Evidence map›Paper›PMID 36794536›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2023

Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas.

Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Rural and Urban Differences in the Trends in Supply of Home Care Workers From 2015 to 2024.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Home health utilization in the Veterans Health Administration: Are there rural and urban differences?The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  7. U.S. Rural Population Health and Aging in the 2020s.The Public policy and aging report · 2025
    Review
  8. Alzheimer's disease and related dementias among Medicare beneficiaries aged ≥ 65 years in rural America, by Census region and select demographic characteristics: 2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  9. Observational
  10. Multi-Sector Collaboration to Support Rural Aging.The Public policy and aging report · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Janette DillDivision of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-4044-3127
Carrie Henning-SmithUniversity of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-0273-0387
Rongxuan ZhuCollege of Liberal Arts, University of Minnesota, Minneapolis, MN USA.
Elizabeth VomackaDivision of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

Funding

Life Course Center Program Development CoreP30AG066613 · NIA · UNIVERSITY OF MINNESOTA · PI Sarah M Flood · 2020 to 2026
$5.0M
Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
NIA NIH HHS P30 AG066613NICHD NIH HHS P2C HD041023
6 · The paper itself

Abstract

Using the 2021 Occupational Employment and Wage Statistics (OEWS) dataset, we calculate the ratio of direct care workers relative to the population of older adults (ages 65+) across rural and urban areas in the US. We find that there are, on average, 32.9 home health aides per 1000 older adults (age 65+) in rural areas and 50.4 home health aides per 1000 older adults in urban areas. There are, on average, 20.9 nursing assistants per 1000 older adults in rural areas and 25.3 nursing assistants per 1000 older adults in urban areas. There is substantial regional variation. Greater investment needs to be made in improving wages and job quality for direct care workers to attract workers to these critical occupations, especially in rural areas where the need for direct care is greater.

Indexed as

EmploymentRural PopulationAgedHealth PersonnelHumansWorkforcehome and community based care and serviceslong-term services & supportsnursing homespolicypopulation aging

Identifiers

PMID36794536
PMCPMC10427731

What OpenQuestion holds

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Registered trials

None linked

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.