Achieving Rural Health Equity and Well-Being

Achieving Rural Health Equity and Well-Being
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 95
Release: 2018-10-17
Genre: Medical
ISBN: 0309469058

Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

Defining "rural" Areas

Defining
Author: Maria Elizabeth Hewitt
Publisher:
Total Pages: 72
Release: 1989
Genre: Federal aid to rural health services
ISBN:

Rural and Small Town America

Rural and Small Town America
Author: Glenn V. Fuguitt
Publisher: Russell Sage Foundation
Total Pages: 500
Release: 1989-11-21
Genre: Social Science
ISBN: 1610442326

Important differences persist between rural and urban America, despite profound economic changes and the notorious homogenizing influence of the media. As Glenn V. Fuguitt, David L. Brown, and Calvin L. Beale show in Rural and Small Town America, the much-heralded disappearance of small town life has not come to pass, and the nonmetropolitan population still constitutes a significant dimension of our nation's social structure. Based on census and other recent survey data, this impressive study provides a detailed and comparative picture of rural America. The authors find that size of place is a critical demographic factor, affecting population composition (rural populations are older and more predominantly male than urban populations), the distribution of poverty (urban poverty tends to be concentrated in neighborhoods; rural poverty may extend over large blocks of counties), and employment opportunities (job quality and income are lower in rural areas, though rural occupational patterns are converging with those of urban areas). In general, rural and small town America still lags behind urban America on many indicators of social well-being. Pointing out that rural life is no longer synonymous with farming, the authors explore variations among nonmetropolitan populations. They also trace the impact of major national trends—the nonmetropolitan growth spurt of the 1970s and its current reversal, for example, or changing fertility rates—on rural life and on the relationship between metropolitan and nonmetropolitan communities. By describing the special characteristics and needs of rural populations as well as the features they share with urban America, this book clearly demonstrates that a more accurate picture of nonmetropolitan life is essential to understanding the larger dynamics of our society. A Volume in the Russell Sage Foundation Census Series

Rebuilding the Unity of Health and the Environment in Rural America

Rebuilding the Unity of Health and the Environment in Rural America
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 116
Release: 2006-02-28
Genre: Science
ISBN: 0309180570

Throughout much of its history, the United States was predominantly a rural society. The need to provide sustenance resulted in many people settling in areas where food could be raised for their families. Over the past century, however, a quiet shift from a rural to an urban society occurred, such that by 1920, for the first time, more members of our society lived in urban regions than in rural ones. This was made possible by changing agricultural practices. No longer must individuals raise their own food, and the number of person-hours and acreage required to produce food has steadily been decreasing because of technological advances, according to Roundtable member James Merchant of the University of Iowa. The Institute of Medicine's Roundtable on Environmental Health Science, Research, and Medicine held a regional workshop at the University of Iowa on November 29 and 30, 2004, to look at rural environmental health issues. Iowa, with its expanse of rural land area, growing agribusiness, aging population, and increasing immigrant population, provided an opportunity to explore environmental health in a region of the country that is not as densely populated. As many workshop participants agreed, the shifting agricultural practices as the country progresses from family operations to large-scale corporate farms will have impacts on environmental health. This report describes and summarizes the participants' presentations to the Roundtable members and the discussions that the members had with the presenters and participants at the workshop.

Rural Development

Rural Development
Author: Library of Congress. Congressional Research Service
Publisher:
Total Pages: 268
Release: 1979
Genre: Rural development
ISBN:

Rural Families and Reshaping Human Services

Rural Families and Reshaping Human Services
Author: Jeanne F. Cook
Publisher: Routledge
Total Pages: 270
Release: 2016-04-14
Genre: Medical
ISBN: 1317658809

This collection presents creative strategies and programs designed to address needs of families in the context of rural communities. Even before the most recent worldwide economic crisis, many rural families in the United States struggled to meet basic needs. As needs in rural communities have expanded, services have shrunk. This book identifies rural families’ needs, including social supports during pregnancy, identification of adolescent risk behaviours, child safety, and basic services such as food and health care, using techniques such as Geographic Information Systems and needs and asset assessments. Strategies to address those needs include program development, the use of technology, and community partnerships. The book reminds readers of the sense of independence and self-reliance found in many rural communities and the theme of diversity within rural communities runs throughout the book. The chapters are organized by identification of the needs of rural families, addressing disparities in rural areas, practice in rural communities, and human service organizations and professionals. Through research, practice, and creative works, the book contributes to a greater understanding of ways that service providers can advance their work with rural families and broaden their perspectives about realities experienced by families living in rural communities. This book was originally published as a special issue of the Journal of Family Social Work.

Rural Health in the United States

Rural Health in the United States
Author: Thomas C. Ricketts
Publisher: Oxford University Press
Total Pages: 233
Release: 1999-10-07
Genre: Medical
ISBN: 0199759723

Many of the 61 million people who live in rural America have limited access to health care. Almost a quarter of the nation's population lives in rural places yet only an eighth of our doctors work there. Sponsored by the U.S. Office of Rural Health Policy, this unique book provides the facts about this imbalance and interprets them in the context of government programs that promote the placement of doctors and the operation of hospitals in rural places while paying them less to treat Medicare and Medicaid beneficiaries. The authors' comprehensive analysis of rural health care delivery shows where there are differences in rates of death and disease between rural areas using maps, graphs, and plain-English descriptions. The book provides a thorough look at health care in rural America, giving a snapshot of how doctors, hospitals, and technology are unevenly distributed outside the nation's metropolitan areas.