||The major issues
revolving around the need can be summarized simply as distances, lack of local expertise,
high cost of delivery in rural areas. The problems of delivery of Rehabilitation Service
provision in rural areas parallels the delivery of health care to rural areas where the
proportion of people with chronic illnesses is higher and the means to pay for them is
reduced services (Witherspoon, Johnston, & Wasem, 1993). Large distances mean long
travel times increasing costs associated with any service delivery and the time of travel
consumes valuable time skilled professionals could be using to provide services.