Introduction; Generalizations supported by research; Many rural service institutions need reorganization and renewal; Regionalization increases organizations' ability to provide some rural community services; Rural development depends directly upon citizen participation and how well leaders and organizations represent population segments; Effective leaders view development as a community, not personal, process; Public leaders seem to come primarily from certain community segments; Reural residents receive fewer and less adequate services, but they still prefer rural life; Availability of health-care services affects use; Rural people want innovative health-care practices; Mechanisms for use of research should be developed; Clarification of further research needs; Constructing and testing social indicators; Perspectives on adequacy of community services; Study of effectiveness of alternative organizational structure; Comparative analyses of service delivery systems and leadership structures; The composite of community services appropriate for rural areas; Appendix-abstracts of researchBulletin containing the results of a study to determine that factors that influence decisions regarding the provision and effectiveness of health care services in rural areas in the United States. The inside of the front cover states, "The research reported here was conducted under Western Regional Research Project W-114, Institutional structures for improving rural community services.
