ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2021
Decomposing Urban and Rural Disparities of Preventable ED Visits Among Patients With Alzheimer's Disease and Related Dementias: Evidence of the Availability of Health Care Resources.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Neighborhood environmental deprivation predicts the generalized neurocognitive deficit in schizophrenia.Schizophrenia research · 2026Article
- Disease-specific drivers of sex- and locality-related disparities in life expectancy at age 65: two decades of progress before COVID-19.Innovation in aging · 2026Article
- Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina.The Journal of school health · 2026Article
- Improving quality measurement for dementia care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Review
- Accountable care organizations and Medicare payments for residents with ADRD in disadvantaged neighborhoods.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Investigation of rural-urban differences in hospitalization for ambulatory care-sensitive conditions: Analysis of linked survey, hospitalization, and tax data from Canada.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Sentiment Dynamics Among Informal Caregivers in Web-Based Alzheimer Communities: Systematic Analysis of Emotional Support and Interaction Patterns.JMIR aging · 2024Article
- Perspectives from persons living with dementia and their caregivers on emergency department visits, care transitions, and outpatient follow-up: A qualitative study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Factors influencing the help-seeking behavior in patients with mild cognitive impairment: a qualitative study.BMC health services research · 2023Article
- Rural-urban disparities in preventive breast and cervical cancer screening among women with early-onset dementia.BMC women's health · 2023Article
- Rural depopulation and the rural-urban gap in cognitive functioning among older adults.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Rural-Urban Disparities in Diagnosis of Early-Onset Dementia.JAMA network open · 2022Article
- Exploring hospital-based health information technology functions for patients with Alzheimer's Disease and related Dementias.Preventive medicine reports · 2021Article
- Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients.Journal of the American Geriatrics Society · 2021Article
- Regional Disparities of Rehabilitation Resources for Persons with Disabilities in China: Data from 2014 to 2019.International journal of environmental research and public health · 2020Article
- Rural-urban differences in modifiable dementia risk factors among U.S. populations aged 45 years or older.Journal of Alzheimer's disease reportsArticle
- Rural-urban disparities of Alzheimer's disease and related dementias: A scoping review.Alzheimer's & dementia (New York, N. Y.)Review
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3 authors.
Funding
Abstract
purposeThe purpose of this study was to examine the urban and rural differences in the frequency of preventable Emergency Department (ED) visits among Alzheimer's Disease and Related Dementias (ADRD) patients, with a focus on the availability of health care resources in urban and rural areas.
methodsLinked datasets of 2015 State Emergency Department Databases from the Healthcare Cost and Utilization Project and the Area Health Resource File were used. ED discharges of 7 states were included in our analysis. We performed a state fixed-effect multivariable logistic regression to estimate the variation of preventable EDs by urban and rural areas. Individual characteristics and county-level health care resources were included in the estimation. The Oaxaca decomposition was used to quantify the association of county-level health care resources and urban/rural disparities.
findingsRural patients with ADRD had 1.23 higher adjusted odds (P < .001) of going to the ED for a preventable visit compared to urban counterparts. The decomposition results showed that the model specification explained 49.2% of the differences between urban and rural patients. Patient residence in a mental health professional shortage area is one of the driving factors (contributing to 27%-48%) that explained the urban and rural disparities.
conclusionsOur study demonstrates the importance of improving health care resources in rural areas to improve health care quality and outcomes among ADRD patients who reside in rural areas. Future research and data collection on unobserved factors, such as health care quality, will be helpful in explaining the geographic differences.
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