Rural Health
Resources by Topic: Home and community-based services
Bridging The Home-Based Primary Care Gap In Rural Areas
Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
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Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
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Alzheimer Disease or Other Dementias in Adult Day Services Centers, 2020
Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Sponsoring organization: National Center for Health Statistics
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Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Sponsoring organization: National Center for Health Statistics
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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
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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
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Investing in North Carolina's Caregiving Workforce: Recommendations to Strengthen North Carolina's Nursing, Direct Care, and Behavioral Health Workforce
Reports on North Carolina's caregiving workforce, with focus areas in nursing, behavioral health, and direct care. Provides context, describes existing solutions, and makes recommendations for addressing challenges and shortages in each focus area. Highlights state health investment, and lists current caregiving workforce initiatives. Mentions rural communities throughout.
Date: 01/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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Reports on North Carolina's caregiving workforce, with focus areas in nursing, behavioral health, and direct care. Provides context, describes existing solutions, and makes recommendations for addressing challenges and shortages in each focus area. Highlights state health investment, and lists current caregiving workforce initiatives. Mentions rural communities throughout.
Date: 01/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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Supporting People with Disabilities in Rural Communities, with Rayna Sage and Catherine Ipsen
An episode of the Exploring Rural Health podcast featuring Rayna Sage, PhD, and Catherine Ipsen, PhD, co-directors of the Research and Training Center on Disability in Rural Communities at the University of Montana. Focuses on the challenges facing rural people with disabilities and services and support systems that enable them to achieve and maintain quality of life.
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Rayna Sage, PhD, and Catherine Ipsen, PhD, co-directors of the Research and Training Center on Disability in Rural Communities at the University of Montana. Focuses on the challenges facing rural people with disabilities and services and support systems that enable them to achieve and maintain quality of life.
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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Identifying Our Needs: A Survey of Elders Cycle VIII (2020 - 2023) - 2024 Data Book
Report presents data on the health and wellness of American Indian and Alaska Native elders. Explores data through a number of measures, such as general health, healthcare access, weight and nutrition, and memory and disability, among other measures.
Date: 2024
Sponsoring organization: National Resource Center on Native American Aging
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Report presents data on the health and wellness of American Indian and Alaska Native elders. Explores data through a number of measures, such as general health, healthcare access, weight and nutrition, and memory and disability, among other measures.
Date: 2024
Sponsoring organization: National Resource Center on Native American Aging
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An Overview of the Kansas Health Care Workforce
Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Sponsoring organization: Kansas Department of Labor
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Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Sponsoring organization: Kansas Department of Labor
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Bridging a Care Gap: Policy Opportunities for Improving Access to Home-Based Primary Care
Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023
Sponsoring organization: Duke Margolis Institute for Health Policy
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Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023
Sponsoring organization: Duke Margolis Institute for Health Policy
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Addressing the Direct Care Workforce Shortage: A Bipartisan Call to Action
Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Section 1915(c) Waiver Program Participants in 2020
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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