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National Center for Education Statistics (NCES) revised its definition of rural schools in 2006 after working with the Census Bureau to create a new locale classification system to capitalize on improved geocoding technology and the 2000 Office of Management and Budget (OMB) definitions of metro areas that rely less on population size and county boundaries than proximity of an address to an urbanized area.[link widoczny dla zalogowanych] The new classification system has four major local categories— city, suburban, town, and rural —each of which is subdivided into three subcategories. Cities and suburbs are subdivided into the categories small, midsize, or large; towns and rural areas are subdivided by their proximity to an urbanized area into the categories fringe, distant, or remote. These twelve categories are based on several key concepts that Census uses to define an area's urbanicity: principal city, urbanized area, and urban cluster. Rural areas are designated by census as those areas that do not lie inside an urbanized area or urban cluster. NCES has classified all schools into one of these twelve categories based on schools' actual addresses and their corresponding coordinates of latitude and longitude. Not only does this mean that the location of any school can be identified precisely,[link widoczny dla zalogowanych] but also that distance measures can be used to identify town and rural subtypes.”
Rural health definitions can be different for establishing underserved areas or health care accessibility in rural areas of the United States. According to the handbook, Definitions of Rural: A Handbook for Health Policy Makers and Researchers, “Residents of metropolitan counties are generally thought to have easy access to the relatively concentrated health services of the county’s central areas. However, some metropolitan counties are so large that they contain small towns and rural, sparsely populated areas that are isolated from these central clusters and their corresponding health services by physical barriers.” To address this type of rural area,[link widoczny dla zalogowanych], “Harold Goldsmith, Dena Puskin, and Dianne Stiles (1992) described a methodology to identify small towns and rural areas within large metropolitan counties (LMCs) that were isolated from central areas by distance or other physical features.” This became the Goldsmith Modification definition of rural.[link widoczny dla zalogowanych] “The Goldsmith Modification has been useful for expanding the eligibility for federal programs that assist rural populations—to include the isolated rural populations of large metropolitan counties.”