While a dairy cooperative provided the bylaws, managing a cooperative of rural hospitals has been a learn-as-you-go experience. This article presents the management principles that have been learned over the last 13 years. Its experience suggests that developing and managing partnerships requires behaviors different from those typically associated with the management of individual organizations.

INTRODUCTION 'Belonging' is a universal characteristic of human beings and is a basic human need. Rural nurses describe the nature of their practice as being embedded in working as a team where belonging is central to the success of the team and the individual nurse. As a result they form close professional and personal ties. The challenge for nursing students is to develop a sense of belonging...

The purpose of this study is to identify barriers to the adoption of new technology in rural settings. Specifically, this paper focuses on identifying and overcoming barriers to the adoption of a medication error reporting system in eight rural hospitals. Prior research has generally focused on barriers to the adoption of new technology in urban areas, medical centers, or large hospitals. The l...

This article describes the emerging trend of using metrics in rural hospitals to achieve world-class performance. This trend is a response to the fact that rural hospitals have small patient volumes yet must maintain a profit margin in order to fulfill their mission to the community. The conceptual idea for this article is based largely on Robert Kaplan and David Norton's Balanced Scorecard art...

This article discusses the danger of a growing digital divide between rural and other areas. It presents broadband as increasingly necessary for the delivery of information, health, education, business, social security, public and leisure services. Access to broadband has become vital for rural communities to participate in a progressively digital economy and to overcome problems of physical an...

Innovation spurs economic growth and development. Pro-poor innovation in rural areas is more likely to occur through small-scale ventures and entrepreneurs than industrial research and development. Whilst previous rural development policies have focussed on small-holder agriculture, the fact is that most rural poor are landless poor and therefore unlikely to benefit greatly from agriculture-bas...

The paper discusses the institutional reforms for rural electrification (RE) in Thailand and Bangladesh and analyses the impacts of private sector participation in electricity generation and tariff reforms on the poor in Thailand. RE program in Thailand, initiated in 1977, increased electricity access by rural households from 7% in early 70s to 97% by 2000. In Bangladesh the RE program, initiat...

Socioeconomic trends and developments within the U.S. healthcare system have challenged rural hospitals' ability to maintain adequate operating margins and offer needed services. However, some hospitals have fared better in this negative environment than have others. To clarify factors that distinguish the most viable rural Catholic hospitals from the least viable, our study identified a group ...