scholarly journals ICTs and the Urban-Rural Divide: Can Online Labour Platforms Bridge the Gap?

2019 ◽  
Author(s):  
Fabian Braesemann ◽  
Vili Lehdonvirta ◽  
Otto Kässi
Keyword(s):  
Labour Market ◽  
Information And Communication Technologies ◽  
Rural Areas ◽  
Urban Areas ◽  
Knowledge Spillovers ◽  
Knowledge Work ◽  
The United States ◽  
Job Seekers ◽  
Rural Workers ◽  
Rural Counties

Information and communication technologies have long been predicted to make cities as hubs of economic organisation obsolete and spread economic opportunities to rural areas. However, the actual trend in the 21st century has been the opposite. Knowledge spillovers have fuelled urbanisation and pulled job-seekers into large cities, increasing the gap to deprived rural areas. We argue that new assemblages of technologies and social practices, so-called ’online labour platforms’, have recently started to counter this trend. By providing effective formal and informal mechanisms of enforcing cooperation, these platforms for project-based remote knowledge work enable users to hire and find work across distance. In analysing data from a leading online labour platform in more than 3,000 urban and rural counties in the United States, we find that rural workers made disproportionate use of the online labour market. Rural counties also supplied, on average, higher skilled online work than urban areas did. However, many of the most deprived regions of the country did not participate in the online labour market at all. Our findings highlight the potentials and limitations of such platforms for regional economic development.

scholarly journals Rurality and Origin–Destination Trajectories of Medical School Application and Matriculation in the United States

2021 ◽  
Vol 10 (6) ◽  
pp. 417
Author(s):  
Lan Mu ◽  
Yusi Liu ◽  
Donglan Zhang ◽  
Yong Gao ◽  
Michelle Nuss ◽  
...  
Keyword(s):  
Medical School ◽  
Rural Areas ◽  
Urban Areas ◽  
The United States ◽  
Application Rate ◽  
School Students ◽  
Rural Counties ◽  
Physician Shortages ◽  
The Us ◽  
Using Data

Physician shortages are more pronounced in rural than in urban areas. The geography of medical school application and matriculation could provide insights into geographic differences in physician availability. Using data from the Association of American Medical Colleges (AAMC), we conducted geospatial analyses, and developed origin–destination (O–D) trajectories and conceptual graphs to understand the root cause of rural physician shortages. Geographic disparities exist at a significant level in medical school applications in the US. The total number of medical school applications increased by 38% from 2001 to 2015, but the number had decreased by 2% in completely rural counties. Most counties with no medical school applicants were in rural areas (88%). Rurality had a significant negative association with the application rate and explained 15.3% of the variation at the county level. The number of medical school applications in a county was disproportional to the population by rurality. Applicants from completely rural counties (2% of the US population) represented less than 1% of the total medical school applications. Our results can inform recruitment strategies for new medical school students, elucidate location decisions of new medical schools, provide recommendations to close the rural–urban gap in medical school applications, and reduce physician shortages in rural areas.

scholarly journals Trends in Opioid Prescribing by County Following Pennsylvania PDMP Implementation.

2021 ◽  
Author(s):  
CHAIM MILLER ◽  
MATTHEW B. SHERMAN ◽  
ASIF M. ILYAS
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Monitoring Program ◽  
The United States ◽  
Opioid Overdose ◽  
Prescribing Habits ◽  
Opioid Prescribing ◽  
Rural Counties ◽  
Rural And Urban ◽  
Significant Difference

Abstract Background: The opioid epidemic has hit all corners of the United States but has disproportionately affected geographical areas to varying extents over the last thirty years. Rural areas have had higher rates of opioid prescribing than urban areas. However, urban counties have higher rates of opioid overdose deaths than rural counties. This study aims to outline the trends in opioid prescribing between rural and urban counties in the state of Pennsylvania since the implementation of a statewide prescription drug monitoring program (PDMP).Methods: Data pertaining to opioid prescribing habits as listed below were obtained from the Pennsylvania Department of Health who administers the PDMP in Pennsylvania. Study data that were of interest and provided by the PDMP were: Drug name, quantity of prescriptions, average daily morphine milligram equivalents (MME), and days supplied. Urban and Rural categorizations were provided by The Center for Rural Pennsylvania, a legislative agency of the Pennsylvania General Assembly. The timeline for this study analyses began from Q1 2017 through Q1 2020. T-tests were used to compare the county informationResults: Opioid prescriptions from 2017 to 2020 decreased on average by 35% (SD= 0.13) in rural counties and 33% (SD= 0.10) in urban counties (P= 0.114). Change in average daily MME was 0.13 (SD=0.06) in the rural group and 0.14 (SD=0.03, p=0.229). Days supplied per prescription showed no significant changes between rural and urban counties with regards to; less than 3 days, 4-7 days, 8-21 days, and 31+ days. A significant decrease was seen in the 22–30-day subgroup between the rural (0.36 SD=0.08) and urban counties (0.31 SD=0.04 p=0.003).Conclusion: No significant changes were seen in the decline of opioid prescribing habits between rural and urban counties in Pennsylvania from 2017 to 2020. This compounds on similar state-specific studies showing no significant difference in the rate of decline between rural and urban counties.

