Saundra Glover, PhD

South Carolina Rural Health Research Center

Phone: 803.251.6317
E-mail: sglover@mailbox.sc.edu

University of South Carolina

Current Projects (1)

Rural HIV: Estimated Prevalence of Persons Living with HIV/AIDS (PLWHA) in Rural America
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: AIDS and HIV, Chronic diseases and conditions
This study will describe the prevalence of HIV/AIDS by county, or when county-level data are not available, by sub-state region or state, together with information on the availability of health services, including Ryan White Clinics. A sub-study will develop models identifying rural counties at highest risk for increases in the population of PLWHA.

Completed Projects (2)

Assessment of Barriers to the Delivery of Medicare Reimbursed Diabetes Self-Management Education in Rural Areas, Lead researcher
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Chronic diseases and conditions, Medicare, Minority health

Rural Minority Health Data Warehouse, Lead researcher
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health disparities, Minority health, Rural statistics and demographics

Publications (3)

Assessment Of Barriers To The Delivery Of Medicare Reimbursed Diabetes Self-Management Education In Rural Areas
Author(s): M. Paige Powell, Saundra H. Glover, Janice C. Probst, Sarah B. Laditka
Research center: South Carolina Rural Health Research Center
Topics: Chronic diseases and conditions, Medicare
Date: 09 / 2004
Explores the barriers that rural practitioners face in providing diabetes education services to Medicare beneficiaries. Survey results from a random sample of ADA-recognized diabetes education facilities indicated that insufficient Medicare reimbursement, staffing, institutional support as well as the ADA recognition process all constituted barriers to diabetes self-management education in rural areas.
Barriers Associated With the Delivery of Medicare Reimbursed Diabetes Self-Management Education
Author(s): M. Paige Powell, Saundra H. Glover, Janice C. Probst, Sarah B. Laditka
Research center: South Carolina Rural Health Research Center
Topics: Chronic diseases and conditions, Medicare
Citation: Diabetes Educator, 31(6), 890-9
Date: 2005
Describes the results of a study to explore the barriers that practitioners face in providing diabetes self-management education (DSME) to Medicare beneficiaries, with a special focus on barriers faced by rural providers. Barriers identified for rural providers include costs, reporting requirements, the shortage of designated specialists, fewer resources, high application fees for ADA recognition, staffing/institutional support, amount of Medicare reimbursement, lack of hours covered, and transportation.
Handling the Handoff: Rural and Race-Based Disparities in Post Hospitalization Follow-up Care Among Medicare Beneficiaries with Diabetes
Author(s): Kevin J. Bennett, Robert Chen, Medha Vyavaharkar, Saundra H. Glover, Janice C. Probst
Research center: South Carolina Rural Health Research Center
Topics: Chronic diseases and conditions, Health disparities, Hospitals and clinics, Minority health
Date: 09 / 2011
Diabetes is one of the most common chronic diseases, affecting an estimated 23.6 million people in the United States (7.8% of the total population). Rural African American and Hispanic residents with diabetes are less likely to exhibit good control of their condition, putting them at greater risk for the consequences of this disease, such as kidney failure, blindness and amputation. Effective outpatient care is key to diabetes management. Absence of such care, conversely, may play a role in poorer diabetes control in rural areas. The present report uses information regarding Medicare beneficiaries with diabetes to examine the provision of care in rural America. It provides estimates of hospital admission rates for rural Medicare beneficiaries with diabetes, tracks the proportion of patients who receive adequate outpatient care post discharge, and assesses subsequent readmissions to the hospital. It also explores the potential for race-based disparities in care for diabetes.

Topics Centers Researchers Other Resources Search		Saundra Glover, PhD South Carolina Rural Health Research Center Phone: 803.251.6317 E-mail: sglover@mailbox.sc.edu University of South Carolina Current Projects (1) Rural HIV: Estimated Prevalence of Persons Living with HIV/AIDS (PLWHA) in Rural America Research center: South Carolina Rural Health Research Center Funder: Office of Rural Health Policy (ORHP) Topics: AIDS and HIV, Chronic diseases and conditions This study will describe the prevalence of HIV/AIDS by county, or when county-level data are not available, by sub-state region or state, together with information on the availability of health services, including Ryan White Clinics. A sub-study will develop models identifying rural counties at highest risk for increases in the population of PLWHA. Completed Projects (2) Assessment of Barriers to the Delivery of Medicare Reimbursed Diabetes Self-Management Education in Rural Areas, Lead researcher Research center: South Carolina Rural Health Research Center Funder: Office of Rural Health Policy (ORHP) Topics: Chronic diseases and conditions, Medicare, Minority health Rural Minority Health Data Warehouse, Lead researcher Research center: South Carolina Rural Health Research Center Funder: Office of Rural Health Policy (ORHP) Topics: Health disparities, Minority health, Rural statistics and demographics Publications (3) Assessment Of Barriers To The Delivery Of Medicare Reimbursed Diabetes Self-Management Education In Rural Areas Author(s): M. Paige Powell, Saundra H. Glover, Janice C. Probst, Sarah B. Laditka Research center: South Carolina Rural Health Research Center Topics: Chronic diseases and conditions, Medicare Date: 09 / 2004 Explores the barriers that rural practitioners face in providing diabetes education services to Medicare beneficiaries. Survey results from a random sample of ADA-recognized diabetes education facilities indicated that insufficient Medicare reimbursement, staffing, institutional support as well as the ADA recognition process all constituted barriers to diabetes self-management education in rural areas. Barriers Associated With the Delivery of Medicare Reimbursed Diabetes Self-Management Education Author(s): M. Paige Powell, Saundra H. Glover, Janice C. Probst, Sarah B. Laditka Research center: South Carolina Rural Health Research Center Topics: Chronic diseases and conditions, Medicare Citation: Diabetes Educator, 31(6), 890-9 Date: 2005 Describes the results of a study to explore the barriers that practitioners face in providing diabetes self-management education (DSME) to Medicare beneficiaries, with a special focus on barriers faced by rural providers. Barriers identified for rural providers include costs, reporting requirements, the shortage of designated specialists, fewer resources, high application fees for ADA recognition, staffing/institutional support, amount of Medicare reimbursement, lack of hours covered, and transportation. Handling the Handoff: Rural and Race-Based Disparities in Post Hospitalization Follow-up Care Among Medicare Beneficiaries with Diabetes Author(s): Kevin J. Bennett, Robert Chen, Medha Vyavaharkar, Saundra H. Glover, Janice C. Probst Research center: South Carolina Rural Health Research Center Topics: Chronic diseases and conditions, Health disparities, Hospitals and clinics, Minority health Date: 09 / 2011 Diabetes is one of the most common chronic diseases, affecting an estimated 23.6 million people in the United States (7.8% of the total population). Rural African American and Hispanic residents with diabetes are less likely to exhibit good control of their condition, putting them at greater risk for the consequences of this disease, such as kidney failure, blindness and amputation. Effective outpatient care is key to diabetes management. Absence of such care, conversely, may play a role in poorer diabetes control in rural areas. The present report uses information regarding Medicare beneficiaries with diabetes to examine the provision of care in rural America. It provides estimates of hospital admission rates for rural Medicare beneficiaries with diabetes, tracks the proportion of patients who receive adequate outpatient care post discharge, and assesses subsequent readmissions to the hospital. It also explores the potential for race-based disparities in care for diabetes.