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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.
Three billion people live in rural areas in developing countries. Conditions for them are worse than for their urban counterparts when measured by almost any development indicator, from extreme poverty, to child mortality and access to electricity and sanitation.
The twentieth century was one of profound transformation in rural America. Demographic shifts and economic restructuring have conspired to alter dramatically the lives of rural people and their communities. Challenges for Rural America in the Twenty-First Century defines these changes and interprets their implications for the future of rural America. The volume follows in the tradition of "decennial volumes" co-edited by presidents of the Rural Sociological Society and published in the Society's Rural Studies Series. Essays have been specially commissioned to examine key aspects of public policy relevant to rural America in the new century. Contributors include:Lionel Beaulieu, Alessandro Bonnano, David Brown, Ralph Brown, Frederick Buttel, Ted Bradshaw, Douglas Constance, Steve Daniels, Lynn England, William Falk, Cornelia Flora, Jan Flora, Glenn Fuguitt, Nina Glasgow, Leland Glenna, Angela Gonzales, Gary Green, Rosalind Harris, Tom Hirschl, Douglas Jackson-Smith, Leif Jensen, Ken Johnson, Richard Krannich, Daniel Lichter, Linda Lobao, Al Luloff, Tom Lyson, Kate MacTavish, David McGranahan, Diane McLaughlin, Philip McMichael, Lois Wright Morton, Domenico Parisi, Peggy Petrzelka, Kenneth Pigg, Rogelio Saenz, Sonya Salamon, Jeff Sharp, Curtis Stofferahn, Louis Swanson, Ann Tickameyer, Leanne Tigges, Cruz Torres, Mildred Warner, Ronald Wimberley, Dreamal Worthen, and Julie Zimmerman.
""This book advocates for children and families in rural poverty and explores interdisciplinary approaches to support the cognitive, social, and emotional needs of children and families in poverty"--Provided by publisher"--
Rural Development in Practice focuses on the evolving nature of rural development in the Global South. It outlines how we got to where we are today, checks what we can learn from history, and explores the development drivers, facilitators, and obstacles most likely to shape the years ahead. The book covers the management of fishing grounds, forests, grazing lands, water sources and soil, and looks at the effects of infrastructure, trade mechanisms, and new crop varieties on farming. The author discusses the opportunities and challenges of microfinance, social safety nets and migration, and assesses the way ICT and climate change are changing everything, rapidly. Real-life examples, exercises, role-plays, textboxes, anecdotes, and illustrative artwork are used to bring concepts and theories to life, and every chapter concludes with a section that explores how best to tackle the tough and complex dilemmas of our time. Rural Development in Practice is essential reading for students at all levels and may be of benefit for programme and policy staff in rural-focused government departments, multilateral agencies, and non-government organisations.
This book provides an up-to-date account of the many processes shaping and transforming rural space in various parts of the world. The various case studies focus on the multi-functionality of the rural world and the driving forces behind it. The book demonstrates that rural areas are no longer simply characterized by an agricultural economy, and instead accommodate multiple complementary activities. It also touches upon two major changes that have taken place. The first is the process of rurbanization, which has led to the clear distinction between town and countryside becoming blurred: urban traits have penetrated rural areas, and rural traits have invaded towns. The second change is that rural areas are increasingly seen as multi-functional, providers not only of food and other natural resources but also locations for the generation of renewable energy (wind farms, solar farms, biogas) and regions for the preservation of biodiversity. These transformations have resulted in a new understanding and self-image of rural areas and their populations.
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Decade after decade, violence against women has gained more attention from scholars, policy makers, and the general public. Social scientists in particular have contributed significant empirical and theoretical understandings to this issue. Strikingly, scant attention has focused on the victimization of women who want to leave their hostile partners. This groundbreaking work challenges the perception that rural communities are safe havens from the brutality of urban living. Identifying hidden crimes of economic blackmail and psychological mistreatment, and the complex relationship between patriarchy and abuse, Walter S. DeKeseredy and Martin D. Schwartz propose concrete and effective solutions, giving voice to women who have often suffered in silence.
In the last decade, rural development emerged as one of the prominent challenges facing the United States. Strong support for rural development is now found in both major political parties and at federal, state, and local levels. There is little doubt that the development of rural America will become even more important in the future. Despite unprecedented growth, both urban and rural areas in the United States are greatly deficient in many aspects of quality living conditions. The nation’s cities are slowly strangling themselves, jamming together people and industry while spawning pollution, transportation paralysis, housing blight, lack of privacy, and a crime-infested society. Rural areas simultaneously suffer from the other extreme: lack of sufficient employment opportunities, outmigration and depopulation, and too few people to support services and institutions. The migration from rural areas contributes to the problems of both the city and countryside depopulating rural places at the expense of overcrowded cities. This book focuses on rural development processes, problems, and solutions. Seven prominent specialists in the field, including agricultural and regional economists, demographers, and administrators, discuss the development of the open country, small towns, and smaller cities (up t fifty thousand population). They present an integrated approach to rural development problems, not a mere collection of readings. Valuable guidelines for policies to benefit both rural and urban areas are provided. Since rural development involves interdisciplinary scholarship, this book will be of interest to a wide range of social scientists working in rural areas both here and abroad. Economists, sociologists, and political scientists, as well as community leaders and planners, legislators, government officials and interested laymen, will find this volume useful in understanding the rural development effort. Chapters on the following topics are included: the Philosophy and Process of Community Development; The Emergence of Area Development; Demographic Trends of the U.S. Rural Population; The Conditions and Problems of Nonmetropolitan America; Systems Planning for rural Development; Use of Natural Resources in Community Development; and Rural Poverty and Urban Growth, An Economic Critique of Alternative Spatial Growth Patterns
The U.S. Department of Agriculture Economic Research Service (USDA/ERS) maintains four highly related but distinct geographic classification systems to designate areas by the degree to which they are rural. The original urban-rural code scheme was developed by the ERS in the 1970s. Rural America today is very different from the rural America of 1970 described in the first rural classification report. At that time migration to cities and poverty among the people left behind was a central concern. The more rural a residence, the more likely a person was to live in poverty, and this relationship held true regardless of age or race. Since the 1970s the interstate highway system was completed and broadband was developed. Services have become more consolidated into larger centers. Some of the traditional rural industries, farming and mining, have prospered, and there has been rural amenity-based in-migration. Many major structural and economic changes have occurred during this period. These factors have resulted in a quite different rural economy and society since 1970. In April 2015, the Committee on National Statistics convened a workshop to explore the data, estimation, and policy issues for rationalizing the multiple classifications of rural areas currently in use by the Economic Research Service (ERS). Participants aimed to help ERS make decisions regarding the generation of a county rural-urban scale for public use, taking into consideration the changed social and economic environment. This report summarizes the presentations and discussions from the workshop.