Rural Health Research Gateway

Aging

Completed Projects

Access to Cancer Services for Rural Colorectal Cancer Medicare Patients: A Multi-State Study
Research center: WWAMI Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Chronic diseases and conditions, Health services, Medicare, Minority health
This study examined a comprehensive database to quantify the distance and access to four types of cancer services in a sample of rural, Medicare-insured, CRC patients of different racial and ethnic groups, and will inform future work designed to understand discrepancies in cancer service use by the rural elderly in different racial and ethnic groups.

Access to Physician Care for the Rural Medicare Elderly
Research center: WWAMI Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Chronic diseases and conditions, Health services, Medicare, Physicians, Poverty
This study described where Medicare beneficiaries in five states obtain their health care, how far they travel for that care, and the mix of physician specialties from which they obtain ambulatory care. Special attention was paid to beneficiaries who have dual Medicare-Medicaid status, who reside in poorer income areas, and who live in designated Health Professional Shortage Areas.

Ambulatory Care and the Rural Elderly
Research center: WWAMI Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Chronic diseases and conditions, Health services

Breast Cancer Study
Research center: WWAMI Rural Health Research Center
Funder: U.S. Department of Defense (DoD)
Topics: Aging, Women

Disability Burdens among Rural and Urban Older Americans
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Health disparities, Long term care, Rural statistics and demographics
This project will use the 1994-2000 Second Longitudinal Study of Aging to develop detailed estimates of healthy, disabled, and total life expectancy among rural and urban populations. We will develop and compare the estimates between women and men, by race/ethnicity, and across differing levels of education.

Health Insurance Coverage and Access to Health Services for the Rural Near Elderly
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Health insurance and the uninsured, Health services

Impact of Health Insurance Coverage on Native Elder Health: Implications for Addressing the Health Care Needs of Rural American Indian Elders
Research center: Upper Midwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, American Indians and Alaska Natives, Frontier health, Health insurance and the uninsured, Minority health, Rural statistics and demographics
This project examined the types of health insurance coverage of rural Native American elders ages 55 and older, and examine how different types of health insurance coverage and lack of health insurance coverage impact access to health care services among Native American elders by geographic location (rural frontier, rural non-frontier and urban).

Medicaid Budget Cuts and Long-Term Care Supplement
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Health policy, Long term care, Medicaid and S-CHIP
Data on each state will be collected identifying all the changes made to their Medicaid program in the area of long-term care or related services to the frail elderly and disabled, and a policy paper addressing the impact of Medicaid cuts on long term care services, particularly among the elderly in rural areas, will be produced.

Medicaid Budget Cuts: Effects on Rural Nursing Homes and Rural Elderly and Disabled
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Long term care, Medicaid and S-CHIP
This project will investigate whether nursing home quality and access to nursing home care have eroded in rural areas as a result of changes in Medicare payments or reductions in Medicaid nursing home payments from 2000-2003.

Native Elder Care Needs Assessment: Development of a Long Term Care Planning Tool Kit
Research center: ORHP-funded Individual Grantees
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, American Indians and Alaska Natives, Long term care, Minority health
A long term care planning tool kit will assist tribes with interpreting long term care data obtained through a national Native Elder Care Needs Assessment. It will also assist tribes in using the data to develop long term care infrastructure and comprehensive services that respond to local needs and services.

Potential Cost Savings of Home Health Care for Rural Chronically Ill Elderly
Research center: Minnesota Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Chronic diseases and conditions, Home health

Prevalence of Chronic Disease and the Degree of Rurality of American Indian Elders in a Nationally Representative Sample of 100 Tribes
Research center: ORHP-funded Individual Grantees
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, American Indians and Alaska Natives, Chronic diseases and conditions, Frontier health, Long term care, Minority health, Rural statistics and demographics
This project will determine if there are differences in prevalence of chronic disease in American Indian elders across age groups in urban vs. rural vs. frontier counties. Moderating factors of chronic disease will also be examined including health damaging behaviors, access to health care services and providers and degree of functional limitation.

Trends in Swing Bed and Skilled Nursing Facility Use in Rural Hospitals, 1996-2003
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Hospitals and clinics, Long term care, Medicare Prospective Payment System (PPS)
This study will examine trends in the distribution of skilled nursing facility (SNF) services in rural hospitals during a period of dramatic change in Medicare reimbursement, most notably the transition from cost-based reimbursement to SNF prospective payment system (PPS).

Urban and Rural Differences in Utilization Patterns, Risk Factors and Expenditures of the Dually Eligible Elderly and Non-Elderly Persons with Disabilities
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Medicaid and S-CHIP, Medicare

Validation of Commuting Area Designations for the Elderly
Research center: WWAMI Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Defining rural


Related Topics

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