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Rural Health
Resources by Topic: Elderly population

Rural Communities and Building Social Connection for Older Adults and People with Disabilities
Discusses social isolation in rural contexts for older adults and people with disabilities. Notes opportunities and resources for social engagement in the areas of transportation, access to healthcare, technology, and community partnerships. Includes examples of social engagement programs.
Date: 02/2024
Type: Document
Sponsoring organization: Commit to Connect
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Medicare Advantage: It's Here, Now What?
Slides from a presentation at the 2024 National Rural Health Association's Policy Institute conference that discuss Medicare Advantage, with data on eligibility and enrollment percentages depicted for select states as well as by metro versus nonmetro location.
Author(s): Keith J Mueller
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Understanding Historically Marginalized & Minoritized Populations in the Forgotten Middle: Chart Pack & Case Studies
Chart pack and case studies from a project on current and future disparities in finances, housing, and health among middle-income older adults. Highlights barriers experienced by Black, Hispanic, and rural populations, including discussion of service availability, transportation, income, and other aspects of access to care.
Additional links: Project Overview
Author(s): Sarah Rayel, Dianne Munevar, Ryan Murphy, et al.
Date: 02/2024
Type: Document
Sponsoring organization: NORC at the University of Chicago
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Associations of Demographic and Social Factors on Health-Related Quality-of-Life Changes Among Older Women With Breast or Gynecologic Cancer
Identifies factors associated with changes in physical and mental quality of life among women aged 65 and older with breast or gynecologic cancer, utilizing 1998-2017 SEER-MHOS data. Compares quality of life over time by race and ethnicity, marital status, level of health-related social interference, and rurality. Discusses implications to nurse-led quality-of-life interventions for older patients.
Author(s): Elizabeth K. Arthur, Melica Nikahd, J. Madison Hyer, et al.
Citation: Oncology Nursing Forum, 51(2), 127-141
Date: 02/2024
Type: Document
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Access in Brief: Adults with Intellectual Disabilities and Developmental Disabilities
Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Medicaid & CHIP Telehealth Toolkit
Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Impact of Driving Cessation on Health-Related Quality of Life Trajectories
Examines the impact of driving cessation (DC) in older drivers aged 65-79 on health-related quality of life (HRQoL) in rural and urban populations. Includes charts showing differences in HRQoL related to DC in metro core, metro non-core, and small town/rural areas. Discusses the impact of access to alternative transportation on mental health and HRQoL in older adults.
Author(s): Thelma J. Mielenz, Haomiao Jia, Carolyn DiGuiseppi, et al.
Citation: Health and Quality of Life Outcomes, 22, 13
Date: 02/2024
Type: Document
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Clinical Risk and Outpatient Therapy Utilization for COVID-19 in the Medicare Population
Evaluates COVID-19 treatment disparities among Medicare beneficiaries, with comparisons by age, race and ethnicity, Medicaid eligibility, nursing home use, telemedicine use, rural/urban status, and more. Utilizes Medicare Master Beneficiary Summary and Standard Analytic Claim files for the year 2022. Provides data on rates of COVID-19 therapy use, including medication, hospitalization, and outpatient treatment. Highlights undertreatment experienced by populations with high risk of severe infection.
Author(s): Andrew D. Wilcock, Stephen Kissler, Ateev Mehrotra
Citation: JAMA Health Forum, 5(1), e235044
Date: 01/2024
Type: Document
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Place of Care in the Last Three Years of Life for Medicare Beneficiaries
Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
Type: Document
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The Age-Dependency Ratio in the North Central Region: Implications for Regional and Community Development Research Brief
Examines the North Central region age-dependency ratio, or the number of dependent individuals (ages 0 to 14 years and 65 or older) compared to the working population (ages 15 to 64 years), and how this impacts workforce and economic development. Provides 2000-2022 population data broken down by metro, suburban, and rural as well as by selected states and counties. Allows user to search within tables and scroll through counties.
Author(s): Roberto Gallardo
Date: 01/2024
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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