Achieving Rural Health Equity and Well-Being PDF Download

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309469058
Category : Medical
Languages : en
Pages : 95

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Book Description
Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

Author: Sarah Smarsh
Publisher: Scribner
ISBN: 1501133101
Category : Biography & Autobiography
Languages : en
Pages : 320

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Book Description
*Finalist for the National Book Award* *Finalist for the Kirkus Prize* *Instant New York Times Bestseller* *Named a Best Book of the Year by NPR, New York Post, BuzzFeed, Shelf Awareness, Bustle, and Publishers Weekly* An essential read for our times: an eye-opening memoir of working-class poverty in America that will deepen our understanding of the ways in which class shapes our country and “a deeply humane memoir that crackles with clarifying insight”.* Sarah Smarsh was born a fifth generation Kansas wheat farmer on her paternal side, and the product of generations of teen mothers on her maternal side. Through her experiences growing up on a farm thirty miles west of Wichita, we are given a unique and essential look into the lives of poor and working class Americans living in the heartland. During Sarah’s turbulent childhood in Kansas in the 1980s and 1990s, she enjoyed the freedom of a country childhood, but observed the painful challenges of the poverty around her; untreated medical conditions for lack of insurance or consistent care, unsafe job conditions, abusive relationships, and limited resources and information that would provide for the upward mobility that is the American Dream. By telling the story of her life and the lives of the people she loves with clarity and precision but without judgement, Smarsh challenges us to look more closely at the class divide in our country. Beautifully written, in a distinctive voice, Heartland combines personal narrative with powerful analysis and cultural commentary, challenging the myths about people thought to be less because they earn less. “Heartland is one of a growing number of important works—including Matthew Desmond’s Evicted and Amy Goldstein’s Janesville—that together merit their own section in nonfiction aisles across the country: America’s postindustrial decline...Smarsh shows how the false promise of the ‘American dream’ was used to subjugate the poor. It’s a powerful mantra” *(The New York Times Book Review).

Author: Shannon O'Dell
Publisher: New Leaf Publishing Group
ISBN: 1614582130
Category : Religion
Languages : en
Pages : 210

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Book Description
"No matter what size church you are a part of, this book will challenge your traditional thinking, force you to look beyond the status quo, and enable you to grasp a bigger vision of what God has in store for your ministry and your leadership." -Ed Young, Fellowship Church "Shannon O'Dell's passion for the rural church in America is contagious" -Craig Groeschel, LifeChurch.tv Small church buildings dotting the countryside are home to ministries that often struggle with limited attendance, no money, and little expectation that change can revitalize their future. In Transforming Church in Rural America, Pastor Shannon O'Dell shares a powerful vision of relevance, possibility, and excellence for these small churches, or for any ministry that is stuck in a "rural state of mind." The book reveals: how to generate growth through transformed lives ways to create active evangelism in your community no-cost solutions for staffing challenges, enhancing the worship experience, and inspiring volunteers Focusing on vision, attitude, leadership, and innovation, you can learn the practical strategies and biblical guidance that helped to grow a church of 31 into a multi-campus church of several thousand, with a national and global outreach. Discover effective structure and ways to cast God-given vision so others can follow and make an impact. Experience the blueprint for transforming into effective, dynamic, and thriving churches no matter where the location or how small it may be. MORE INFO

Author: Jane Kleeb
Publisher: HarperCollins
ISBN: 006296092X
Category : Political Science
Languages : en
Pages : 178

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Book Description
From Democratic Party rising star Jane Kleeb, an urgent and stirring road map showing how the Democratic Party can, and should, engage rural America The Democratic Party has lost an entire generation of rural voters. By focusing the majority of their message and resources on urban and coastal voters, Democrats have sacrificed entire regions of the country where there is more common ground and shared values than what appears on the surface. In Harvest the Vote, Jane Kleeb, chair of Nebraska’s Democratic Party and founder of Bold Nebraska, brings us a lively and sweeping argument for why the Democrats shouldn’t turn away from rural America. As a party leader and longtime activist, Kleeb speaks from experience. She’s been fighting the national party for more resources and building a grassroots movement to flex the power of a voting bloc that has long been ignored and forgotten. Kleeb persuasively argues that the hottest issues of the day can be solved hand in hand with rural people. On climate change, Kleeb shows that the vast spaces of rural America can be used to enact clean energy innovations. And issues of eminent domain and corporate overreach will galvanize unlikely alliances of family farmers, ranchers, small business owners, progressives, and tribal leaders, much as they did when she helped fight the Keystone XL pipeline. The hot-button issues of guns and abortion that the Republican Party uses to wedge voters against one another can be bridged by putting a megaphone next to issues critical to rural communities. Written with a fiery voice and commonsense solutions, Harvest the Vote is both a call to action and a much-needed balm for a highly divided nation.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309094399
Category : Medical
Languages : en
Pages : 289

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Book Description
Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

Author: Katherine J. Cramer
Publisher: University of Chicago Press
ISBN: 022634925X
Category : Political Science
Languages : en
Pages : 299

