2018 Home and Community Preferences Survey: A National Survey of Adults Age 18-Plus: A Look at Rural Communities

2019 ◽  
Author(s):  
Joanne Binette
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S738-S738
Author(s):  
Kathleen A Cameron ◽  
Lauren E Popham ◽  
Angelica Herrera-Venson

Abstract The National Council on Aging (NCOA) conducted a national survey of community-based organizations (CBOs) in early 2019 to better understand how older adults, people with disabilities, and their caregivers are affected by the opioid epidemic and identify new resources and tools needed by CBOs to better serve their community needs. Specifically, the survey asked about the extent to which CBOs’ service delivery and level of effort has changed as a result of the opioid epidemic; unique issues reported by this population, directly or indirectly resulting from opioid misuse by them or loved ones; how organizations screen and refer older adults and individual with disabilities for support associated with opioid misuse; how organizations may be connecting with local or state initiatives addressing the opioid epidemic, or forming strategic partnerships to respond to emerging client needs; and pinpoint gaps in resources that may help organizations to more effectively respond to these issues. Over 200 organizations, representing urban, suburban and rural communities, responded to the survey and included senior centers, area agencies on aging, Senior Health Insurance Assistance Programs, as well as health care organizations. Seventy percent of organizations report spending more effort to address the needs of older adults/caregivers who are adversely affected by opioid misuse/abuse since 2 years ago. Common health and financial concerns, current strategies related to screening, partnership development, and educational programming as reported by CBOs will be presented. This session will include a discussion of opportunities to assist CBOs address the opioid-related needs of their older adult clients.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S357-S357
Author(s):  
Cassandra Cantave Burton

Abstract About 16 percent of adults 50-plus and 25 percent of 65-plus adults reside in rural areas or small towns in the United States . The percentage increases to rural communities could mean a higher prevalence of chronic disease, a higher disability rate, a lower prevalence of healthy behaviors, and a widening gap in life expectancy relative to the nation as a whole. Moreover, rural areas face additional obstacles and challenges such: Difficulty forming community partnerships because of proximity challenges; migration of younger individuals to cities for career and social opportunities, resulting in a smaller pool of potential caregivers; an aging housing stock that also may be unsafe and in need of repair; and inadequate resources available to meet the broad range of needs among older adults. AARP has been engaged with policy makers and community members to ensure that older residents who live in rural areas have access to community supports so they can remain in their homes and communities and have the services that they need as they get older. Presenters in this symposium will present data supporting AARP’s work to better the lives of older rural residents. Findings from AARP studies on home and community preferences, social isolation, telehealth and broadband access, and brain health will be presented.


2019 ◽  
pp. 0739456X1982805 ◽  
Author(s):  
Mildred E. Warner ◽  
Xue Zhang

Using a 2013 national survey of 1,474 U.S. communities, we differentiate communities that address the needs of children and seniors in planning and zoning codes, and their impacts on the built environment at the street, neighborhood, and housing levels. Structural equation modeling results show engagement and professionalism are the most important drivers of multigenerational planning and zoning codes, and zoning has the greatest impact on built environment outcomes. Denser, larger communities are more child- and age-friendly. Rural communities and places with more seniors lag in response. Attitudes and income are not barriers to action, which gives hope for change.


2011 ◽  
Vol 77 (7) ◽  
pp. 820-825
Author(s):  
Joseph B. Cofer ◽  
Tommy J. Petros ◽  
Hans C. Burkholder ◽  
P. Chris Clarke

Rural communities face an impending surgical workforce crisis. The purpose of this study is to describe perceptions of rural Tennessee hospital administrators regarding the importance of surgical services to their hospitals. In collaboration with the Tennessee Hospital Association, we developed and administered a 13-item survey based on a recently published national survey to 80 rural Tennessee hospitals in August 2008. A total of 29 responses were received for an overall 36.3 per cent response rate. Over 44 per cent of rural surgeons were older than 50 years of age, and 27.6 per cent of hospitals reported they would lose at least one surgeon in the next 2 years. The responding hospitals reported losing 10.4 per cent of their surgical workforce in the preceding 2 years. Over 53 per cent were actively recruiting a general surgeon with an average time to recruit a surgeon of 11.8 months. Ninety-seven per cent stated that having a surgical program was very important to their financial viability with the mean and median reported revenue generated by a single general surgeon being $1.8 million and $1.4 million, respectively. Almost 11 per cent of the hospitals stated they would have to close if they lost surgical services. Although rural Tennessee hospitals face similar difficulties to national rural hospitals with regard to retaining and hiring surgeons, slightly more Tennessee hospitals (54 vs 36%) were actively attempting to recruit a general surgeon. The shortage of general surgeons is a threat to the accessibility of comprehensive hospital-based care for rural Tennesseans.


2021 ◽  
Vol 103 (4) ◽  
pp. 6-7
Author(s):  
Teresa Preston

The December 1983 Kappan featured the story of Clinch School in Hawkins County, Tennessee, a small rural school with a student body of 161 students in 12 grades. Teresa Preston explains how the story of the community’s fight to keep this school open and under local control is illustrative of the dilemmas surrounding rural schools that have been covered in Kappan for a century. Articles have grappled with whether schools should focus on encouraging students to stay in rural communities, how to ensure that schools are large enough to provide adequate programs but small enough to reflect the immediate community, and what role parent and community preferences should play in improvement plans for rural schools.


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