Providing consumer health information in the rural setting: Planetree Health Resource Center's approach

Both lifestyle and geography make the delivery of consumer health information in the rural setting unique. The Planetree Health Resource Center in The Dalles, Oregon, has served the public in a rural setting for the past eight years. It is a community-based consumer health library, affiliated with a small rural hospital, Mid-Columbia Medical Center. One task of providing consumer health information in rural environments is to be in relationship with individuals in the community. Integration into community life is very important for credibility and sustainability. The resource center takes a proactive approach and employs several different outreach efforts to deepen its relationship with community members. It also works hard to foster partnerships for improved health information delivery with other community organizations, including area schools. This paper describes Planetree Health Resource Center's approach to rural outreach.

El problema sanitario de España: saneamiento y medio rural en los primeros decenios del siglo XX

En los primeros decenios del siglo XX, la situación socio-sanitaria de la sociedad española fue descrita como catastrófica, tanto en el ámbito urbano como en el rural. En aquel contexto, el saneamiento del medio aparece como una de las claves del proceso de regeneración que asumió la higiene en su papel de mediadora. A través de las obras de los higienistas G. De Membrillera y Luis Muñoz Antuñano, publicadas en 1921, nos hemos acercado al análisis de la situación sanitaria de la España rural durante este periodo.

La expansión del área urbana de Segovia. Transformación paisajística del entorno rural periurbano

En la última década, el área urbana de Segovia ha experimentado un profundo cambio radicado en la urbanización de municipios del entorno rural periurbano. Los crecimientos más significativos se han dado en los núcleos situados en torno al eje de la carretera CL-601 que une Segovia con el Real Sitio de San Ildefonso. La expansión del área urbanizada en este espacio genera cambios en la dinámica territorial que pueden llegar a producir desajustes funcionales que afecten negativamente a los valores patrimoniales y paisajísticos que definen a este territorio.

Urban penalty: nuevas hipótesis y caso español (1860-1920)

El término urban penalty fue en principio utilizado para definir la sobremortalidad urbana durante la revolución industrial. Los antropómetras lo emplearon más tarde para definir un hecho simultáneo: el descenso de la estatura urbana con respecto a la rural. En la primera parte del trabajo proponemos tres nuevas hipótesis sobre ese castigo urbano: a) incorporar las aportaciones de la Teoría Económica sobre fallos de mercado al análisis de la sobremortalidad urbana; b) explicar la urban penalty mediante el modelo que Floud, Fogel, Harris y Chul Hong han elaborado recientemente para Gran Bretaña y c) sugerir respuestas a una pregunta que debe ser avalada o desmentida por investigaciones de ámbito municipal: ¿por qué los políticos españoles de la restauración tardaron décadas en acometer la reforma sanitaria de las ciudades? En la segunda parte del trabajo ofrecemos información que demuestra que España padeció sobremortalidad urbana derivada de fallos de mercado. Los datos de estatura rural y urbana evidencian por el contrario que, salvo excepciones, el país no experimentó urban penalty. El trabajo termina tratando de explicar esta particularidad y sosteniendo que el modelo de Floud, Fogel, Harris y Chul Hong puede aplicarse a esas excepciones.

Urban environmental degradation and the standard of living: the case of the Spanish mining industry (1870–1930)

This paper analyses the consequences of urban environmental degradation on the well-being of Spanish miners. It is based on analyses of differences in mortality and height. The first part of the paper examines new hypotheses regarding the urban penalty. We take into consideration existing works in economic theory that address market failures when analysing the higher urban death rate. We explain the reduction in height using the model recently created by Floud, Fogel, Harris and Hong for British cities. The second part of the paper presents information demonstrating that the urban areas in the two largest mining areas in Spain (Bilbao and the Cartagena-La Unión mountain range) experienced a higher death rate relative to rural areas as a consequence of market failures derived from what we term an ‘anarchic urbanisation’.

Política pública en el desarrollo de la juventud rural

La política pública es fundamental para cumplir con el propósito de atender los problemas colectivos a través de la negociación colectiva. En el medio rural se expresa en toda su amplitud, como agenda de formulación, de ejecución y de evaluación ajena a los actores municipales. De esta forma, este artículo tiene como objetivo comprobar los procesos, condiciones y efectos que genera en la población que las recibe, las acepta y se adapta a ellas. Desde el enfoque territorial, se encontró que la política pública y algunos programas dirigidos a los jóvenes, se centran en la juventud urbana; mientras que los jóvenes rurales desconocen las políticas públicas y los programas que son creados o aplicados a ellos. Las instancias de gobierno municipal, registran una falta de atención a los jóvenes, por la escases de estructura administrativa y de recursos económicos, que profundizan la ausencia de coordinación y comunicación entre los tres niveles de gobierno y la sociedad civil; causando que la duplicidad de programas con recursos limitados e insuficientes se sumen a los demás factores que limitan la atención de los jóvenes de la Sierra Norte de Puebla.

