Beyond Clinical Complexity: Nonmedical Barriers to Nursing Home Care for Rural Residents |
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| Authors: | Carrie Henning-Smith Katy B. Kozhimannil Michelle M. Casey Shailendra Prasad |
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| Affiliation: | 1. Rural Health Research Center, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA;2. Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota, USA |
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| Abstract: | We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural areas: financial issues, transportation, nursing home availability and infrastructure, and timeliness. We also identified policy and programmatic interventions across four themes: loosen bureaucratic requirements, improve communication between facilities, increase rural long-term care capacity, and address underlying social determinants of health. |
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| Keywords: | Rural nursing home care discharge planning access to care |
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