eCommerce is generally assumed to be an unequivocal benefit for regional areas. Drawing upon the globalisation literature and the experience in Australia as a case study, this paper questions whether eCommerce is an unequivocal benefit and suggests that at least in some cases eCommerce may lead to the increased import of goods and service into non-metropolitan regions and the domination of thes...

This study investigates the disproportionate impact of mortality among United States troops in Iraq on rural communities. We advance scholarly research and popular accounts that suggest a non-metropolitan disadvantage by disaggregating the risk of mortality according to the metropolitan status of their home county and by examining potential sources of variation, including enlistment, rank and r...

This paper uses a typology of local metropolitan development to exam ine population redistribution trends in the US over the past three decades. Theories of system ic maturation and urban life-cyc les are discussed and evaluated. Analysis of population and inter-county migration data reveals that localise d deconcentration has become an increasin gly common sub-process of metropolitan isation ,...

OBJECTIVE To investigate relations between labour market income inequality and mortality in North American metropolitan areas. METHODS An ecological cross sectional study of relations between income inequality and working age (25-64 years) mortality in 53 Canadian (1991) and 282 US (1990) metropolitan areas using four measures of income inequality. Two labour market income concepts were used:...

OBJECTIVE Health disparities exist between rural and urban areas. Rural physicians may lack sufficient medical knowledge, which may lead to poor quality of care. Therefore, we sought to determine whether medical knowledge differed between family physicians (FPs) practicing in rural areas compared with those practicing in metropolitan areas. METHODS We studied 8361 FPs who took the American Bo...

Which municipalities and locations within the United States contribute the most to household greenhouse gas emissions, and what is the effect of population density and suburbanization on emissions? Using national household surveys, we developed econometric models of demand for energy, transportation, food, goods, and services that were used to derive average household carbon footprints (HCF) fo...

H ighway congestion is a daily phenomenon in all large metropolitan areas and a source of frustration and anxiety for millions of commuters and truckers. Incidents—vehicle accidents and breakdowns that tie up highway traffic-are a major cause of urban highway congestion. Once a concern limited to downtown areas of major cities, congestion is now a metropolitan-wide problem in medium, as well as...

BACKGROUND AND PURPOSE Primary stroke centers (PSCs) are associated with greater rates of tissue plasminogen activator use and improved outcomes. The American Stroke Association has advocated for the preferential transport of stroke patients to PSCs. We investigated the impact of PSC certification on hospital stroke discharge patterns in Georgia communities with a choice between PSC and non-PSC...

This article explores two neglected questions: (1) Does the relationship between hospital concentration and costs vary between urban and rural markets? and (2) Do hospital costs in non-metropolitan areas vary with rurality? Covariance model results using 1992 data reveal that: (1) Although metropolitan and urban markets exhibit a negative relationship between hospital average costs and market c...