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The turnaround in Australia: some first observations from the 1991 census.

"The aim of this paper is to utilise recently released census results to examine patterns of population change in non-metropolitan Australia during the 1986-91 period, focusing particularly upon the net migration component of that change. The paper presents an overview of recent trends in population change in non-metropolitan areas and then moves to an analysis of net migration patterns in non-metropolitan local government areas during the late 1980s using a Life Table Survival Ratio technique to estimate net migration. It appears that the trends observed in the early 1980s have continued into the late 1980s and early 1990s, and that overall the 'turnaround' is slowing down and becoming more diversified, more complex, and much less predictable in the 1990s."

Australia↗

Recent population trends in nonmetropolitan cities and villages: from the turnaround, through reversal, to the rebound.

"The purpose of this study is to track and contrast the patterns of local concentration and deconcentration in nonmetropolitan America between 1950 and 1996. We consider the growth of places by initial size as well as the growth of population living in the countryside or in unincorporated hamlets.... To determine how widespread and consistent the trends are, we compare patterns of growth by nearness to metropolitan areas, and by region of the country. We also examine differences among a subset of nonmetropolitan places distinguished by the primary socioeconomic character of their county. Using a detailed data file from the 1990 census, we are able to give some consideration to commuting."

Americas↗

Counterurbanization in Australia.

"The present paper attempts to assess the extent of the non-metropolitan population turnaround [in Australia] during the 1970s and to estimate the magnitude of its components. It establishes the extent to which [it] has been a spatially concentrated phenomenon. It examines the patterns of migration between Australia's metropolitan and non-metropolitan sectors and the selectivity of the migration. The paper then assesses a range of explanations which have been put forward to account for the turnaround and speculates upon likely future patterns. Throughout there is an attempt to draw contrasts and similarities between patterns and processes in Australia and those in the United States."

Australia↗

The changing impact of white migration on the population compositions of origin and destination metropolitan areas.

Increased migration to the sunbelt and the metropolitan-nonmetropolitan "turnaround" represent departures from long-standing redistribution trends. Although these patterns have been examined from a number of perspectives, their consequences for individual metropolitan areas have not yet been brought to light. In the present study, stream-disaggregated data for the late 1950s and late 1960s are employed to assess the impact of recent migration on the sizes and compositions of white populations in thirty-one large metropolitan areas. Most large northern SMSAs have been experiencing the "new" migration patterns since the late 1950s. They have incurred net out-movements of whites to both metropolitan and nonmetropolitan areas. In their exchanges with nonmetropolitan areas, however, they have managed to retain greater numbers of college graduates and professional workers. Southern and western SMSAs did not sustain losses to nonmetropolitan areas during either period. They did appear to gain both total and high status population as a result of interregional metropolitan redistribution.

Educational Status↗

Motivations for the inmigration component of population turnaround in nonmetropolitan areas.

Data from a 1977 survey of metropolitan and nonmetropolitan origin households migrating to 75 high net inmigration counties of the Midwest are examined to consider the motivational basis for the inmigration component of post-1970 nonmetropolitan migration trends. Findings suggest that the major stated motivations for leaving places of origin, especially among those from metropolitan areas, are "quality of life" considerations. Abouth a fourth of the metropolitan origin migrants' and half of the nonmetropolitan origin migrants' reasons are job-related. Anti-urban push and pro-rural pull responses are prevalent among migrants from metropolitan areas. Subsequent analysis of reasons for leaving metropolitan residences suggests consistency with other objective variables. Among households with a working-age head, those leaving for "quality of life" reasons came disproportionately from the largest metropolitan centers and went to the smallest towns. Those moving for non-employment reasons are not more likely to have taken an initial income loss, though they are less likely to experience immediate income gains.

Decision Making↗

Point-of-care testing. Cost issues and impact on hospital operations.

Advancing technology has allowed for the migration of laboratory testing from the central laboratory to the near-patient setting, leading ideally to a shorter therapeutic turnaround time. This potential benefit, however, comes with a price tag. Assessing the cost-benefit ratio on a per test basis cannot effectively be done in a generalized manner, because each hospital must evaluate this with respect to its own unique circumstances. There are, however, certain outcomes, such as decreased LOS and decreased blood-product usage that, if achieved, far outweigh the cost of POCT, justifying its use. Any hospital attempting to implement POCT must also realize that hospital operations are affected by such use and that adjustments and careful laboratory oversight are required.

Costs and Cost Analysis↗

Is nonmetropolitan America being repopulated? The evidence from Pennsylvania's minor civil divisions.

We analyze population change and net migration, by age and sex, from 1940 to 1970, for 1,834 Nonmetropolitan Pennsylvania Minor Civil Divisions (MCD's) classified by residence, population potential, socioeconomic status, and distance from metropolitan centers. Our analysis indicates, as expected, reconcentration of residents from both urban and remoter nonmetropolitan localities into exurban peripheries 25 to 35 miles for metropolitan centers. Since 1960, however, a "turnaround" appears in many truly rural tracts, which have been experiencing an influx or retention of persons 35 years of age and older. Statistical explanations are strongest for males in poor, isolated places, weakest for more accessible, socioeconomically advanced places and their female inhabitants. Throughout the study period and area, nonurban MCD's register more positively than the rural.

Adolescent↗