Rural-Urban Differences in Medical Care for Nursing Home Residents with Severe Dementia at the End of Life

• Published in: Journal of the American Geriatrics Society (JAGS) Vol. 54; no. 8; pp. 1199 - 1205
• Main Authors: Gessert, Charles E., Haller, Irina V., Kane, Robert L., Degenholtz, Howard
• Format: Journal Article
• Language: English
• Published: Malden, USA Blackwell Publishing Inc 01.08.2006; Blackwell; Wiley Subscription Services, Inc
• Subjects: Aged; Aged, 80 and over; Biological and medical sciences; Comparative analysis; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases; Dementia; Dementia - epidemiology; Dementia - therapy; end-of-life care; Female; Follow-Up Studies; General aspects; Health services utilization; Humans; Incidence; Male; Medical sciences; Minnesota - epidemiology; Miscellaneous; Neurology; Nursing homes; Nursing Homes - statistics & numerical data; Palliative care; Public health. Hygiene; Public health. Hygiene-occupational medicine; Retrospective Studies; rural health; Rural health care; Rural Health Services; Rural Population; Severity of Illness Index; Terminal Care - methods; Texas - epidemiology; Urban areas; urban health; Urban Health Services; Urban Population; Texas; Minnesota; Human; Long stay; Nervous system diseases; Rural environment; Urban environment; End-of-life care; End of life; Cerebral disorder; Senile dementia; Medicine; Ethics; Gerontology; Resident(student); Central nervous system disease; Resident; Degenerative disease; urban health; Severe; Nursing home; Elderly; rural health; Comparative study; Public health; Geriatrics
• ISSN: 0002-8614; 1532-5415
• DOI: 10.1111/j.1532-5415.2006.00824.x

OBJECTIVES: To identify factors associated with the use of selected medical services near the end of life in cognitively impaired residents of rural and urban nursing homes. DESIGN: Retrospective cohort study using Centers for Medicare and Medicaid Services administrative data for 1998 through 2002....