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A Comparison Of Nursing Homes In Rural And Urban Communities In Indiana, Michelle Emery Blake Mssw, Ph.D., Erin M. Fordyce, Hanns G. Pieper Sep 2012

A Comparison Of Nursing Homes In Rural And Urban Communities In Indiana, Michelle Emery Blake Mssw, Ph.D., Erin M. Fordyce, Hanns G. Pieper

Contemporary Rural Social Work Journal

The growing number of elderly persons in U.S. society—the “Graying of America”—increases the urgency of making available the resources needed to ensure optimum quality of life for all seniors. When families are no longer able to meet their loved one’s needs, it becomes necessary to consider the possibility of long-term care. Often, families face this decision without the information they need in order to make an informed choice. The researchers utilized a four-tiered categorization to compare nursing homes in most rural, rural, urban and most urban counties in Indiana. The Medicare website (http://www.medicare.gov/) addresses issues of staffing, number of Medicare/Medicaid …


The Service Use Index: A Tool For Examining Rural/Urban Differences, Rosemary K. Chapin Ph.D., Beth Anne Baca Msw, Skye N. Leedahl Ma, Roxanne Rachlin Mhsa, Xanthippe Wedel Bs, Mary K. Zimmerman Phd Sep 2012

The Service Use Index: A Tool For Examining Rural/Urban Differences, Rosemary K. Chapin Ph.D., Beth Anne Baca Msw, Skye N. Leedahl Ma, Roxanne Rachlin Mhsa, Xanthippe Wedel Bs, Mary K. Zimmerman Phd

Contemporary Rural Social Work Journal

Development of tools for identifying and tracking differences in older adult service utilization by race, ethnicity, income, and geographic area is vital in the face of current demographic and economic changes in rural areas, particularly in areas experiencing rapid demographic changes. In this conceptual article, we explain how to calculate a service use index that compares service utilization of a specific group of older adults to that of the entire older adult population. We then illustrate its usefulness with a case example using geographic information systems (GIS). This unique approach can be utilized to understand differences across fields of practice, …