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Exploring access to critical health services for older adults in rural America from 1990 to 2020.

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Title: Exploring access to critical health services for older adults in rural America from 1990 to 2020.
Authors: Bambury, Elizabeth A.1 ebambury@kumc.edu, Merdjanoff, Alexis A.2, Fergen, Joshua T.3, Mueller, J. Tom1
Source: Journal of Rural Health. Jan2025, Vol. 41 Issue 1, p1-8. 8p.
Subject Terms: *Health services accessibility, *Government policy, Elder care, Databases, Medical information storage & retrieval systems, Medically underserved areas, Rural health, Research funding, Surveys, Rural conditions, Medical needs assessment, Active aging, Critical care medicine, Time, Old age
Geographic Terms: United States
Abstract: Purpose: Rural America has experienced a rapid loss of hospitals since the turn of the century, making access to high‐quality health care the top rural health priority. Coinciding with this hospital decline is the growth of a rural population age 65 years or older. The health needs of older adults can require specialty care to support healthy aging. To date, minimal research has been conducted on trends in aging‐related health care services in rural areas beyond hospital closures. Methods: This study uses a 30‐year lookback of data from the Area Health Resource Files to describe the trends in local access to hospitals and critical health services important for conditions experienced by older adults in rural America. Results are presented across measures of rurality and population age. Findings: Local aging‐related access to services such as chemotherapy, oncology, emergency department, geriatric, and home health agencies have been stagnant or declining over time in rural areas. Concerningly, the most remote communities with the highest percent of older adults have the lowest service access. Conclusion: These findings shed light on the growing need for policies to support healthy aging among the increasingly older rural population. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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PubType: Academic Journal
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  Data: Exploring access to critical health services for older adults in rural America from 1990 to 2020.
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  Data: <searchLink fieldCode="AR" term="%22Bambury%2C+Elizabeth+A%2E%22">Bambury, Elizabeth A.</searchLink><relatesTo>1</relatesTo><i> ebambury@kumc.edu</i><br /><searchLink fieldCode="AR" term="%22Merdjanoff%2C+Alexis+A%2E%22">Merdjanoff, Alexis A.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Fergen%2C+Joshua+T%2E%22">Fergen, Joshua T.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Mueller%2C+J%2E+Tom%22">Mueller, J. Tom</searchLink><relatesTo>1</relatesTo>
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  Data: Purpose: Rural America has experienced a rapid loss of hospitals since the turn of the century, making access to high‐quality health care the top rural health priority. Coinciding with this hospital decline is the growth of a rural population age 65 years or older. The health needs of older adults can require specialty care to support healthy aging. To date, minimal research has been conducted on trends in aging‐related health care services in rural areas beyond hospital closures. Methods: This study uses a 30‐year lookback of data from the Area Health Resource Files to describe the trends in local access to hospitals and critical health services important for conditions experienced by older adults in rural America. Results are presented across measures of rurality and population age. Findings: Local aging‐related access to services such as chemotherapy, oncology, emergency department, geriatric, and home health agencies have been stagnant or declining over time in rural areas. Concerningly, the most remote communities with the highest percent of older adults have the lowest service access. Conclusion: These findings shed light on the growing need for policies to support healthy aging among the increasingly older rural population. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/jrh.70004
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 8
        StartPage: 1
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Government policy
        Type: general
      – SubjectFull: Elder care
        Type: general
      – SubjectFull: Databases
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Medically underserved areas
        Type: general
      – SubjectFull: Rural health
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Active aging
        Type: general
      – SubjectFull: Critical care medicine
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      – SubjectFull: Time
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Exploring access to critical health services for older adults in rural America from 1990 to 2020.
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              M: 01
              Text: Jan2025
              Type: published
              Y: 2025
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