Rural Health
Resources by Topic: Dementia
Racial, Ethnic, and Rural Disparities in Distance to Physicians among Decedents with Alzheimer's Disease and Related Dementias in Washington State
Evaluates travel distance to the nearest neurologist and primary care physician among people whose cause of death was related to Alzheimer's disease and related dementias (AD/ADRD) in the state of Washington. Utilizes 2011-2021 mortality data. Includes breakdowns of distance to care by race, ethnicity, and level of rurality. Highlights geographic access disparities experienced by American Indian, Alaska Native, and Hispanic people.
Author(s): Solmaz Amiri, Jonae I. Keffeler, Dennis R. Crain, Justin T. Denney, Dedra Buchwald
Citation: Alzheimer's & Dementia, 2024, 1-8
Date: 03/2024
Type: Document
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Evaluates travel distance to the nearest neurologist and primary care physician among people whose cause of death was related to Alzheimer's disease and related dementias (AD/ADRD) in the state of Washington. Utilizes 2011-2021 mortality data. Includes breakdowns of distance to care by race, ethnicity, and level of rurality. Highlights geographic access disparities experienced by American Indian, Alaska Native, and Hispanic people.
Author(s): Solmaz Amiri, Jonae I. Keffeler, Dennis R. Crain, Justin T. Denney, Dedra Buchwald
Citation: Alzheimer's & Dementia, 2024, 1-8
Date: 03/2024
Type: Document
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2024-2026 Tennessee State Health Plan
Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Breast Cancer Screening among Medicare Advantage Enrollees with Dementia
Compares rates of mammogram screening among screening-eligible women with Alzheimer's disease and related dementias (ADRD) using 2012-2019 Medicare Current Beneficiary Survey data. Compares screening rates of Medicare Advantage and fee-for-service Medicare enrollees, with data breakdowns by race and ethnicity, rural versus urban status, and more. Identifies potential risks related to over-screening.
Author(s): Eli Raver, Wendy Y. Xu, Jean Jung, Sunmin Lee
Citation: BMC Health Services Research, 24, 283
Date: 03/2024
Type: Document
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Compares rates of mammogram screening among screening-eligible women with Alzheimer's disease and related dementias (ADRD) using 2012-2019 Medicare Current Beneficiary Survey data. Compares screening rates of Medicare Advantage and fee-for-service Medicare enrollees, with data breakdowns by race and ethnicity, rural versus urban status, and more. Identifies potential risks related to over-screening.
Author(s): Eli Raver, Wendy Y. Xu, Jean Jung, Sunmin Lee
Citation: BMC Health Services Research, 24, 283
Date: 03/2024
Type: Document
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Infection Control Policies and Practices in Residential Care Communities by Selected Organizational and Geographic Characteristics: United States, 2020
Presents nationally representative data on the percentage of residential care communities with emergency operations plans that are specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices. Compares infection control policies and practices by metropolitan status, community bed size, ownership status, chain affiliation, and whether the community has a designated space for dementia care.
Author(s): Amanuel Melekin, Manisha Sengupta
Date: 02/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Presents nationally representative data on the percentage of residential care communities with emergency operations plans that are specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices. Compares infection control policies and practices by metropolitan status, community bed size, ownership status, chain affiliation, and whether the community has a designated space for dementia care.
Author(s): Amanuel Melekin, Manisha Sengupta
Date: 02/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Alzheimer Disease or Other Dementias in Adult Day Services Centers, 2020
Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Modeling Early Detection and Geographic Variation in Health System Capacity for Alzheimer's Disease–Modifying Therapies
Examines the impact of disease-modifying therapies (DMTs) to slow the progression of early-stage Alzheimer's disease (AD) and the availability of DMTs across the U.S. Discusses wait times for DMTs in rural versus urban areas and provides U.S. maps showing demographic and healthcare workforce supply data by county.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Chen, Jessie Wang, Federico Girosi
Date: 2024
Type: Document
Sponsoring organization: RAND Corporation
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Examines the impact of disease-modifying therapies (DMTs) to slow the progression of early-stage Alzheimer's disease (AD) and the availability of DMTs across the U.S. Discusses wait times for DMTs in rural versus urban areas and provides U.S. maps showing demographic and healthcare workforce supply data by county.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Chen, Jessie Wang, Federico Girosi
Date: 2024
Type: Document
Sponsoring organization: RAND Corporation
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Access to Preferred Skilled Nursing Facilities: Transitional Care Pathways for Patients with Alzheimer's Disease and Related Dementias
Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research
Date: 12/2023
Type: Document
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Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research
Date: 12/2023
Type: Document
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The MN RIDE Pilot: Feasibility of a Synchronous, Remotely Delivered, Aerobic Exercise Training Program for Rural-Dwelling Adults with Subjective Cognitive Decline
Evaluates the feasibility of implementing an aerobic exercise (AEx) telerehabilitation program in rural Minnesota for middle-aged and older adults with subjective cognitive decline (SCD). Assesses participant attendance, intensity adherence, adverse events, and satisfaction with the program. Discusses the potential of utilizing telerehabilitation programs for rural patients with Alzheimer's disease and related dementias (ADRD).
Author(s): Dereck L Salisbury, Wayne Warry, Joshua Fergen, et al.
Citation: Rural and Remote Health, 23(4), 8351
Date: 12/2023
Type: Document
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Evaluates the feasibility of implementing an aerobic exercise (AEx) telerehabilitation program in rural Minnesota for middle-aged and older adults with subjective cognitive decline (SCD). Assesses participant attendance, intensity adherence, adverse events, and satisfaction with the program. Discusses the potential of utilizing telerehabilitation programs for rural patients with Alzheimer's disease and related dementias (ADRD).
Author(s): Dereck L Salisbury, Wayne Warry, Joshua Fergen, et al.
Citation: Rural and Remote Health, 23(4), 8351
Date: 12/2023
Type: Document
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Medicare Cognitive Assessments: Utilization Tripled between 2018 and 2022, but Challenges Remain
Describes the utilization of traditional Medicare's cognitive assessment service from 2018 through 2022. Presents stakeholder views on challenges providers and beneficiaries face in providing and accessing the service, respectively. Discusses steps the Centers for Medicare & Medicaid Services (CMS) has taken to increase awareness of the service. Includes information on the number of cognitive assessment services by urban and rural beneficiaries by race and ethnicity.
Additional links: Full Report
Date: 12/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the utilization of traditional Medicare's cognitive assessment service from 2018 through 2022. Presents stakeholder views on challenges providers and beneficiaries face in providing and accessing the service, respectively. Discusses steps the Centers for Medicare & Medicaid Services (CMS) has taken to increase awareness of the service. Includes information on the number of cognitive assessment services by urban and rural beneficiaries by race and ethnicity.
Additional links: Full Report
Date: 12/2023
Type: Document
Sponsoring organization: Government Accountability Office
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National Plan to Address Alzheimer's Disease: 2023 Update
Action plan outlining 6 goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD treatment and care quality, public awareness and engagement, data tracking, and collaboration to support underserved populations, including rural and tribal communities.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Action plan outlining 6 goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD treatment and care quality, public awareness and engagement, data tracking, and collaboration to support underserved populations, including rural and tribal communities.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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