Publication Date: December 1st, 2017
Publication Type(s): Peer-reviewed Journal Publications
Topic(s): Aging, Disabilities, Healthcare Access, Long-term Care, Mental and Behavioral Health
Author(s): Henning-Smith C., Kozhimannil K., Prasad S.
J Appl Gerontol. 2017 Dec 1:733464817746772. doi: 10.1177/0733464817746772. [Epub ahead of print]
Rural residents experience higher disability, mortality, and poverty rates than their urban counterparts; they also have more barriers to accessing care, including nursing home care. Meanwhile, the proportion of nonelderly adult nursing home residents (<65 years old) is growing, yet little is known about this population and barriers they face trying to access care, especially in rural areas. This qualitative study uses data from 23 semistructured interviews with rural hospital discharge planners in five states to identify specific barriers to finding nursing home care for nonelderly rural residents. We grouped those barriers into three primary themes-payment status, fit, and medical complexity-as well as two minor themes-caregivers and bureaucratic processes-and discuss each in the article, along with potential policy and programmatic interventions to improve access to nursing home care for nonelderly rural residents.