The provision of emergency medical services in the rural environment poses many challenges. The remoteness and inaccessibility of some rural and wilderness areas significantly reduces the capacity of EMS agencies to respond to a patient in need. Other challenges include poor provider reimbursement, recruitment and retention difficulties, a dwindling pool of volunteer personnel, aging infrastructure, communication technology problems, lack of access to qualified medical direction, and continuing education. NASEMSO recognizes the need for a continued focus on the needs facing the EMS systems in rural and frontier areas.
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Kevin McGinnis, MPS, Paramedic Chief (Ret)
NASEMSO Program Manager