Beyond Clinical Complexity: Nonmedical Barriers to Nursing Home Care for Rural Residents.

Abstract:

:We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural areas: financial issues, transportation, nursing home availability and infrastructure, and timeliness. We also identified policy and programmatic interventions across four themes: loosen bureaucratic requirements, improve communication between facilities, increase rural long-term care capacity, and address underlying social determinants of health.

journal_name

J Aging Soc Policy

authors

Henning-Smith C,Kozhimannil KB,Casey MM,Prasad S

doi

10.1080/08959420.2018.1430413

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

109-126

issue

2

eissn

0895-9420

issn

1545-0821

journal_volume

30

pub_type

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