Rural Health
Resources by Topic: Dementia
Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia
Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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National Plan to Address Alzheimer's Disease: 2024 Update
Action plan outlining 6 goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD treatment and care quality, public awareness and engagement, data tracking, and collaboration to support underserved populations, including rural and tribal communities.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Action plan outlining 6 goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD treatment and care quality, public awareness and engagement, data tracking, and collaboration to support underserved populations, including rural and tribal communities.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Caring for Pennsylvanians with Dementia and Related Disorders: An Analysis of Needs and Capacity in Rural Areas, 2024 to 2034
Examines potential demand for care of people living with Alzheimer's disease or a related disorder (ADRD) in rural Pennsylvania. Features county-level maps showing numbers of various types of care facilities and their capacity, and statistics including projections of the population aged 65+ and rate of increase from 2020 to 2040, age-adjusted mortality rate from ADRD, projections of number of ADRD cases by 2040, and impact of smoking and obesity on ADRD, with breakdowns by county.
Author(s): Dara P. Bourassa, Sara A. Grove
Date: 12/2024
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Examines potential demand for care of people living with Alzheimer's disease or a related disorder (ADRD) in rural Pennsylvania. Features county-level maps showing numbers of various types of care facilities and their capacity, and statistics including projections of the population aged 65+ and rate of increase from 2020 to 2040, age-adjusted mortality rate from ADRD, projections of number of ADRD cases by 2040, and impact of smoking and obesity on ADRD, with breakdowns by county.
Author(s): Dara P. Bourassa, Sara A. Grove
Date: 12/2024
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Differential Effects of a Social Work Staffing Intervention on Social Work Access Among Rural and Highly Rural Veterans: A Cohort Study
Presents a study on the efficacy of a VA program to expand access of social work services to rural veterans. Draws data from VA sites that participated in the program from October 2016 to September 2021. Compares social worker utilization by rural and urban veterans and breaks down data by age, race, and reason for visit, among other factors.
Author(s): Andrew N. Honken, Christopher W. Halladay, Lisa E. Wootton, et al.
Citation: Health Services Research, 59(S2), e14327
Date: 12/2024
Type: Document
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Presents a study on the efficacy of a VA program to expand access of social work services to rural veterans. Draws data from VA sites that participated in the program from October 2016 to September 2021. Compares social worker utilization by rural and urban veterans and breaks down data by age, race, and reason for visit, among other factors.
Author(s): Andrew N. Honken, Christopher W. Halladay, Lisa E. Wootton, et al.
Citation: Health Services Research, 59(S2), e14327
Date: 12/2024
Type: Document
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Knowledge, Perceptions, and Feelings Associated with Alzheimer's Disease and Related Dementias: A Qualitative Study among Middle-Aged Latinas Residing in an Underserved Agricultural Community in California
Examines knowledge, perceptions, and feelings related to Alzheimer's disease and related dementias (ADRD) among 20 middle-aged, Latina women in a farmworker community in California's Salinas Valley. Analyzes interview themes and provides excerpts discussing risk and protective factors, prevention methods, memory loss, sense of self, and other ADRD-related concerns.
Author(s): Elizabeth Ambriz, Camila De Pierola, Morga C. Norma, et al.
Citation: BMC Public Health, 24, 2865
Date: 10/2024
Type: Document
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Examines knowledge, perceptions, and feelings related to Alzheimer's disease and related dementias (ADRD) among 20 middle-aged, Latina women in a farmworker community in California's Salinas Valley. Analyzes interview themes and provides excerpts discussing risk and protective factors, prevention methods, memory loss, sense of self, and other ADRD-related concerns.
Author(s): Elizabeth Ambriz, Camila De Pierola, Morga C. Norma, et al.
Citation: BMC Public Health, 24, 2865
Date: 10/2024
Type: Document
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Perceptions about Dementia Clinical Trials among Underrepresented Populations: A Nationally Representative Survey of U.S. Dementia Caregivers
Examines demographic variations in willingness to participate in a dementia clinical trial via a survey of 610 dementia caregivers, and identifies factors influencing decision-making. Breaks down data by demographic, including caregivers' rurality. Discusses clinical trial access disparities in underserved populations.
Author(s): Brandon Leggins, Danielle M. Hart, Ashley J. Jackson, et al.
