2019
DOI: 10.1377/hlthaff.2019.00722
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Higher US Rural Mortality Rates Linked To Socioeconomic Status, Physician Shortages, And Lack Of Health Insurance

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Cited by 151 publications
(140 citation statements)
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“…A potential explanation for fewer days in the community and shorter survival following diagnosis in nonmetropolitan counties is that nonmetropolitan residents may be diagnosed at later stages of disease compared with metropolitan residents, particularly given rural shortages of geriatricians and other geriatric specialists. 43 Despite this shortage, Stensland et al 44 found no significant differences between rural and urban beneficiaries in either the amount of health care received or satisfaction with access to care. Although we did not have data on disease stage at time of diagnosis, we think that this potential of length time bias in diagnosis of ADRD and severity at time of diagnosis is small for several reasons.…”
Section: Discussionmentioning
confidence: 99%
“…A potential explanation for fewer days in the community and shorter survival following diagnosis in nonmetropolitan counties is that nonmetropolitan residents may be diagnosed at later stages of disease compared with metropolitan residents, particularly given rural shortages of geriatricians and other geriatric specialists. 43 Despite this shortage, Stensland et al 44 found no significant differences between rural and urban beneficiaries in either the amount of health care received or satisfaction with access to care. Although we did not have data on disease stage at time of diagnosis, we think that this potential of length time bias in diagnosis of ADRD and severity at time of diagnosis is small for several reasons.…”
Section: Discussionmentioning
confidence: 99%
“…While rural areas are not homogenous, many rural counties in the United States are poorer than their urban counterparts. Rural areas also have more fragile public health and clinical infrastructure, and an older and less healthy population more vulnerable to COVID-19 (Ajilore 2020 ; Ameh et al 2020 ; Bolin et al 2015 ; Gong et al 2019 ; Gurley 2016 ; NORC at the University of Chicago Walsh Center for Rural Health Analysis 2012 ).…”
Section: Introductionmentioning
confidence: 99%
“…Additionally, even within the same country, there are huge social and economic disparities between residents of rural and urban areas. In general, compared to urban residents, rural inhabitants are more likely to have a lower self-assessment of state of health conditions, less access to health services, and are more often unemployed, less educated and more likely to use social benefits [5,14,15,16,17].…”
Section: Introductionmentioning
confidence: 99%