Purpose: The Veterans Health Administration (VHA) devised an algorithm to classify veterans as Urban, Rural, or Highly Rural residents. To understand the policy implications of the VHA scheme, we compared its categories to 3 Office of Management and Budget (OMB) and 4 Rural-Urban Commuting Area (RUCA) geographical categories. Method: Using…

Purpose: To determine if rural residence is independently associated with different access to health care services for children eligible for public health insurance. Methods: We conducted a mail-return survey of 10,175 families randomly selected from Oregon's food stamp population (46% rural and 54% urban). With a response rate of 31%, we used a…

This article is based on interviews carried out in rural communities in Canada and Wales with health care workers, educators, administrators and policymakers. The focus of the interviews was on assessing the perceived needs and available services for rural youth, either within their schools or within the immediate community. Various problems and…

Context: Uneven distribution of physicians across geographic areas of the United States remains a significant problem that may have implications for health. Purpose: To develop a statistical model of physician distribution in Illinois counties that predicts where specialists and family physicians practice, and to suggest policy strategies for…

Despite recent efforts to encourage federal funding of psychological services for underserved populations such as the elderly and residents of rural areas, ample evidence suggests that rural areas are underserved by psychologists. Drawing on data from rural and urban areas in Pennsylvania, this paper argues that master's level training can provide…

Supporting the premise that rural communities require functioning health care systems for their physiological, emotional, and economic well-being, the First Statewide Legislative Symposium on Rural Development defined problems and established goals for rural health care in New York. Despite increases in New York's overall physician supply during…

This document is the last of 10 reports resulting from New York's 1983 First Statewide Symposium on Rural Development and is intended to be used primarily as a resource document for the development of public policy proposals. The 9 preliminary reports generated discussion at 12 public hearings, plus written testimony, and served to catalog rural…

Despite all the optimistic discussions of a rural renaissance and a significant population turnaround favoring growth in rural communities, rural areas are still experiencing a lack of essential services in virtually every area important to quality of life for rural residents. Included among the areas in which a need for improved rural support…

This document details how Australia's government intends to implement the New National Agenda for Women, which was formulated in 1993 after a review of many recent reports and after a forum to obtain input from women in the community, representatives of many women's organizations, and all areas of government. Sixteen of the 23 chapters examine the…

It is generally agreed that spending on education and health is key to poverty reduction, but simply allocating more resources to these sectors does not ensure that poverty actually declines. On the basis of four in-depth case studies (on Indonesia, Madagascar, Peru and Tanzania) and three Technical Papers on malnutrition and primary education in…

The General Accounting Office's (GAO's) director of health care-public health issues testified before Congress regarding growing concerns about the adequacy of the health care work force and lessons learned from the experience of the National Health Service Corps (NHSC) in addressing the maldistribution of health care professionals. The following…