Citation: Alzheimer's Research & Therapy, 16, 224
Date: 10/2024
Type: Document
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Examines demographic variations in willingness to participate in a dementia clinical trial via a survey of 610 dementia caregivers, and identifies factors influencing decision-making. Breaks down data by demographic, including caregivers' rurality. Discusses clinical trial access disparities in underserved populations.
Author(s): Brandon Leggins, Danielle M. Hart, Ashley J. Jackson, et al.
Citation: Alzheimer's Research & Therapy, 16, 224
Date: 10/2024
Type: Document
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Disparities in Structural Brain Imaging in Older Adults from Rural Communities in Southern Nevada
Analyzes the association of brain cortical thickness (CT) with rurality and neighborhood disadvantage among older adults with and without clinical impairment related to dementia. Utilizes demographic and MRI scan data of 71 rural and 87 urban Nevadans.
Author(s): Xiaowei Zhuang, Dietmar Cordes, Jessica Z. K. Caldwell, Andrew R. Bender, Justin B. Miller
Citation: Frontiers in Aging Neuroscience, 16
Date: 10/2024
Type: Document
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Analyzes the association of brain cortical thickness (CT) with rurality and neighborhood disadvantage among older adults with and without clinical impairment related to dementia. Utilizes demographic and MRI scan data of 71 rural and 87 urban Nevadans.
Author(s): Xiaowei Zhuang, Dietmar Cordes, Jessica Z. K. Caldwell, Andrew R. Bender, Justin B. Miller
Citation: Frontiers in Aging Neuroscience, 16
Date: 10/2024
Type: Document
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Medical Visits and Mortality among Dementia Patients during the COVID-19 Pandemic Compared to Rates Predicted from 2019
Evaluates actual versus predicted changes in medical visits and mortality during the COVID-19 pandemic among adults aged 66 and older with Alzheimer's disease and related dementias (ADRD). Utilizes 2019-2022 Centers for Medicare and Medicaid Services (CMS) data. See table 3 for a bar graph displaying differences in COVID-related and COVID-unrelated excess mortality for selected sociodemographic factors, including level of rurality, during the pandemic.
Author(s): Kaushik Ghosh, Susan T. Stewart, Trivellore Raghunathan, David M. Cutler
Citation: BMC Geriatrics, 24, 727
Date: 09/2024
Type: Document
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Evaluates actual versus predicted changes in medical visits and mortality during the COVID-19 pandemic among adults aged 66 and older with Alzheimer's disease and related dementias (ADRD). Utilizes 2019-2022 Centers for Medicare and Medicaid Services (CMS) data. See table 3 for a bar graph displaying differences in COVID-related and COVID-unrelated excess mortality for selected sociodemographic factors, including level of rurality, during the pandemic.
Author(s): Kaushik Ghosh, Susan T. Stewart, Trivellore Raghunathan, David M. Cutler
Citation: BMC Geriatrics, 24, 727
Date: 09/2024
Type: Document
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Discharge Disposition for Home Health Care Patients with Alzheimer's Disease and Related Dementia: The Role of Living Arrangements and Rural Living
Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health
Date: 08/2024
Type: Document
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Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health
Date: 08/2024
Type: Document
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Divergent Mortality Patterns Associated With Dementia in the United States: 1999–2020
Examines dementia-related mortality in the United States according to sociodemographic and regional indicators. Utilizes 1999-2020 data from the U.S. Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database to examine mortality by sex, race/ethnicity, state, and location, including large central metro, large fringe metro, medium metro, small metro, micropolitan, or noncore.
Author(s): Mohsan Ali, Muhammad Talha, Bisal Naseer, Sanobar Jaka, Sasidhar Gunturu
Citation: Primary Care Companion for CNS Disorders, 26(4)
Date: 08/2024
Type: Document
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Examines dementia-related mortality in the United States according to sociodemographic and regional indicators. Utilizes 1999-2020 data from the U.S. Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database to examine mortality by sex, race/ethnicity, state, and location, including large central metro, large fringe metro, medium metro, small metro, micropolitan, or noncore.
Author(s): Mohsan Ali, Muhammad Talha, Bisal Naseer, Sanobar Jaka, Sasidhar Gunturu
Citation: Primary Care Companion for CNS Disorders, 26(4)
Date: 08/2024
Type: Document
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