Article
Public, Environmental & Occupational Health
Judite Goncalves, Francisco von Hafe, Luis Filipe
Summary: This study uses data from older adults in Europe to explore the relationship between formal home care provided by paid professionals and spousal health outcomes. The findings suggest that in the short run, the use of formal home care is unlikely to affect spousal physical or mental health.
SOCIAL SCIENCE & MEDICINE
(2021)
Article
Health Care Sciences & Services
Chenjuan Ma, Andrea Devoti, Melissa O'Connor
Summary: There are significant differences in quality of care between rural and urban home health agencies, and these differences have not been significantly narrowed over time.
JOURNAL OF RURAL HEALTH
(2022)
Article
Multidisciplinary Sciences
Paicheng Liu, Youlang Yang, Yuxuan Yang, Jianxin Cheng
Summary: This study investigates whether there are different impacts of long-term care insurance (LTCI) on health outcomes between urban and rural residents in China. The results show that LTCI has effectively improved the self-rated health of residents, but this effect is significant only for urban residents. This suggests that LTCI in China may have different effects on health outcomes between urban and rural residents.
SCIENTIFIC REPORTS
(2023)
Article
Gerontology
Daniel Jung, Suhang Song, Chenjuan Ma
Summary: An increasing body of evidence suggests that an individual's place of residence has a significant impact on their health and functional outcomes. This study examined emergency department visits among Medicare home health care patients and found that rural patients, especially those residing in disadvantaged neighborhoods, were more likely to seek emergency care. Policymakers should implement area-based interventions to address the disparities in home health care, taking into account the characteristics of disadvantaged neighborhoods where many rural patients reside.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Haipeng Wang, Xingxing Hua, Nengliang Yao, Nan Zhang, Jialin Wang, Roger Anderson, Xiaojie Sun
Summary: This study examined the disparities in health care utilization among cancer patients in urban and rural areas of China. The results showed that rural cancer patients had lower health care utilization compared to urban patients, indicating a need for improved resource allocation and attention to disadvantaged groups and rural cancer patients.
FRONTIERS IN PUBLIC HEALTH
(2022)
Review
Geriatrics & Gerontology
Denise D. Quigley, Ashley M. Chastain, Jung A. Kang, David Bronstein, Andrew W. Dick, Patricia W. Stone, Jingjing Shang
Summary: This review examines the differences in care outcomes provided by urban and rural home health care agencies in the United States. The findings suggest that rural beneficiaries have lower utilization of home health care services and fewer visits for physical therapy and/or rehabilitation compared to urban beneficiaries. Rural agencies also have lower quality of services. Moreover, rural patients are more likely to visit the emergency room and be hospitalized, while urban patients with heart failure have a higher likelihood of preventable hospitalizations.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Oncology
Rachel J. J. Mesia, Patricia Rodriguez Espinosa, Hayden Hutchison, Nadia Safaeinili, Laurel J. J. Finster, Vijaytha Muralidharan, Beth A. A. Glenn, Robert W. W. Haile, Lisa Goldman Rosas, Susan M. M. Swetter
Summary: This qualitative exploratory study identified barriers and facilitators of awareness, prevention, and early detection of melanoma among low-income Latinx and non-Latinx White individuals in urban and semi-rural areas. The findings highlight the importance of health education interventions and navigation strategies to improve melanoma prevention and early detection in these communities.
Article
Health Care Sciences & Services
Jiaoli Cai, Li Zhang, Denise Guerriere, Peter C. Coyte
Summary: Informal care intensity is influenced by factors such as proximity to death, home-based nursing care, living arrangements, and employment status of caregivers. Spousal caregivers tend to provide more hours of informal care. Various demographic factors of both patients and caregivers play a role in determining the number of hours of informal care provided. This study highlights the importance of considering predisposing, enabling, and needs-based factors when planning and targeting support for informal care provision.
PALLIATIVE MEDICINE
(2021)
Review
Public, Environmental & Occupational Health
Norma B. Coe, R. Tamara Konetzka, Melissa Berkowitz, Emily Blecker, Courtney H. Van Houtven
Summary: The systematic review found that informal care, either alone or along with formal care, can lead to improvements in the health and well-being of older adults receiving care. However, the conclusions about the effects of formal care are less clear.
ANNUAL REVIEW OF PUBLIC HEALTH, VOL 42, 2021
(2021)
Article
Health Care Sciences & Services
Steven C. Martino, Marc N. Elliott, Katrin Hambarsoomian, Robert Weech-Maldonado, Loida Tamayo, Sarah Gaillot, Amelia M. Haviland
Summary: This study investigates the healthcare experiences of older adults in the United States, focusing on Hispanic ethnicity and rural residence. The findings show that Hispanic older adults have worse experiences in accessing needed care, receiving care quickly, and care coordination compared to White older adults. In rural areas, Hispanic older adults also reported significantly worse experiences in doctor communication and customer services. Improving access to care, care coordination, and doctor-patient communication for Hispanic older adults, particularly those in rural areas, is crucial.
Article
Health Care Sciences & Services
Steven A. Cohen, Neelam Ahmed, Monique J. Brown, Marissa R. Meucci, Mary L. Greaney
Summary: The study found that rural older adults are more likely to be caregivers and they are more likely to provide 20 or more hours of care per week compared to urban caregivers. Additionally, there are differences in health and quality of life outcomes for rural caregivers compared to urban caregivers.
JOURNAL OF RURAL HEALTH
(2022)
Article
Psychology, Developmental
Yuping Tsai, Megan C. Lindley, Fangjun Zhou, Shannon Stokley
Summary: This study aimed to investigate urban-rural disparities in vaccination service use among Medicaid-enrolled adolescents, finding that county characteristics have different impacts on vaccination service use in urban and rural areas. Using linear regression and decomposition methods, the study revealed that county characteristics could partly explain the observed urban-rural disparities in vaccination service use.
JOURNAL OF ADOLESCENT HEALTH
(2021)
Article
Cardiac & Cardiovascular Systems
Emefah C. Loccoh, Karen E. Joynt Maddox, Yun Wang, Dhruv S. Kazi, Robert W. Yeh, Rishi K. Wadhera
Summary: This study evaluates rural-urban differences in procedural care and mortality for acute myocardial infarction (AMI), heart failure (HF), and ischemic stroke. The results show that there are significant disparities in treatment and mortality among cardiovascular disease patients in rural hospitals. These disparities are most pronounced in small hospitals that serve remote rural areas.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Immunology
Rose S. Bono, Bassam Dahman, Lindsay M. Sabik, Lauren E. Yerkes, Yangyang Deng, Faye Z. Belgrave, Daniel E. Nixon, Anne G. Rhodes, April D. Kimmel
Summary: There are significant urban-rural disparities in HIV-experienced clinician workforce capacity in communities in the Southern United States, with rural areas generally having fewer HIV-experienced clinicians per 1000 diagnosed HIV cases. Policies to improve equity in access to HIV-experienced clinical care for both urban and rural communities are urgently needed.
CLINICAL INFECTIOUS DISEASES
(2021)
Article
Health Care Sciences & Services
Xinlan Chen, Dai Su, Xinlin Chen, Yingchun Chen
Summary: This study found that receiving informal care is associated with increased outpatient and inpatient visits for the elderly, with a greater impact on rural residents. The findings highlight the importance of informal care and the need for attention to differences in medical service utilization among different elderly groups.
BMC HEALTH SERVICES RESEARCH
(2022)