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.

Three billion people live in rural areas in developing countries. Conditions for them are worse than for their urban counterparts when measured by almost any development indicator, from extreme poverty, to child mortality and access to electricity and sanitation.

The twentieth century was one of profound transformation in rural America. Demographic shifts and economic restructuring have conspired to alter dramatically the lives of rural people and their communities. Challenges for Rural America in the Twenty-First Century defines these changes and interprets their implications for the future of rural America. The volume follows in the tradition of "decennial volumes" co-edited by presidents of the Rural Sociological Society and published in the Society's Rural Studies Series. Essays have been specially commissioned to examine key aspects of public policy relevant to rural America in the new century. Contributors include:Lionel Beaulieu, Alessandro Bonnano, David Brown, Ralph Brown, Frederick Buttel, Ted Bradshaw, Douglas Constance, Steve Daniels, Lynn England, William Falk, Cornelia Flora, Jan Flora, Glenn Fuguitt, Nina Glasgow, Leland Glenna, Angela Gonzales, Gary Green, Rosalind Harris, Tom Hirschl, Douglas Jackson-Smith, Leif Jensen, Ken Johnson, Richard Krannich, Daniel Lichter, Linda Lobao, Al Luloff, Tom Lyson, Kate MacTavish, David McGranahan, Diane McLaughlin, Philip McMichael, Lois Wright Morton, Domenico Parisi, Peggy Petrzelka, Kenneth Pigg, Rogelio Saenz, Sonya Salamon, Jeff Sharp, Curtis Stofferahn, Louis Swanson, Ann Tickameyer, Leanne Tigges, Cruz Torres, Mildred Warner, Ronald Wimberley, Dreamal Worthen, and Julie Zimmerman.

Rural Development in Practice focuses on the evolving nature of rural development in the Global South. It outlines how we got to where we are today, checks what we can learn from history, and explores the development drivers, facilitators, and obstacles most likely to shape the years ahead. The book covers the management of fishing grounds, forests, grazing lands, water sources and soil, and looks at the effects of infrastructure, trade mechanisms, and new crop varieties on farming. The author discusses the opportunities and challenges of microfinance, social safety nets and migration, and assesses the way ICT and climate change are changing everything, rapidly. Real-life examples, exercises, role-plays, textboxes, anecdotes, and illustrative artwork are used to bring concepts and theories to life, and every chapter concludes with a section that explores how best to tackle the tough and complex dilemmas of our time. Rural Development in Practice is essential reading for students at all levels and may be of benefit for programme and policy staff in rural-focused government departments, multilateral agencies, and non-government organisations.

""This book advocates for children and families in rural poverty and explores interdisciplinary approaches to support the cognitive, social, and emotional needs of children and families in poverty"--Provided by publisher"--

This book provides an up-to-date account of the many processes shaping and transforming rural space in various parts of the world. The various case studies focus on the multi-functionality of the rural world and the driving forces behind it. The book demonstrates that rural areas are no longer simply characterized by an agricultural economy, and instead accommodate multiple complementary activities. It also touches upon two major changes that have taken place. The first is the process of rurbanization, which has led to the clear distinction between town and countryside becoming blurred: urban traits have penetrated rural areas, and rural traits have invaded towns. The second change is that rural areas are increasingly seen as multi-functional, providers not only of food and other natural resources but also locations for the generation of renewable energy (wind farms, solar farms, biogas) and regions for the preservation of biodiversity. These transformations have resulted in a new understanding and self-image of rural areas and their populations.

In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.