Special thanks to Alycia Vivona of the Franklin Delano Roosevelt Library for research assistance on the origins of the Rural Electrification Administration. I have also benefited from conversations with John Willis, Carli Cochi Ficano, and Silvano Wueschner on high-speed Internet access for rural areas like our own. Robert Whaples and an anonymous reviewer for EH.NET raised incisive questions o...

Mental illness visits in Emergency Department (ED) are annually 12 million in United States. There is need to prepare staff with mental issues. The purpose of this paper is using SAS® to examine the impact of an educational initiative on nurses’ attitudes about patients expressing suicidal ideation in the emergency departments 2 rural hospitals. Two rural communities ED were used for this study...

This article presents a discussion of rural-urban migration as a source of social and behavioral change in Ghana. It explores the extent to which the urban social environment in Ghana generates conflicts for migrants with a different value orientation and the degree of influence of the urban social environment on migrants' behavior. The first part of the discussion focuses on the nature of Gh...

BACKGROUND This study analyses the association between rurality and local rate of avoidable hospitalizations in a Spanish region with high population dispersion. METHODS Ecological study using a municipality in the region of Castile and Leon (Spain) as the spatial unit of analysis. The variables used to operationalize rurality included the following: distance to hospital, population density, ...

BACKGROUND The Federal Democratic Republic of Nepal is a developing country in South Asia with a population of 29.8 million. In September 2011, there were 18 medical schools with 14 being in the private sector. KIST Medical College is a private school in Lalitpur district. The present study was conducted to obtain information on student perceptions about working in rural Nepal after graduation....

BACKGROUND Given relatively less favorable health outcomes in rural Alabama, electronic health records (EHRs) have an even greater potential to improve quality and alleviate disparities if meaningfully used. OBJECTIVES We examined rural-urban differences as it pertained to perceived barriers, benefits, and motivating factors of EHR implementation. METHODS We used multivariate logistic model...

The availability, accessibility and acceptability of services are critical factors in rural health service delivery. In Canada, the aging population and the consequent increase in prevalence of dementia challenge the ability of many rural communities to provide specialized dementia care. This paper describes the development, operation and evaluation of an interdisciplinary memory clinic designe...

In 2010, 17% of the U.S. population lived in rural (nonmetropolitan) areas. Many rural areas are medically underserved due to physician (especially specialist) shortages. Rural hospitals often are small, with a low volume of services, and have difficulty remaining financially viable under the regular hospital prospective payment system. Special Medicare hospital payment categories have been est...

BACKGROUND Many rural hospitals in Australia and New Zealand do not have an on-site pharmacist. Sessional employment of a local pharmacist offers a potential solution to address the clinical service needs of non-pharmacist rural hospitals. This study explored sessional service models involving pharmacists and factors (enablers and challenges) impacting on these models, with a view to informing ...

Telestroke has provided swift, lifesaving treatment and has afforded patients the ability to be treated in an efficient manner in rural areas where neurologists may not always be available. It has been reported that Telestroke in rural areas has increased the ability to treat patients by being able to access a neurologist for assistance in evaluating the patient to determine if administering li...