Long-Term Services and Supports Use Among Older Medicare Beneficiaries in Rural and Urban Areas

2019 ◽  
Vol 41 (3) ◽  
pp. 241-264 ◽  
Author(s):  
Andrew F. Coburn ◽  
Erika C. Ziller ◽  
Nathan Paluso ◽  
Deborah Thayer ◽  
Jean A. Talbot
Keyword(s):  
Nursing Home ◽  
Urban Areas ◽  
Nursing Home Care ◽  
Medicare Beneficiaries ◽  
System Transformation ◽  
Community Based ◽  
Rural And Urban Areas ◽  
Rural Nursing ◽  
Rural And Urban

State and federal policies have shifted long-term services and support (LTSS) priorities from nursing home care to home and community-based services (HCBS). It is not clear whether the rural LTSS system reflects this system transformation. Using the Medicare Current Beneficiary Survey, we examined nursing home use among rural and urban Medicare beneficiaries aged 65 and older. Study findings indicate that even after controlling for known predictors of nursing home use, rural Medicare beneficiaries exhibited greater odds of nursing home residence and that the higher odds of rural nursing home residence are, in part, associated with higher rural nursing home bed supplies. A complex interplay of policy, LTSS infrastructure, and social, cultural, and other factors may be influencing the observed differences. Federal and state efforts to build rural HCBS capacity may be necessary to mitigate stubbornly persistent rural–urban differences in the patterns of institutional and community-based LTSS use.

New Approaches to Regional Branding through Green Production and Utilization of Existing Natural Advantages

2015 ◽  
pp. 121-139
Author(s):  
Alexander Trukhachev
Keyword(s):  
Urban Areas ◽  
Balanced Development ◽  
Alternative Employment ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Rural Economies ◽  
Green Production ◽  
Stavropol Region ◽  
The Individual

The chapter aims at the identification of existing natural, environmental, and rural resources that have worked together to promote the individual brand of Stavropol Region as a producer of green agricultural commodities and food, as well as a resort area, attractive by its unique environmental conditions. The perspectives of the development of green production are accessed in order to exploit existing regional resources in the long term, encourage local/regional producers and stimulate their economies, which is vital to quality of life in the countryside and a balanced development of rural and urban areas. Special attention is paid to the elaboration of possible ways to increase effectiveness of natural management as an approach to improve the competitiveness and sustainability of rural economies whilst at the same time opening up alternative employment opportunities for rural people.

scholarly journals Outcomes of Medicaid home‐ and community‐based long‐term services relative to nursing home care among dual eligibles

2020 ◽  
Vol 55 (6) ◽  
pp. 973-982
Author(s):  
R. Tamara Konetzka ◽  
Daniel H. Jung ◽  
Rebecca J. Gorges ◽  
Prachi Sanghavi
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Nursing Home Care ◽  
Community Based ◽  
Dual Eligibles

New Approaches to Regional Branding through Green Production and Utilization of Existing Natural Advantages

2017 ◽  
pp. 1758-1778
Author(s):  
Alexander Trukhachev
Keyword(s):  
Urban Areas ◽  
Balanced Development ◽  
Alternative Employment ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Rural Economies ◽  
Green Production ◽  
Stavropol Region ◽  
The Individual

The chapter aims at the identification of existing natural, environmental, and rural resources that have worked together to promote the individual brand of Stavropol Region as a producer of green agricultural commodities and food, as well as a resort area, attractive by its unique environmental conditions. The perspectives of the development of green production are accessed in order to exploit existing regional resources in the long term, encourage local/regional producers and stimulate their economies, which is vital to quality of life in the countryside and a balanced development of rural and urban areas. Special attention is paid to the elaboration of possible ways to increase effectiveness of natural management as an approach to improve the competitiveness and sustainability of rural economies whilst at the same time opening up alternative employment opportunities for rural people.

scholarly journals Estimating Long-Term Care Costs among Thai Elderly: A Phichit Province Case Study

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Pattaraporn Khongboon ◽  
Sathirakorn Pongpanich
Keyword(s):  
Informal Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Socioeconomic Development ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Rural And Urban Areas ◽  
Rural And Urban

Background. Rural-urban inequality in long-term care (LTC) services has been increasing alongside rapid socioeconomic development. This study estimates the average spending on LTC services and identifies the factors that influence the use and cost of LTC for the elderly living in urban and rural areas of Thailand. Methods. The sample comprised 837 elderly aged 60 years drawn from rural and urban areas in Phichit Province. Costs were assessed over a 1-month period. Direct costs of caregiving and indirect costs (opportunity cost method) were analyzed. Binary logistic regression was performed to determine which factors affected LTC costs. Results. The total annual LTC spending for rural and urban residents was on average USD 7,285 and USD 7,280.6, respectively. Formal care and informal care comprise the largest share of payments. There was a significant association between rural residents and costs for informal care, day/night care, and home renovation. Conclusions. Even though total LTC expenditures do not seem to vary significantly across rural and urban areas, the fundamental differences between areas need to be recognized. Reorganizing country delivery systems and finding a balance between formal and informal care are alternative solutions.

The Scottish Survey of Psychiatric Rehabilitation and Support Services

1985 ◽  
Vol 147 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Robin G. McCreadie ◽  
James W. Affleck ◽  
Andrew D. T. Robinson
Keyword(s):  
Mentally Ill ◽  
Support Services ◽  
Urban Areas ◽  
Psychiatric Rehabilitation ◽  
Psychiatric Hospitals ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Psychiatric Units ◽  
Simple Count

Rehabilitation and support services in psychiatric hospitals and general hospital psychiatric units serving two-thirds of the population of Scotland were reviewed. Although there are wide between-hospital differences, especially between rural and urban areas, the National Health Service in Scotland is making considerable efforts to provide staffing, accommodation, occupational activities, and support services for the long term mentally ill. Services provided by local authorities, with the exception of group homes, are seriously deficient. The total number of services provided by an individual hospital correlated highly with an assessment of its adequacy in providing such services in relation to other hospitals. A simple count of services may therefore be used to assess adequacy. There was also a correlation between the range of a hospital's services and numbers of misplaced new chronic in-patients.

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