Monitoring and improving rural health is challenging because of varied and conflicting concepts of just what means. Federal, state, and local agencies and data resources use different definitions, which may lead to confusion and inequity in the distribution of resources depending on the definition used. This article highlights how inconsistent definitions of may lead to measurement bias in research, the interpretation of research outcomes, and differential eligibility for rural-focused grants and other funding. We conclude by making specific recommendations on how policy makers and researchers could use these definitions more appropriately, along with definitions we propose, to better serve rural residents. We also describe concepts that may improve the definition of and frame the concept of rurality.
This article was published in the following journal.
Name: Health affairs (Project Hope)
ISSN: 1544-5208
Pages: 1985-1992
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Rural Population
The inhabitants of rural areas or of small towns classified as rural.
Hospitals, Rural
Hospitals located in a rural area.
Rural Health
The status of health in rural populations.
Rural Nursing
A branch of nursing requiring generalist training with specialty knowledge in crisis assessment and management in all subdisciplines of nursing. Rural nursing practices often include geographical and social distance concepts in delivery of health care.
Rural Health Services
Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.
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