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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Achieving
Rural Health Equity
and Well-Being

PROCEEDINGS OF A WORKSHOP

Steve Olson and Karen M. Anderson, Rapporteurs

Roundtable on Population Health Improvement

Roundtable on the Promotion of Health Equity

Board on Population Health and Public Health Practice

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and Aetna Foundation (15-1381); The California Endowment (20171618); General Electric; Health Resources and Services Administration (HHSH25034007T); Kaiser Permanente; The Kresge Foundation (R-1512-255471); New York State Health Foundation (15-03733); Robert Wood Johnson Foundation (73263); and U.S. Department of Health and Human Services (HHSP23337054). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-46905-0
International Standard Book Number-10: 0-309-46905-8
Digital Object Identifier: https://doi.org/10.17226/24967

Additional copies of this publication are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Achieving rural health equity and well-being: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24967.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×

PLANNING COMMITTEE ON ACHIEVING RURAL HEALTH EQUITY AND WELL-BEING1

JULIE A. BALDWIN, Center for Health Equity Research, Northern Arizona University

MARTHE GOLD, The New York Academy of Medicine

JEFFREY A. HENDERSON, Black Hills Center for American Indian Health

DENNIS JOHNSON, Children’s Health Fund

OCTAVIO N. MARTINEZ, Hogg Foundation for Mental Health, The University of Texas at Austin

PHYLLIS D. MEADOWS, The Kresge Foundation

ALAN MORGAN, National Rural Health Association

TIM SIZE, Rural Wisconsin Health Cooperative

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×

ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1

GEORGE J. ISHAM (Co-Chair), HealthPartners

SANNE MAGNAN (Co-Chair), University of Minnesota

PHILIP M. ALBERTI, Association of American Medical Colleges

TERRY ALLAN, Cuyahoga County Board of Health

JOHN AUERBACH, Trust for America’s Health

CATHY BAASE, The Dow Chemical Company, Michigan Health Improvement Alliance

DEBBIE I. CHANG, Nemours

CHARLES J. FAZIO, HealthPartners

GEORGE R. FLORES, The California Endowment

KATHY GERWIG, Health and Wellness and Environmental Stewardship Officer, Kaiser Permanente

ALAN GILBERT, GE Healthymagination

MARY LOU GOEKE, United Way of Santa Cruz County

MARTHE GOLD, The New York Academy of Medicine

MARC N. GOUREVITCH, New York University Langone School of Medicine

GARTH GRAHAM, Aetna Foundation

GARY R. GUNDERSON, Wake Forest University

WAYNE JONAS, H&S Ventures

ROBERT M. KAPLAN, Stanford University

DAVID A. KINDIG, University of Wisconsin–Madison

PAULA M. LANTZ, University of Michigan

MICHELLE LARKIN, Robert Wood Johnson Foundation

THOMAS A. LAVEIST, The George Washington University

JEFFREY LEVI, The George Washington University

SARAH R. LINDE, Health Resources and Services Administration

SHARRIE MCINTOSH, New York State Health Foundation

PHYLLIS D. MEADOWS, The Kresge Foundation

BOBBY MILSTEIN, Rethink Health

JOSÉ T. MONTERO, Office for State, Tribal, Local and Territorial Support, Centers for Disease Control and Prevention

MARY PITTMAN, Public Health Institute

PAMELA RUSSO, Robert Wood Johnson Foundation

JAMES N. WEINSTEIN, Dartmouth-Hitchcock

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Roundtable on Population Health Improvement Staff

ALINA BACIU, Director, Roundtable on Population Health Improvement

DARLA THOMPSON, Program Officer (through August 2017)

KIMANI HAMILTON-WRAY, Senior Program Assistant (from April 2017)

HOPE HARE, Administrative Assistant

ROSE MARIE MARTINEZ, Senior Director, Board on Population Health and Public Health Practice

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×

ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY1

ANTONIA VILLARRUEL (Chair), University of Pennsylvania

PATRICIA BAKER, Connecticut Health Foundation

JULIE A. BALDWIN, Center for Health Equity Research, Northern Arizona University

GILLIAN BARCLAY, Nevada Governor’s Office of Economic Development

NED CALONGE, The Colorado Trust

KENDALL M. CAMPBELL, Brody School of Medicine, East Carolina University

LUTHER T. CLARK, Merck & Co., Inc.

FRANCISCO GARCÍA, Pima County Department of Health

JEFFREY A. HENDERSON, Black Hills Center for American Indian Health

EVE J. HIGGINBOTHAM, University of Pennsylvania

CARA V. JAMES, Centers for Medicare & Medicaid Services

CHRIS KABEL, The Kresge Foundation

MELENIE MAGNOTTA, Aetna Foundation

OCTAVIO N. MARTINEZ, Hogg Foundation for Mental Health, The University of Texas at Austin

CHRISTINE RAMEY, Health Resources and Services Administration

MELISSA A. SIMON, Northwestern University Feinberg School of Medicine

PATTIE TUCKER, Centers for Disease Control and Prevention

UCHENNA S. UCHENDU, Office of Health Equity, U.S. Department of Veterans Affairs

ROHIT VARMA, University of Southern California

WINSTON WONG, Kaiser Permanente

Roundtable on the Promotion of Health Equity Staff

KAREN ANDERSON, Director, Roundtable on the Promotion of Health Equity

ANNA MARTIN, Senior Program Assistant

HOPE HARE, Administrative Assistant

ROSE MARIE MARTINEZ, Senior Director, Board on Population Health and Public Health Practice

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

CATHERINE BRYAN, First Nations Development Institute

ALAN MORGAN, National Rural Health Association

WALTER NILES, Office of Minority Health and Health Equity

GLENDA SMITH, University of Alabama

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by DEBORAH POWELL, University of Minnesota. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Page R8
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Page R9
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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Page R12
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
×
Page R13
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24967.
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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.

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