The Rural-Urban Continuum of Polarization: Understanding the Geography of the 2018 Midterms

The Forum ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kenneth M. Johnson ◽  
Dante J. Scala
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Metropolitan Areas ◽  
Political Attitudes ◽  
The United States ◽  
Rural America ◽  
Rural Regions ◽  
Urban America ◽  
Urban And Rural Areas ◽  
The Continuum

Abstract This study of the 2018 congressional midterms demonstrates how voting patterns and political attitudes vary across a spectrum of urban and rural areas in the United States. Rural America is no more a monolith than is urban America. The rural-urban gradient is better represented by a continuum than a dichotomy. This is evident in the voting results in 2018, just as it was in 2016. We found that the political tipping point lies beyond major metropolitan areas, in the suburban counties of smaller metropolitan areas. Democrats enjoyed even greater success in densely populated urban areas in 2018 than in 2016. Residents of these urban areas display distinctive and consistent social and political attitudes across a range of scales. At the other end of the continuum in remote rural areas, Republican candidates continued to command voter support despite the challenging national political environment. Voters in these rural regions expressed social and political attitudes diametrically opposed to their counterparts in large urban cores.

Housing Finance Reform: Should There Be a Government Guarantee?

2011 ◽  
Vol 01 (04) ◽  
pp. 811-822 ◽  
Author(s):  
Richard K. Green
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
The United States ◽  
Economic Stress ◽  
Mortgage Market ◽  
Best Interest ◽  
Finance Reform ◽  
Fixed Rate ◽  
The Great Depression ◽  
The Republic

In 2007 and 2008, the mortgage market failed. It failed in a number of dimensions: Default rates rose to their highest levels since the great depression, and mortgage liquidity ground to a halt. This failure has produced recriminations: Blame has been laid at the feet of borrowers, brokers, lenders, investment banks, investors and government and quasi-government entities that guaranteed mortgages. These recent events have produced an important debate: Whether the U.S. mortgage market requires a federal guarantee in order to best serve consumers, investors and markets. My view is that such a guarantee is necessary. I will divide my argument into four areas: (1) I will argue that the United States has had a history of providing guarantees, either implicit or explicit, regardless of its professed position on the matter. This phenomenon goes back to the origins of the republic. It is in the best interest of the country to acknowledge the existence of such guarantees, and to price them appropriately before, rather than after, they become necessary. (2) I will argue that in times of economic stress, such as now, the absence of government guarantees would lead to an absence of mortgages. (3) I will argue that a purely "private" market would likely not provide a 30 year fixed rate pre-payable mortgage. I think that this is no longer a particularly controversial statement; what is more controversial is whether such a mortgage is necessary — I will argue that it is. (4) I will argue that in the absence of a federal guarantee, the price and quantity of mortgages will vary across geography. In particular, rural areas will have less access to mortgage credit that urban areas, central cities will have less access than suburbs. Condominiums already are treated less favorably than detached houses, and this difference is likely to get larger in the absence of a guarantee.

An Academic-Community Collaboration to Deliver Medication Therapy Management (MTM) Services to Patients Living in Rural Counties of a Southwestern State in the United States

2021 ◽  
pp. 089719002110002
Author(s):  
David Rhys Axon ◽  
Melissa Johnson ◽  
Brittany Abeln ◽  
Stephanie Forbes ◽  
Elizabeth J. Anderson ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Program Effectiveness ◽  
Small Town ◽  
The United States ◽  
Small Towns ◽  
Academic Community ◽  
Service Needs ◽  
Medication Therapy

