|
|
Chronic Illness and the Rural Informal Safety Net: The Case of Diabetes
In this project, we will investigate urban-rural differences in characteristics of diabetics such as insurance status, income, and access indicators at the national level. We will then study individual cases of uninsured and underinsured diabetics in northern New England, to determine the extent to which the rural informal safety net meets their needs. We will use the National Health Insurance Survey for the quantitative portion of this project. For the qualitative portion of the project, we will interview providers and other key informants in selected communities. Our communities and subjects will be selected from the three northern New England states, one community in each state, only one of which will have a formal safety net provider.
Publications
-
Diabetes and the Rural Safety Net
Author(s): David Hartley, Erika Ziller, Caroline Macdonald
Report Number: Working Paper No. 28
Date: 01 / 2002
Investigates the extent to which the rural safety net is able to meet the needs of people with diabetes. Finds that small rural communities have a relatively greater need for safety net services to diabetics than their urban counterparts. To provide the needed array of services, medications, and support, a coordinated, team approach to care is needed. Such an approach would include the following elements: insurance coverage would be consistent with the standards of care; team management and care coordination would be facilitated, and the informal safety net would be formalized.
|
