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Many inhabitants of rural areas in developing countries lack adequate and affordable access to transport infrastructure services, and this lack of transport opportunities constrains economic and social development. This report looks at the role of rural transport in reducing poverty and considers a range of issues affecting rural mobility including costs, stakeholders involved, population densities and competing services. It examines policies for promoting rural mobility including financial and regulatory considerations.
Identifies and describes proven, cost-effective, "low-tech" solutions for rural transportation-related problems or needs. Through a process of research and interviews with local level transportation professionals throughout the U.S., examples of technology applications which have been locally developed to meet local problems were identified and documented. Includes descriptions of benefits of the technology, the expected implementation process, the potential issues associated with technology, and each technology's role in larger scale, fully integrated rural transportation systems. Charts and tables. Photos.
To inform debate on a new transportation bill being considered, the authors review the literature on the economic outcomes of highway infrastructure spending, which constitutes the largest share of federal spending on transportation infrastructure. They highlight the connections between highway spending and the economy and then analyze the literature to trace the effects of highway infrastructure on productivity, output, and employment.
Inclusive Transport: Fighting Involuntary Transport Disadvantages offers readers profound and multifaceted insights into transportation and social equity, guiding transportation and urban studies researchers, planners, and policy makers in evaluating potential solutions to this complex issue. It considers discrimination and its societal consequences, providing a needed perspective on who is left out of transportation planning, and why. The book is systematically divided into 2 parts, Part A is problem oriented and explores the main problems to the transportation disadvantaged; accessibility and affordability. It looks at the consequences of non-accessibility, the problems non-car owners face, and the interplay between housing and transportation; Part B is policy oriented and analyses how current policies tend to forget transport disadvantages. It looks at pragmatic solutions for transport disadvantaged and ends with a design for inclusive transport, being a more radical approach combining sustainability challenges, people's behaviours and emotions, creating more just and equitable mobility. - Synthesizes academic research and narratives on transport disadvantage and the transport disadvantaged, linking the research with current mobility policies and practices - Connects the fight on transport disadvantages with sustainable and smart mobility strategies and looks into car sharing, ride sharing and individualising public transport while de- individualizing car use - Has an extensive usage of data, figures, and examples from around the world, and inspiring mobility plans and policies
The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.
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.
Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.