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Service Delivery to Rural Older Adults

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Service Delivery to Rural Older Adults

SKU# 9780826102270

Research, Policy and Practice


  • R. Turner Goins PhD
  • John A. Krout PhD

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There are many contemporary challenges experienced by older rural residents and their communities in accessing and providing services. However, the issue is not whether rural older adults have greater service needs compared to their urban counterparts; rather, it is that rural older people and communities have unique and varied characteristics that must be considered when planning and providing services.

Each chapter is dedicated to an important issue related to rural health care and features commentary regarding the current and future challenges they face. The contributors present in-depth analyses of important components of rural systems, including nutrition, health service delivery, rural hospitals, long-term care, caregiving, housing, and transportation. Insight into the complexity and inter-dependency of these issues and useful strategies for solving problems and overcoming barriers are provided.

For researchers, health care practitioners, planners, policymakers, and educators involved in the care of the rural patient, this book provides crucial commentary for present and future improvement.

Information covered includes:

  • Health services and related policy issues
  • New changes to the Medicare program and how these changes are met with regard to rural health care delivery
  • Important selected services in rural America including informal caregiving, housing, and transportation
  • Enhancing health care delivery through technology and public policies
  • Remarks about service delivery in rural areas

Product Details 

  • Publication Date July 19, 2006
  • Page Count 288
  • Product Form Hardback
  • ISBN 13 9780826102270
  • EISBN 9780826103758

Table of Contents 

    List of Contributors
    Foreword by Graham D. Rowles, PhD
    PART I: Overview
  1. Introduction: Aging in Rural America, R. Turner Goins and John A. Krout
  2. Service Delivery to Rural Elders: Barriers and Challenges, John A. Krout, PhD, C. Neil Bull, PhD

  3. Demographic and Resettlement Impacts on Rural Services, Don E. Bradley, PhD, Charles F. Longino, Jr, PhD
  4. Service Issues Among Rural Racial and Ethnic Minority Elders, R. Turner Goins, PhD, Jim Mitchell, PhD, Bei Wu, PhD

  5. PART II: Health Service Provision and Policy Issues
  6. Health and Nutrition in Rural Areas, Joseph R. Sharkey, PhD, Jane N. Bolin, PhD
  7. Rural Hospitals and Long-Term Care: The Challenges of Diversification and Integration Strategies, Andrew F. Coburn, PhD, Stephenie L. Loux, MS, Elise J. Bolda, PhD
  8. Changes in the Medicare Program: Meeting New Challenges in Rural Health Care Delivery, Keith J. Mueller, PhD, Timothy D. McBride, PhD

  9. PART III: Selected Services
  10. Caregiving in a Rural Context, Donna L. Wagner, PhD, Kelly J. Niles-Yokum, MPA
  11. Housing for Rural Elders: Policies, Practices, and Prospects, W. Edward Folts, PhD, Kenneth B. Muir, PhD, James R. Peacock, PhD, Bradley Nash Jr, PhD, Katherine L. Jones, BA
  12. Transportation and Aging: Challenges in Rural America, Helen Kerschner, PhD

  13. PART IV: Moving Forward: Technology and System Change
  14. Transforming Rural Health Care: The Role of Technology, Linda Redford, PhD, Ryan Spaulding, PhD
  15. Public Policy and Rural Aging, David K. Brown, PhD, Robert Blancato, MPA
  16. Summary and Conclusions, John A. Krout, PhD, R. Turner Goins, PhD