Rural Labour Market Developments in the Former Yugoslav Republic of Macedonia. Factor Markets Working Paper No. 5, September 2011

The significant changes in the quantitative and qualitative characteristics of human resources in rural Macedonia can be explained by the continued trend of emigration from villages to urban areas and abroad. The intensity of emigration has altered the demographic structure and reproductive base of the rural population, along with the income of rural households. The rural and agricultural labour market faces a mismatch with respect to the unfavourable age, education and spatial distribution of the total labour force. A reduction in the participation of women in the agricultural labour force is a new feature. The overall transformation is apparent in the income structure of rural households. An increase in the share of households with mixed income sources notably stems from households that receive remittances and foreign currency funds from family members abroad. The demographic revitalisation of rural areas depends on economic revitalisation, with a more rational use of the labour force and human resources, as well as a restructuring of agricultural production and agricultural holdings. In addition, improvements are necessary in the functioning of market institutions to better meet the needs of smaller farmers and the rural economy.

Agricultural and Rural Labour Markets in the EU Candidate Countries of Croatia, Former Yugoslav Republic of Macedonia and Turkey. Factor Markets Working Paper No. 6, September 2011

This paper provides an overview and comparison of labour markets in agricultural and rural areas in the three candidate countries for the EU membership: Croatia, the Former Yugoslav Republic of Macedonia and Turkey. We analyse and compare the labour market structures and the factors driving them. The analyses are based on the available cross-section and time-series data on agricultural labour structures and living conditions in rural areas. Considerable differences are found among the candidate countries in the importance of the agricultural labour force, between rural and urban labour, and in poverty and living conditions in rural areas. Agricultural and rural labour market structures are the result of demographic and education processes, in addition to labour flows between agricultural and non-agricultural activities, from rural areas to urban ones and migration flows abroad. Declines in the agricultural labour force and rural population are foreseen for each of the candidate countries, but with significant variations between them. Showing different patterns over time, labour market developments in the sector and rural areas have been shaped by the overall labour market institutions, conditions and other factors in each country, such as the legal basis, educational attainment and migration flows, as well as the presence of non-agricultural activities in rural areas.

National conference on rural public transportation. Eighth. Final report.

Urban Mass Transportation Administration, Washington, D.C.

A directory of rural and specialized transit operators. Volume 1: eastern U.S. systems.

Urban Mass Transportation Administration, Washington, D.C.

A directory of rural and specialized transit operators. Volume 2: central U.S. systems.

Urban Mass Transportation Administration, Washington, D.C.

A directory of rural and specialized transit operators. Volume 3: western U.S. systems.

Urban Mass Transportation Administration, Washington, D.C.

A Directory of UMTA-funded rural and specialized transit systems : final report /

Mode of access: Internet.

Rural transportation projects on Indian reservations : a report on 11 demonstrations : final report /

Mode of access: Internet.

Influences on doctors' prescribing: Is geographical remoteness a factor?

Objective: To identify factors influencing the prescribing of medicines by general practitioners in rural and remote Australia. Design: A qualitative study using a questionnaire to determine attitudes about prescribing, specific prescribing habits and comments on prescribing in ‘rural practice’. Setting: General practice in rural and remote Queensland. Subjects: General practitioners practising in rural and remote settings in Queensland (n = 258). Main outcome measures: The factors perceived to influence the prescribing of medicines by medical practitioners in rural environments. Results: A 58% response rate (n = 142) was achieved. Most respondents agreed that they prescribe differently in rural compared with city practice. The majority of respondents agreed that their prescribing was influenced by practice location, isolation of patient home location, limited diagnostic testing and increased drug monitoring. Location issues and other issues were more likely to be identified as ‘influential’ by the more isolated practitioners. Factors such as access to continuing medical education and specialists were confirmed as having an influence on prescribing. The prescribing of recently marketed drugs was more likely by doctors practising in less remote rural areas. Conclusion: Practising in rural and remote locations is perceived to have an effect on prescribing. These influences need to be considered when developing quality use of medicines policies and initiatives for these locations. What is already known: Anecdotal and audit based studies have shown that rural general practice differs to urban-based practice in Australia, including some limited data showing some variations in prescribing patterns. No substantiated explanations for these variations have been offered. It is known that interventions to change prescribing behaviour are more likely to be effective if they are perceived as relevant and hence increasing our knowledge of rural doctors’ perceptions of differences in rural practice prescribing is required. What this study adds: Rural doctors believed that they prescribe differently in rural compared with city practice and they described a range of influences. The more remotely located doctors were more likely to report the ‘rural’ influences on prescribing, however, most results failed to reach statistical significance when compared to the less remotely located doctors. These perceptions should be considered when developing medicines policy and education for rural medical practitioners to ensure it is perceived rurally relevant.