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Rural Health
Resources by Topic: Home and community-based services

Implementation and Outcomes of a Community-Based Pulmonary Rehabilitation Program in Rural Appalachia
Describes the implementation and outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Reports on data from three rural health centers and one large referral hospital for multiple measures, including pre- and post-exams, respiratory disease knowledge, smoking status, and more.
Author(s): Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention, 37(4), 295-298
Date: 03/2017
Type: Document
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Rural Promising Practice Issue Brief: Caring for Older Adults and Caregivers at Home (COACH)
Describes the efforts of the Durham Department of Veterans Affairs Medical Center (VAMC) to provide home-based care for veterans with moderate to severe dementia and their caregivers, through its COACH program. Helps VA providers to improve access for rural veterans and can be used as a model for other VAMCs.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Promising Practice Issue Brief: Geriatric Scholars Training Program
Details a Veterans Administration training program model for providers practicing in Community Based Outpatient Clinics (CBOCs) or in home-based primary care serving elderly (65+) rural veterans. Features examples of promising results, implementation information, and adoption considerations.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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2016-2020 Nevada State Plan for Aging Services
Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout. Highlights the Rural Caregiver Training program and transportation challenges for rural seniors to access appointments.
Date: 07/2016
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Looking Ahead: Rural-Urban Differences in Anticipated Need for Aging-Related Assistance
Findings brief using information collected through the 2011-2012 National Health Interview Survey, describing the degree to which rural and urban adults ages 40-64 anticipate that they may need help later in life, and where they expect they will find it. Features statistics with breakdowns by race or ethnicity, urban or rural location, insurance status, overall health quality, amount of anticipated need for assistance, and reported activity limitations.
Additional links: Fact Sheet
Author(s): Janice C. Probst, Karen M. Jones
Date: 06/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Process Evaluation of the Older Americans Act Title III-E National Family Caregiver Support Program: Final Report
Reports on an evaluation of the National Family Caregiving Support Program and how it is helping people age in their own homes and communities. Includes a literature review on informal caregiving, a description of the evaluation methodology, and evaluation results. Covers the extent of, impact of, and supports for informal caregiving, as well as special issues such as caring for those with dementia and mental illness. Discusses the policies in place and includes data breakdowns for rural and frontier areas.
Date: 03/2016
Type: Document
Sponsoring organizations: Administration for Community Living, Lewin Group
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Older Americans Act: Updated Information on Unmet Need for Services
Examines older adults' reported need for home and community-based services and the potential unmet need for these services. Includes metropolitan and non-metropolitan data on food insecurity and receipt of congregate and home-delivered meals.
Additional links: Full Report
Date: 06/2015
Type: Document
Sponsoring organization: Government Accountability Office
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Housing an Aging Rural America: Rural Seniors and Their Homes
Discusses housing options to help rural seniors age in place. Topics covered include assisted living, home modification, transportation and other supportive services. Also addresses housing quality and affordability.
Date: 10/2014
Type: Document
Sponsoring organization: Housing Assistance Council
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Integrated Care Management in Rural Communities
Reviews the opportunities and challenges reform initiatives under the Affordable Care Act present for rural communities. Assesses four types of organizational models for delivering integrated care management, including long term services and support. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Integrated Care for Older Adults in Rural Communities
Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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