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Achieving Rural Health Equity and Well-Being

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-10-17

Total Pages: 95

ISBN-13: 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.

Quality Through Collaboration

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2005-04-24

Total Pages: 289

ISBN-13: 0309094399

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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.

Rural Health

Author: Maria C. Clay

Publisher: Cognella Academic Publishing

Published: 2021-07-26

Total Pages:

ISBN-13: 9781516579655

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Rural Health: A Framework for Understanding the Issues and Their Impact on Rural Populations examines the factors that affect health care access and health status of individuals who live in rural areas. The text employs a unique structure called the Rural Health Framework, a methodology created by the authors during their years of teaching rural health at the undergraduate and graduate level. This framework challenges students to collect data and facts about rural areas to help them better understand rural health issues. The book emphasizes the complexity of rural health, the interprofessional nature of rural health care, and the importance of appropriate health care interventions for rural populations. The opening chapter provides readers with an overview of rural health terms and concepts. Additional chapters explore how geographic, economic, sociocultural, demographic, and support factors can impact heath status, access, and outcomes. The final chapter features an array of rural health case assessments to help students connect theory to real-world practice. Offering students an innovative and essential approach, Rural Health is an exemplary resource for courses in nursing, public health, medicine, social work, nutrition, and allied health.

Rural Health in the United States

Author: Thomas C. Ricketts

Publisher: Oxford University Press

Published: 1999-10-07

Total Pages: 233

ISBN-13: 0199759723

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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.

Modern Epidemiology

Author: Kenneth J. Rothman

Publisher: Lippincott Williams & Wilkins

Published: 2008

Total Pages: 776

ISBN-13: 9780781755641

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The thoroughly revised and updated Third Edition of the acclaimed Modern Epidemiology reflects both the conceptual development of this evolving science and the increasingly focal role that epidemiology plays in dealing with public health and medical problems. Coauthored by three leading epidemiologists, with sixteen additional contributors, this Third Edition is the most comprehensive and cohesive text on the principles and methods of epidemiologic research. The book covers a broad range of concepts and methods, such as basic measures of disease frequency and associations, study design, field methods, threats to validity, and assessing precision. It also covers advanced topics in data analysis such as Bayesian analysis, bias analysis, and hierarchical regression. Chapters examine specific areas of research such as disease surveillance, ecologic studies, social epidemiology, infectious disease epidemiology, genetic and molecular epidemiology, nutritional epidemiology, environmental epidemiology, reproductive epidemiology, and clinical epidemiology.

Preparedness and Response to a Rural Mass Casualty Incident

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-04-18

Total Pages: 144

ISBN-13: 0309212901

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Problems contacting emergency services and delayed assistance are not unusual when incidents occur in rural areas, and the consequences can be devastating, particularly with mass casualty incidents. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop to examine the current capabilities of emergency response systems and the future opportunities to improve mass casualty response in rural communities.

Rural Public Health

Author: K. Bryant Smalley, PhD, PsyD

Publisher: Springer Publishing Company

Published: 2014-01-14

Total Pages: 294

ISBN-13: 0826108954

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"[A] welcome addition to the rural health care practitioner's tool kit. It will energize those interested in vulnerable rural residents and their unique characteristics through a public health perspective... Highly recommended."--CHOICE: Current Reviews for Academic Libraries "This call to action for healthcare providers is a comprehensive review of issues in rural healthcare, including both obstacles and ways to begin to overcome them. It is easy to read... This enjoyable book encourages healthcare providers working or considering working in rural healthcare with clear direction."--Doody's Medical Reviews "The Warren & Smalley book is an excellent look at the challenges while also presenting solutions and hope. It recognizes the medical challenges that are present and the cost of bring medical care to these communities... There is so much in this book that will be refreshing and encouraging. The book needs to be read. It is also a book that needs to be placed in the hands of the movers and shakers, as well other interested parties who are in a position to 'make this happen.'" -- Illness, Crisis & Loss Rural residents face distinct health challenges due to economic conditions, cultural/behavioral factors, and health provider shortages that combine to impose striking disparities in health outcomes among rural populations. This comprehensive text about the issues of rural public health is the only book to focus on rural health from the perspectives of public health and prevention. It covers specific diseases and disorders faced by rural populations, service delivery challenges, practitioner shortfalls in rural areas, and promising community health approaches and preventive measures. The text also addresses rural health care ethics and international perspectives. Nearly all chapters offer best practice recommendations and evidence-based prevention programs. This book is a cohesive, centralized resource for researchers, public health practitioners, health organizations, and graduate education programs that focus on the public health of rural populations. Key Features: Comprises the only text to address rural health from the perspectives of public health and prevention Includes best practice recommendations and evidence-based prevention programs in each chapter Presents a cohesive, expansive synthesis of current research and practice Addresses specific diseases and disorders of rural populations, service delivery problems, and practitioner shortfalls in rural areas Discusses promising community health approaches and preventative measures

Rebuilding the Unity of Health and the Environment in Rural America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-02-28

Total Pages: 116

ISBN-13: 0309180570

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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.

Critical Issues In Rural Health

Author: Lois Wright

Publisher: Wiley-Blackwell

Published: 2004-05-31

Total Pages: 302

ISBN-13: 9780813800103

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A large sector of the United States (U.S.) population. About 22 percent of Americans, approximately 55 million people, are considered “rural” residents. Rural people have a unique set of health issues; they experience social, cultural, and economic disadvantages that can increase their risk for adverse health consequences. The first text of its kind, Critical Issues in Rural Health, provides comprehensive sociological study of rural health and health care trends in the United States, by examining the health and well-being of rural populations at all stages of life. Editors Glasgow, Morton, and Johnson present integrative reviews of theory and research on rural health issues, with the most up-to-date statistics of empirical research. This informative and groundbreaking text goes beyond the scope of previous studies and emphasizes differences between rural and urban areas in health and health care. Surprisingly little research has examined the differences in disability and morality rates by residence or degree of rurality-this book does. In additon, contributing authors report on the impact of age or life stage, race and ethnicity, social class, rural occupations, and community structure on various health issues.