Access to Health Care for the Rural Elderly

Rosenthal, Thomas C.; Fox, Chester H.

doi:10.1001/jama.284.16.2034

Cited by 100 publications

(54 citation statements)

References 19 publications

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“…One important exception may be the supply of LTC facility beds; rural and remote areas have been described as relatively over-bedded on a population basis (Rosenthal and fox 2000;Waterloo Wellington LHIN 2010). While few definitive connections have been demonstrated in the literature, some observers have suggested that limited access to H&CC, combined with a greater supply of LTC facility beds, may place rural and remote populations at increased risk of LTC facility placement (Coward et al 1994).…”

Section: Supply-side Issues In Northwestern Ontariomentioning

confidence: 99%

The Role of Community-Based Care Capacity in Shaping Risk of Long-Term Care Facility Placement

Kuluski

Williams²,

Laporte³

et al. 2012

hcpol

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The Role of Community-Based Care Capacity in Shaping Risk of Long-Term Care Facility Placement AbstractObjectives: Across the developed world, wait lists for facility-based long-term care (LTC) beds continue to grow. Wait lists are primarily driven by the needs of aging populations (demandside factors). Less attention has been given to system capacity to provide community alternatives to LTC (supply-side factors). We examine the role of both demand-and supply-side factors by comparing the characteristics of individuals who have been assessed and deemed eligible for LTC in urban and rural/underserviced parts of northwestern Ontario, Canada.Methods: Home care assessment data were analyzed for all individuals waiting for LTC in northwestern Ontario as of march 2008 (n=858). for the analysis, the sample was separated into urban and rural groups to account for geographical differences in wait list location. Characteristics between these two groups were compared. Results: Individuals on LTC wait lists in the rural areas were significantly less impaired in activities of daily living and cognition than their counterparts in the urban area. However, in both areas, impairments in lighter-care activities appeared to be a key wait list driver, and few people had an informal caregiver living in the home. Conclusions: Our data suggest that LTC wait lists reflect, at least to some extent, insufficient community capacity, not just need for LTC.

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Section: Supply-side Issues In Northwestern Ontariomentioning

confidence: 99%

The Role of Community-Based Care Capacity in Shaping Risk of Long-Term Care Facility Placement

Kuluski

Williams²,

Laporte³

et al. 2012

hcpol

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“…Essa proporção Proporção de pessoas com Homens 9,0 (7,7-10,4) 8,7 (6,9-10,9) 8,0 (5,6-10,9) 8,8 (7,(8)(9)9) plano de saúde Mulheres 9,0 (7,5-10,7) 1,3 (9,0-14,1) 6,7 (4,6-9,2) 9,3 (8,0-10,9) em populações rurais, descrito por outras pesquisas 7,8 , verificou-se que a população de idosos rurais no Brasil também se encontrava em situação de marcada desvantagem no acesso e na utilização de serviços de saúde em comparação à população de idosos urbanos. A proporção de idosos que consultou o mé-dico no último ano, a continuidade do cuidado, a proporção que consultou o dentista e a cobertura de mamografia observadas nos idosos rurais foram expressivamente mais baixas do que nos idosos urbanos.…”

Section: Metodologiaunclassified

“…De modo geral, observa-se menor acesso e conseqüente menor utilização de serviços de saú-de nas populações rurais 7,8 . Os idosos residentes em áreas rurais, além de enfrentar os problemas de saúde do envelhecimento, têm de lidar com maiores barreiras para obter os serviços de saú-de de que necessitam.…”

Section: Introductionunclassified

Acesso e uso de serviços de saúde em idosos residentes em áreas rurais, Brasil, 1998 e 2003

Travassos

Viacava

2007

Cad. Saúde Pública

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“…Remote health monitoring and management, regular online contact with health professionals, and substantial reduction of the need to travel long distances seem exceptionally promising in this setting. 33 …”

mentioning

confidence: 99%

Use of telemedicine-based care for the aging and elderly: promises and pitfalls

Bujnowska–Fedak¹,

Grata-Borkowska²

2015

SHTT

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Abstract:Telemedicine-based care provides remote health and social care to maintain people's autonomy and increase their quality of life. The rapidly aging population has come with a significant increase in the prevalence of chronic diseases and their effects, and thus the need for increased care and welfare. The elderly have become one of the main target groups for telecare technologies. Smart home systems allow older adults to live in the environment of their choice and protect them against institutionalization or placement in a nursing home. It gives the elderly person a feeling of reassurance and safety, and appears to be one of the most promising approaches to facilitate independent living in a community-dwelling situation. Telecare solutions give a new opportunity for diagnosis, treatment, education, and rehabilitation, and make it possible to monitor patients with a number of chronic diseases. It also reduces socioeconomic disparity with regard to access to care and gives equal chances to patients from urban and rural areas. However, although telecare has undisputed benefits, it also has some limitations. Older people are often resistant to use of new technology, in particular acquiring the knowledge and skills necessary for use of electronic devices and computer systems. Further, privacy and security are important elements when building confidence in telemedicine systems. Leaking of sensitive information, such as health or test results, may have a negative and far-reaching impact on the personal and professional life of the patient. Telemedicine-based care should now be personalized for the needs, capabilities, and preferences of the elderly, with adapta tion over time as care needs evolve. If technologies are introduced that are familiar, usable, desirable, and cost-effective, and able to be adapted to seniors' lives and plans, then telecare would become an integral part of the lives of the elderly in the near future, allowing them to function independently in a friendly home environment.

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Access to Health Care for the Rural Elderly

Cited by 100 publications

References 19 publications

The Role of Community-Based Care Capacity in Shaping Risk of Long-Term Care Facility Placement

The Role of Community-Based Care Capacity in Shaping Risk of Long-Term Care Facility Placement

Acesso e uso de serviços de saúde em idosos residentes em áreas rurais, Brasil, 1998 e 2003

Use of telemedicine-based care for the aging and elderly: promises and pitfalls

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