Background: Patients living in rural communities often experience pronounced health disparities, have a higher prevalence of diabetes and hypertension, and poorer access to care compared to urban areas. To address these unmet healthcare service needs, an established, academic-based MTM provider created a novel, collaborative program to provide comprehensive, telephonic services to patients living in rural Arizona counties. Objective: This study assessed the program effectiveness and described differences in health process and outcome measures (e.g., clinical outcomes, gaps in care for prescribed medications, medication-related problems) between individuals residing in different rural-urban commuting area (RUCA) groups (urban, micropolitan, and small town) in rural Arizona counties. Methods: Subjects eligible for inclusion were 18 years or older with diabetes and/or hypertension, living in rural Arizona counties. Data were collected on: demographic characteristics, medical conditions, clinical values, gaps in care, medication-related problems (MRPs), and health promotion guidance. Subjects were analyzed using 3 intra-county RUCA levels (i.e., urban, micropolitan, and small town). Results: A total of 384 patients were included from: urban (36.7%), micropolitan (19.3%) and small town (44.0%) areas. Positive trends were observed for clinical values, gaps in care, and MRPs between initial and follow-up consultations. Urban dwellers had significantly lower average SBP values at follow-up than those from small towns (p < 0.05). A total of 192 MRPs were identified; 75.0% were resolved immediately or referred to providers and 16.7% were accepted by prescribers. Conclusion: This academic-community partnership highlights the benefits of innovative collaborative programs, such as this, for individuals living in underserved, rural areas.

Teachers’ perceptions of ICT issues in education: an approximation by gender and region in Mexico

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Florina Guadalupe Arredondo-Trapero ◽  
José Carlos Vázquez-Parra ◽  
Martín De Jesús González-Martínez
Keyword(s):  
Information And Communication Technologies ◽  
Rural Areas ◽  
Digital Technology ◽  
Urban Areas ◽  
Well Being ◽  
Teaching Staff ◽  
Content Type ◽  
Teachers Perceptions ◽  
Validated Questionnaire ◽  
The Impact

Purpose The aim of this study is to analyse teachers’ perceptions of information and communication technologies (ICT) and the effect they have on their students, comparing male and female teachers in rural and urban areas of Mexico. Design/methodology/approach This is a quantitative study with a validated questionnaire that records the perception of school teachers from a state in the northeast of Mexico. The questionnaire was designed by interviewing 20 teachers who have had problematic situations in the use of technology by students. The main problems that were perceived in their students were cyberbullying, cyberviolence, online pornography, excessive use of videogames and also lack of ability to use digital technology. Hypothesis testing was applied to identify differences between gender (female or male) and region (rural or urban), considering these problems and the efforts made by the school to address these issues. Findings Both the gender of the teaching staff and the region where the school is located are variables that are influencing the willingness to incorporate ICT issues that are affecting the well-being of students into the educational agenda. While teachers are the main actors in preparing their students on how to face these challenges, students in schools with mostly male teachers, or located in rural areas, will be in a situation of greater vulnerability to be victims of the problems that arise as part of ICT risks in a digital society Research limitations/implications This article only offers a first approach to ICT and teachers’ perceptions. It is necessary to broaden the scope of this type of research to include different educational contexts and to ask questions that reveal in greater detail how schools are dealing with ICT and its possible risks and the factors that have influenced the successes or failures they are having in these attempts. Practical implications This finding can help schools to promote programs focused to apply ICT for student flourishment and help them to deal with the risk that digital technology is generating in young students. Originality/value Although multiple research have been conducted to address teachers’ perception about diverse topics, there has been no specific research on the self-perception of teachers in dealing with technology and preparing students for the problems presented by ICT and its risks. This research contributes to the literature on the impact that teachers’ perceptions can have on the adoption of technology in education, and how this can be different by gender and region.

scholarly journals Stroke Incidence and Case Fatality According to Rural or Urban Residence

Stroke ◽  
2019 ◽  
Vol 50 (10) ◽  
pp. 2661-2667 ◽  
Author(s):  
Olivier Grimaud ◽  
Yacine Lachkhem ◽  
Fei Gao ◽  
Cindy Padilla ◽  
Mélanie Bertin ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Healthcare Access ◽  
Case Fatality ◽  
The United States ◽  
Stroke Severity ◽  
Day Case ◽  
Stroke Incidence ◽  
Stroke Registry ◽  
Stroke Type

