of women. The investment can be achieved in different ways, among the main ones being subsidizing the healthcare cost, education on maternal health, encouraging effective family planning, and ensuring progressive check up on the health of women with children. Maternal morbidity and mortality particularly affects women of color and women living in low and lower-middle income countries.
Olive View–UCLA Medical Center is a hospital, funded by Los Angeles County, located in the Sylmar neighborhood of Los Angeles, California. It is one of the primary healthcare delivery systems in the north San Fernando Valley, serving the area's large working-class population. Olive View is also the closest county hospital serving the Antelope Valley after High Desert Hospital was converted to an urgent care clinic in 2003.
Santa Clara Valley Medical Center, commonly known as Valley Medical Center or simply Valley Medical, is a prominent 731-bed public tertiary, teaching, and research hospital in San Jose, California. Located in the Fruitdale neighborhood of West San Jose, Valley Medical Center is the anchor facility of the Santa Clara County Health System, serving Santa Clara County. Valley Medical is home to numerous innovative research and care centers, such as the Rehabilitation Trauma Center, the only federally-designated spinal cord injury center in Northern California.
Adventist Health Bakersfield is a 254-bed hospital in Bakersfield and serving Kern County, California. The medical campus is part of Adventist Health and previously was called San Joaquin Community Hospital.
Adventist Health Community Care-Hanford is a clinic in Hanford, California. It offers extensive Community Care clinic services serving communities in Kings, Tulare and southern Fresno counties. Adventist Health Community Care-Hanford is a part of a division of Adventist Health known as the "Adventist Health/Central Valley Network," Adventist Health Hanford, Adventist Health Selma, Adventist Health Reedley, and over 42 Adventist Health/Community Care clinics throughout a 2,500-square-mile (6,500 km2) region in the Central Valley.
Childbirth in rural Appalachia has long been a subject of concern amongst the population because infant mortality rates are higher in Appalachia than in other parts of the United States. Additionally, poor health in utero, at birth, and in childhood can contribute to poor health throughout life. The region's low income, geographic isolation, and low levels of educational attainment reduce both access to and utilization of modern medical care. Traditional medical practices, including lay midwifery, persisted longer in Appalachia than in other U.S. regions.
United Health Centers of the San Joaquin Valley is a private non-profit organization, established from a grass root movement by people trying to improve access to healthcare in their rural communities in California's Central Valley.
This article summarizes healthcare in Texas. In 2022, the United Healthcare Foundation ranked Texas as the 38th healthiest state in the United States. Obesity, excessive drinking, maternal mortality, infant mortality, vaccinations, mental health, and limited access to healthcare are among the major public health issues facing Texas.
Jacobs Medical Center is a teaching hospital on the University of California, San Diego campus in the La Jolla neighborhood of San Diego. Along with the UC San Diego Medical Center, Hillcrest, it serves as a flagship hospital of UC San Diego Health and the primary teaching hospital for the UC San Diego School of Medicine. The facility, which offers specialized care not previously available in San Diego County, opened in 2016.
The UC San Diego Medical Center, Hillcrest is one of two medical centers of UC San Diego Health and is a teaching hospital for the University of California San Diego School of Medicine.
In addition to the direct reduction in travel times the HSR project will produce, there are also economic and environmental impacts of the high-speed rail system. These were also specifically noted in Proposition 1A at the time the project sought authorization from the voters of the state in 2008. The anticipated benefits apply both generally to the state overall, as well as to the regions the train will pass through, and to the areas immediately around the train stations.