What Is Rural? Challenges And Implications Of Definitions That Inadequately Encompass Rural People And Places
What Is Rural? Challenges And Implications Of Definitions That Inadequately Encompass Rural People And Places
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DOI：
10.1377/hlthaff.2019.00910
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发表时间：
2019-12-01
期刊：
影响因子：
9.7
通讯作者：
Ziller, Erika
中科院分区：
文献类型：
--
作者：
Bennett, Kevin J.;Borders, Tyrone F.;Ziller, Erika
监测和改善农村卫生是一项具有挑战性的工作，因为人们对农村的含义有各种不同且相互冲突的概念。联邦、州和地方机构和数据资源使用不同的定义，这可能会导致资源分配的混乱和不公平，具体取决于使用的定义。本文强调了不一致的农村定义可能导致研究中的衡量偏差、对研究结果的解释以及获得以农村为重点的赠款和其他资金的不同资格。最后，我们就政策制定者和研究人员如何更恰当地使用这些定义以及我们提出的定义，更好地为农村居民服务提出具体建议。我们还描述了可以改进乡村概念的定义和框架的概念。
Monitoring and improving rural health is challenging because of varied and conflicting concepts of just what rural 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 rural 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.