Background and Purpose— Recent findings suggest that in the United States, stroke incidence is higher in rural than in urban areas. Similar analyses in other high-income countries are scarce with conflicting results. In 2008, the Brest Stroke Registry was started in western France, an area that includes about 366 000 individuals living in various urban and rural settings. Methods— All new patients with stroke included in the Brest Stroke Registry from 2008 to 2013 were classified as residing in town centers, suburbs, isolated towns, or rural areas. Poisson regression was used to analyze stroke incidence and 30-day case fatality variations in the 4 different residence categories. Models with case fatality as outcome were adjusted for age, stroke type, and stroke severity. Results— In total, 3854 incident stroke cases (n=2039 women, 53%) were identified during the study period. Demographic and socio-economic characteristics and primary healthcare access indicators were significantly different among the 4 residence categories. Patterns of risk factors, stroke type, and severity were comparable among residence categories in both sexes. Age-standardized stroke rates varied from 2.90 per thousand (95% CI, 2.59–3.21) in suburbs to 3.35 (95% CI, 2.98–3.73) in rural areas for men, and from 2.14 (95% CI, 2.00–2.28) in town centers to 2.34 (95% CI, 2.12–2.57) in suburbs for women. Regression models suggested that among men, stroke incidence was significantly lower in suburbs than in town centers (incidence rate ratio =0.87; 95% CI, 0.77–0.99). Case fatality risk was comparable across urban categories but lower in rural patients (relative risk versus town centers: 0.76; 95% CI, 0.60–0.96). Conclusions— Stroke incidence was comparable, and the 30-day case fatality only slightly varied in the 4 residence categories despite widely different socio-demographic features covered by the Brest Stroke Registry.

Length-Based Vehicle Classification Schemes and Length Bin Boundaries

2013 ◽  
Vol 2339 (1) ◽  
pp. 19-29 ◽  
Author(s):  
Herbert Weinblatt ◽  
Erik Minge ◽  
Scott Petersen
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
The United States ◽  
Traffic Monitoring ◽  
Vehicle Classification ◽  
Pavement Performance ◽  
Department Of Transportation ◽  
Classification Schemes ◽  
Weigh In Motion

Vehicle classification data are an important component of traffic-monitoring programs. Although most vehicle classification conducted in the United States is axle based, some applications could be supplemented or replaced by length-based data. The typically higher deployment cost and reliability issues associated with collecting axle-based data as compared with length-based data present a challenge. This paper reports on analyses of alternative length-based vehicle classification schemes and appropriate length bin boundaries. The primary analyses use data from a set of 13 Long-Term Pavement Performance weigh-in-motion sites, all in rural areas; additional analyses are conducted with data from 11 Michigan Department of Transportation weigh-in-motion sites located in rural and small urban areas and one site located in an urbanized area. For most states, the recommended length-based vehicle classification scheme is a four-bin scheme (motorcycles, short, medium, and long) with an optional very long bin recommended for use by states in which significant numbers of longer combination vehicles operate.

scholarly journals HIGH RISK OF CARDIAC DISEASE IN MIDDLE INCOME GROUP AND URBAN PATIENTS

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Dr. Ruchi Jindal ◽  
Dr. Manisha ◽  
Dr. K. L. Mali
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Income Group ◽  
The United States ◽  
Cvd Risk ◽  
Middle Income ◽  
Adverse Health Outcomes ◽  
Established Risk Factor ◽  
Middle Income Group ◽  
History Of

Background: Smoking is an established risk factor for many diseases and is one of the most important public health problems worldwide. Rural areas of the United States have a higher smoking prevalence than urban areas. Chronic stress associated with high income inequality has been hypothesized to increase CVD risk and other adverse health outcomes Material & Methods: 50 patients were enrolled for this study. Taking Consent and History of patients by a pre planned Performa Manner. Results:   Higher levels of risk of CVD were found in urban and middle income group. Conclusion: Smoking and Alcohol in middle income group in urban population are major risk for CVD. So need to aware people for the same. Keywords: CVD, Smoking, Alcohol, Rural, urban.

scholarly journals Aktywizacja zawodowa młodych osób bezrobotnych w wybranych powiatach ziemskich podregionu siedleckiego

2018 ◽  
Vol 18(33) (3) ◽  
pp. 262-271
Author(s):  
Anna Rak
Keyword(s):  
Labour Market ◽  
Rural Areas ◽  
Youth Unemployment ◽  
Labour Markets ◽  
Rural Counties ◽  
Questionnaire Surveys ◽  
The Unemployed

Youth unemployment is currently among the most serious problems on the Polish and EU labour markets. The young account for nearly half of the unemployed on the two markets. The purpose of the paper is to determine the interest of young unemployed residents of rural areas in labour market programmes and to diagnose the methods of seeking employment used by those people. The information presented mainly comes from the results of questionnaire surveys carried out in three rural counties of the Siedlce subregion.

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