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Book Description
“An important contribution to the literature on contemporary American politics. Both methodologically and substantively, it breaks new ground.” —Journal of Sociology & Social Welfare When Scott Walker was elected Governor of Wisconsin, the state became the focus of debate about the appropriate role of government. In a time of rising inequality, Walker not only survived a bitterly contested recall, he was subsequently reelected. But why were the very people who would benefit from strong government services so vehemently against the idea of big government? With The Politics of Resentment, Katherine J. Cramer uncovers an oft-overlooked piece of the puzzle: rural political consciousness and the resentment of the “liberal elite.” Rural voters are distrustful that politicians will respect the distinct values of their communities and allocate a fair share of resources. What can look like disagreements about basic political principles are therefore actually rooted in something even more fundamental: who we are as people and how closely a candidate’s social identity matches our own. Taking a deep dive into Wisconsin’s political climate, Cramer illuminates the contours of rural consciousness, showing how place-based identities profoundly influence how people understand politics. The Politics of Resentment shows that rural resentment—no less than partisanship, race, or class—plays a major role in dividing America against itself.

Author: Robert Wuthnow
Publisher: Princeton University Press
ISBN: 0691195153
Category : Social Science
Languages : en
Pages : 203

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Book Description
How a fraying social fabric is fueling the outrage of rural Americans What is fueling rural America’s outrage toward the federal government? Why did rural Americans vote overwhelmingly for Donald Trump? And is there a more nuanced explanation for the growing rural-urban divide? Drawing on more than a decade of research and hundreds of interviews, Robert Wuthnow brings us into America’s small towns, farms, and rural communities to paint a rich portrait of the moral order—the interactions, loyalties, obligations, and identities—underpinning this critical segment of the nation. Wuthnow demonstrates that to truly understand rural Americans’ anger, their culture must be explored more fully, and he shows that rural America’s fury stems less from economic concerns than from the perception that Washington is distant from and yet threatening to the social fabric of small towns. Moving beyond simplistic depictions of America’s heartland, The Left Behind offers a clearer picture of how this important population will influence the nation’s political future.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309180570
Category : Science
Languages : en
Pages : 116

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Book Description
Throughout much of its history, the United States was predominantly a rural society. The need to provide sustenance resulted in many people settling in areas where food could be raised for their families. Over the past century, however, a quiet shift from a rural to an urban society occurred, such that by 1920, for the first time, more members of our society lived in urban regions than in rural ones. This was made possible by changing agricultural practices. No longer must individuals raise their own food, and the number of person-hours and acreage required to produce food has steadily been decreasing because of technological advances, according to Roundtable member James Merchant of the University of Iowa. The Institute of Medicine's Roundtable on Environmental Health Science, Research, and Medicine held a regional workshop at the University of Iowa on November 29 and 30, 2004, to look at rural environmental health issues. Iowa, with its expanse of rural land area, growing agribusiness, aging population, and increasing immigrant population, provided an opportunity to explore environmental health in a region of the country that is not as densely populated. As many workshop participants agreed, the shifting agricultural practices as the country progresses from family operations to large-scale corporate farms will have impacts on environmental health. This report describes and summarizes the participants' presentations to the Roundtable members and the discussions that the members had with the presenters and participants at the workshop.

Author: Glen H. Elder Jr.
Publisher: University of Chicago Press
ISBN: 022622497X
Category : Social Science
Languages : en
Pages : 404

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Book Description
A century ago, most Americans had ties to the land. Now only one in fifty is engaged in farming and little more than a fourth live in rural communities. Though not new, this exodus from the land represents one of the great social movements of our age and is also symptomatic of an unparalleled transformation of our society. In Children of the Land, the authors ask whether traditional observations about farm families—strong intergenerational ties, productive roles for youth in work and social leadership, dedicated parents and a network of positive engagement in church, school, and community life—apply to three hundred Iowa children who have grown up with some tie to the land. The answer, as this study shows, is a resounding yes. In spite of the hardships they faced during the agricultural crisis of the 1980s, these children, whose lives we follow from the seventh grade to after high school graduation, proved to be remarkably successful, both academically and socially. A moving testament to the distinctly positive lifestyle of Iowa families with connections to the land, this uplifting book also suggests important routes to success for youths in other high risk settings.

Author: Ann R. Tickamyer
Publisher: Columbia University Press
ISBN: 0231544715
Category : Social Science
Languages : en
Pages : 456

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Book Description
America's rural areas have always held a disproportionate share of the nation's poorest populations. Rural Poverty in the United States examines why. What is it about the geography, demography, and history of rural communities that keeps them poor? In a comprehensive analysis that extends from the Civil War to the present, Rural Poverty in the United States looks at access to human and social capital; food security; healthcare and the environment; homelessness; gender roles and relations; racial inequalities; and immigration trends to isolate the underlying causes of persistent rural poverty. Contributors to this volume incorporate approaches from multiple disciplines, including sociology, economics, demography, race and gender studies, public health, education, criminal justice, social welfare, and other social science fields. They take a hard look at current and past programs to alleviate rural poverty and use their failures to suggest alternatives that could improve the well-being of rural Americans for years to come. These essays work hard to define rural poverty's specific metrics and markers, a critical step for building better policy and practice. Considering gender, race, and immigration, the book appreciates the overlooked structural and institutional dimensions of ongoing rural poverty and its larger social consequences.