Rural Health
Resources by Topic: Dementia
Discharge Disposition for Home Health Care Patients with Alzheimer's Disease and Related Dementia: The Role of Living Arrangements and Rural Living
Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health
Date: 08/2024
Type: Document
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Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health
Date: 08/2024
Type: Document
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Divergent Mortality Patterns Associated With Dementia in the United States: 1999–2020
Examines dementia-related mortality in the United States according to sociodemographic and regional indicators. Utilizes 1999-2020 data from the U.S. Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database to examine mortality by sex, race/ethnicity, state, and location, including large central metro, large fringe metro, medium metro, small metro, micropolitan, or noncore.
Author(s): Mohsan Ali, Muhammad Talha, Bisal Naseer, Sanobar Jaka, Sasidhar Gunturu
Citation: Primary Care Companion for CNS Disorders, 26(4)
Date: 08/2024
Type: Document
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Examines dementia-related mortality in the United States according to sociodemographic and regional indicators. Utilizes 1999-2020 data from the U.S. Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database to examine mortality by sex, race/ethnicity, state, and location, including large central metro, large fringe metro, medium metro, small metro, micropolitan, or noncore.
Author(s): Mohsan Ali, Muhammad Talha, Bisal Naseer, Sanobar Jaka, Sasidhar Gunturu
Citation: Primary Care Companion for CNS Disorders, 26(4)
Date: 08/2024
Type: Document
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Alzheimer's Disease and Related Dementia Diagnoses among American Indian and Alaska Native Adults Aged ≥45 Years, Indian Health Service System, 2016–2020
Describes the results of a study analyzing healthcare data from the Indian Health Service (IHS) for federal fiscal years 2016 to 2020 to estimate the number of American Indian/Alaska Native (AI/AN) adults aged 45 years and older living with a Alzheimer's disease and related dementias (ADRD) diagnosis. Includes demographic statistics by age group, sex, IHS region, and care setting.
Author(s): Andria Apostolou, Jordan L. Kennedy, Marissa K. Person, et al.
Citation: Journal of the American Geriatrics Society, 72(9), 2834-2841
Date: 08/2024
Type: Document
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Describes the results of a study analyzing healthcare data from the Indian Health Service (IHS) for federal fiscal years 2016 to 2020 to estimate the number of American Indian/Alaska Native (AI/AN) adults aged 45 years and older living with a Alzheimer's disease and related dementias (ADRD) diagnosis. Includes demographic statistics by age group, sex, IHS region, and care setting.
Author(s): Andria Apostolou, Jordan L. Kennedy, Marissa K. Person, et al.
Citation: Journal of the American Geriatrics Society, 72(9), 2834-2841
Date: 08/2024
Type: Document
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Rural-Urban Mild Cognitive Impairment Comparison in West Michigan Through EHR
Analyzed electronic health record data for 1,528,464 patients to highlight rural and urban differences in mild cognitive impairment incidence, risk factors, and healthcare access in West Michigan. Discusses implications of study findings on dementia diagnosis, access to specialists, and more.
Author(s): Xiaodan Zhang, Martin Witteveen-Lane, Christine Skovira, et al.
Citation: Alzheimer's & Dementia Translational Research & Clinical Interventions
Date: 07/2024
Type: Document
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Analyzed electronic health record data for 1,528,464 patients to highlight rural and urban differences in mild cognitive impairment incidence, risk factors, and healthcare access in West Michigan. Discusses implications of study findings on dementia diagnosis, access to specialists, and more.
Author(s): Xiaodan Zhang, Martin Witteveen-Lane, Christine Skovira, et al.
Citation: Alzheimer's & Dementia Translational Research & Clinical Interventions
Date: 07/2024
Type: Document
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Geographic Variation in Shortfalls of Dementia Specialists in the United States
Reports on distribution of dementia specialists to identify potential dementia care shortage areas for the older adult population. Discusses the impact on rural residents.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Yu-An Chen, Jue (Jessie) Wang
Citation: Health Affairs Scholar, 2(7)
Date: 07/2024
Type: Document
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Reports on distribution of dementia specialists to identify potential dementia care shortage areas for the older adult population. Discusses the impact on rural residents.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Yu-An Chen, Jue (Jessie) Wang
Citation: Health Affairs Scholar, 2(7)
Date: 07/2024
Type: Document
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Healthcare Spending among Diverse Populations with Alzheimer's Disease and Related Dementias: A Claims-Based Analysis
Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Type: Document
Sponsoring organization: FAIR Health
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Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Type: Document
Sponsoring organization: FAIR Health
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Diagnosed Dementia in Adults Age 65 and Older: United States, 2022
Examines the prevalence of diagnosed dementia in the U.S. population in adults aged 65 or older. Utilizes 2022 National Health Interview Survey data to observe dementia prevalence in noninstitutionalized adults, with breakdowns according to age, sex, veteran status, race/ethnicity, education, income, region, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan location.
Author(s): Ellen A. Kramarow
Date: 06/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines the prevalence of diagnosed dementia in the U.S. population in adults aged 65 or older. Utilizes 2022 National Health Interview Survey data to observe dementia prevalence in noninstitutionalized adults, with breakdowns according to age, sex, veteran status, race/ethnicity, education, income, region, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan location.
Author(s): Ellen A. Kramarow
Date: 06/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Health of Women of U3 Populations Data Book 2024
Reports on the health of women in understudied, underrepresented, and underreported (U3) populations. Discusses social determinants of health, mortality, various health conditions, mental health, substance use, violence, and more. Discusses rural throughout including a review of rural data sources in Chapter 3.
Date: 05/2024
Type: Document
Sponsoring organization: National Institutes of Health
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Reports on the health of women in understudied, underrepresented, and underreported (U3) populations. Discusses social determinants of health, mortality, various health conditions, mental health, substance use, violence, and more. Discusses rural throughout including a review of rural data sources in Chapter 3.
Date: 05/2024
Type: Document
Sponsoring organization: National Institutes of Health
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Access to Preferred Skilled Nursing Facilities: Transitional Care Pathways for Patients with Alzheimer's Disease and Related Dementias
Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
Type: Document
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Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
Type: Document
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