ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2010
Rural-urban differences in preventable hospitalizations among community-dwelling veterans with dementia.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Geographical inequalities in dementia diagnosis and care: A systematic review.International psychogeriatrics · 2025Pooled it
- Rural and urban differences in quality of dementia care of persons with dementia and caregivers across all domains: a systematic review.BMC health services research · 2023Pooled it
- Hospitalisation rates and predictors in people with dementia: a systematic review and meta-analysis.BMC medicine · 2019Pooled it
- Associations of sociodemographic and behavioral factors with frailty transition patterns: a multi-state Markov analysis of the China Health and Retirement Longitudinal Study (CHARLS).Archives of public health = Archives belges de sante publique · 2026Article
- Alzheimer's disease and related dementias in rural medicare populations: a scoping review.BMC geriatrics · 2026Article
- Dementia-focused programs in older adult centers and health care use among individuals with dementia.Health affairs scholar · 2024Article
- Rural-urban differences in use of health services before and after dementia diagnosis: a retrospective cohort study.BMC health services research · 2024Article
- Understanding Barriers Along the Patient Journey in Alzheimer's Disease Using Social Media Data.Neurology and therapy · 2023Article
- Regional Health Disparities in Hypertension-Related Hospitalization of Hypertensive Patients: A Nationwide Population-Based Nested Case-Control Study.International journal of public health · 2023Article
- Use of high cost care among Veterans with comorbid mental illness and Alzheimer's Disease and related dementias.PloS one · 2023Article
- How Telemedicine Can Improve the Quality of Care for Patients with Alzheimer's Disease and Related Dementias? A Narrative Review.Medicina (Kaunas, Lithuania) · 2022Review
- Identifying patterns of potentially preventable hospitalisations in people living with dementia.BMC health services research · 2022Article
- Associations of GP practice characteristics with the rate of ambulatory care sensitive conditions in people living with dementia in England: an ecological analysis of routine data.BMC health services research · 2021Article
- Do Caregiving Factors Affect Hospitalization Risk Among Disabled Older Adults?Journal of the American Geriatrics Society · 2021Observational
- Developments in the Market for Assisted Living: Residential Care Availability in 2017.Journal of the American Medical Directors Association · 2020Article
- Telemedicine: A valuable tool in neurodegenerative diseases.Current geriatrics reports · 2020Article
- Influences on the access to and use of formal community care by people with dementia and their informal caregivers: a scoping review.BMC health services research · 2019Article
- Financial and Health Barriers and Caregiving-Related Difficulties Among Rural and Urban Caregivers.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2018Article
- Associations between structures and resources of primary care at the district level and health outcomes: a case study of diabetes mellitus care in Thailand.Risk management and healthcare policy · 2018Article
- Rural-Urban Differences in Alzheimer's Disease and Related Disorders Diagnostic Prevalence in Kentucky and West Virginia.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2016Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
contextAlzheimer's patients living in rural communities may face significant barriers to effective outpatient medical care. PURPOSE: We sought to examine rural-urban differences in risk for ambulatory care sensitive hospitalizations (ACSH), an indicator of access to outpatient care, in community-dwelling veterans with dementia.
methodsMedicare and Veteran Affairs inpatient claims for 1,186 US veterans with dementia were linked to survey data from the 1998 National Longitudinal Caregiver Survey. ACSH were identified in inpatient claims over a 1-year period following collection of independent variables. Urban Influence Codes were used to classify care recipients into 4 categories of increasing county-level rurality: large metropolitan; small metropolitan; micropolitan; and noncore rural counties. We used the Andersen Behavioral Model of Health Services to identify veteran, caregiver, and community factors that may explain urban-rural differences in ACSH.
findingsThirteen percent of care recipients had at least 1 ACSH. The likelihood of an ACSH was greater for patients in noncore rural counties versus large metropolitan areas (22.6% vs 12.8%, unadjusted odds ratio [OR]= 1.99; P < .01). The addition of other Andersen behavioral model variables did not eliminate the disparity (adjusted OR = 1.97; P < .05).
conclusionsWe found that dementia patients living in the most rural counties were more likely to have an ACSH; this disparity was not explained by differences in caregiver, care recipient, or community factors. Furthermore, the annual rate of ACSH was higher in community-dwelling dementia patients compared to previous reports on the general older adult population. Dementia patients in rural areas may face particular challenges in receiving timely, effective ambulatory care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.