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Rural Health Information Hub

Rural Health
Resources by Topic: Elderly population

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
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
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
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
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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
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
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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
Sponsoring organization: Upper Great Plains Transportation Institute
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Heartache, Pain, and Hope: Rural Communities, Older People, and the Opioid Crisis: An Introduction for Funders
Provides an overview of the opioid crisis and its impact on the lives of older adults. Addresses both opioid use by older adults and addiction within older adults' families. Identifies solutions being implemented by governments, communities, healthcare providers, and funders to address these concerns. Includes policy recommendations.
Date: 08/2017
Sponsoring organization: Grantmakers In Aging
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State of Care: Minnesota's Home Care Landscape
Provides a snapshot of the home care landscape in Minnesota. Includes information on the quality of care, workforce compensation, training, and unique challenges and changing demographics in rural areas. Includes statistics on home care workforce demographics in Minnesota and at the national level, and older adult population by county.
Date: 07/2017
Sponsoring organization: PHI
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Medicaid in Small Towns and Rural America: A Lifeline for Children, Families, and Communities
Uses data from the U.S. Census Bureau's American Community Survey (ACS) to explore the changing levels of Medicaid coverage and uninsured rates at the county level by age. Addresses the role of Medicaid in the 46 states containing small-town and rural populations. Includes numerous charts, maps, and graphs to help illustrate the relationship between Medicaid growth and uninsured rates in rural areas, focusing on the time period from 2008-2009 to 2014-2015.
Additional links: State Data on Adult Health Coverage in Small Towns and Rural Areas, State Data on Child Health Coverage in Small Towns and Rural Areas, State Data on Non-Elderly Health Coverage in Small Towns and Rural Areas, State Data on Seniors' Health Coverage in Small Towns and Rural Areas
Author(s): Jack Hoadley, Karina Wagnerman, Joan Alker, Mark Holmes
Date: 06/2017
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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