Rural Health
Resources by Topic: Elderly population
No Wrong Door: Supporting Community Living for Veterans
Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Trends in Primary Care Provision to Medicare Beneficiaries by Physicians, Nurse Practitioners, or Physician Assistants: 2008-2014
Examines trends in elderly patients receiving primary care from physicians alone, physicians with nurse practitioners (NPs) and/or physician assistants (PAs), and NPs/PAs without physicians. Considered these models for delivering primary care to Medicare patients with multiple chronic conditions and Medicare patients in rural and health professional shortage areas (HPSAs).
Author(s): Ying Xue, James S. Goodwin, Deepak Adhikari, Mukaila A. Raji, Yong-Fang Kuo
Citation: Journal of Primary Care and Community Health, 8(4), 256-263
Date: 10/2017
Type: Document
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Examines trends in elderly patients receiving primary care from physicians alone, physicians with nurse practitioners (NPs) and/or physician assistants (PAs), and NPs/PAs without physicians. Considered these models for delivering primary care to Medicare patients with multiple chronic conditions and Medicare patients in rural and health professional shortage areas (HPSAs).
Author(s): Ying Xue, James S. Goodwin, Deepak Adhikari, Mukaila A. Raji, Yong-Fang Kuo
Citation: Journal of Primary Care and Community Health, 8(4), 256-263
Date: 10/2017
Type: Document
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Community Living for American Indian, Alaskan Native, and Native Hawaiian Elders
Presents an issue brief detailing commonalities in American Indian, Alaska Native, and Native Hawaiian communities with respect to Native Elders. Discusses historical trauma, the resulting treaties, health disparities, and traditional practices of Native Elders. Looks at how Native Elders interact with the healthcare system and the programs and services designed to support them within their communities.
Author(s): Jane Tilly, Kristen Hudgins
Date: 10/2017
Type: Document
Sponsoring organization: Administration for Community Living
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Presents an issue brief detailing commonalities in American Indian, Alaska Native, and Native Hawaiian communities with respect to Native Elders. Discusses historical trauma, the resulting treaties, health disparities, and traditional practices of Native Elders. Looks at how Native Elders interact with the healthcare system and the programs and services designed to support them within their communities.
Author(s): Jane Tilly, Kristen Hudgins
Date: 10/2017
Type: Document
Sponsoring organization: Administration for Community Living
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QuickStats: Percentage of All Visits by Patients Aged ≥65 Years to Office-Based Physicians Made by Patients with Hypertension, by Sex and Metropolitan Statistical Area (MSA) — National Ambulatory Medical Care Survey, United States, 2012–2015
Bar chart showing the percentage of visits to a physician by patients 65 and older who have a diagnosis of hypertension, with information overall and by gender for those living in metropolitan and nonmetropolitan areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(40), 1085
Date: 10/2017
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Bar chart showing the percentage of visits to a physician by patients 65 and older who have a diagnosis of hypertension, with information overall and by gender for those living in metropolitan and nonmetropolitan areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(40), 1085
Date: 10/2017
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Transportation Best Practice: Transportation for Individuals with Chronic Care Conditions
Highlights a program called Mountain Empire Older Citizens (MEOC), which is a transportation assistance service for individuals with chronic conditions in Big Stone Gap, VA. Details the demographics of the town, as well as the structure of the program.
Date: 10/2017
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
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Highlights a program called Mountain Empire Older Citizens (MEOC), which is a transportation assistance service for individuals with chronic conditions in Big Stone Gap, VA. Details the demographics of the town, as well as the structure of the program.
Date: 10/2017
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
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State of Care: Wisconsin's Home Care Landscape
Provides a snapshot of the home care landscape in Wisconsin. Includes information on the quality of care, workforce compensation, training, scope of practice, recruitment and retention, and unique challenges in rural areas. Includes statistics on home care workforce demographics in Wisconsin and at the national level, older adult population by county, and labor force participation as well as unemployment rates in Wisconsin by age, education, gender and family composition, and poverty.
Date: 09/2017
Type: Document
Sponsoring organization: PHI
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Provides a snapshot of the home care landscape in Wisconsin. Includes information on the quality of care, workforce compensation, training, scope of practice, recruitment and retention, and unique challenges in rural areas. Includes statistics on home care workforce demographics in Wisconsin and at the national level, older adult population by county, and labor force participation as well as unemployment rates in Wisconsin by age, education, gender and family composition, and poverty.
Date: 09/2017
Type: Document
Sponsoring organization: PHI
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Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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LTSS Research: Dementia Assessment Tools in Indian Country
Details a bibliography of resources for assessing the cognition of American Indian and Alaska Native elders with dementia. Discusses some of the cultural considerations when evaluating AI/NA elders' cognitive abilities.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details a bibliography of resources for assessing the cognition of American Indian and Alaska Native elders with dementia. Discusses some of the cultural considerations when evaluating AI/NA elders' cognitive abilities.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Cross-sectional Study of Travel Patterns of Older Adults in the USA During 2015: Implications for Mobility and Traffic Safety
Highlights a study on the travel patterns of older adults (65+) compared with younger adults (25-64). Includes rates of driving personal vehicles, using public transportation, and walking, as well as driver/passenger rates of older rural adults.
Author(s): Sijun Shen, Wilson Koech, Jing Feng, Thomas M Rice, Motao Zhu
Citation: BMJ Open, 7(8)
Date: 08/2017
Type: Document
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Highlights a study on the travel patterns of older adults (65+) compared with younger adults (25-64). Includes rates of driving personal vehicles, using public transportation, and walking, as well as driver/passenger rates of older rural adults.
Author(s): Sijun Shen, Wilson Koech, Jing Feng, Thomas M Rice, Motao Zhu
Citation: BMJ Open, 7(8)
Date: 08/2017
Type: Document
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Aging in Place in Small Urban and Rural Communities
Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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