Differences in Care Provided in Urban and Rural Nursing Homes in the United States: Literature Review.
Differences in Care Provided in Urban and Rural Nursing Homes in the United States: Literature Review.
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DOI：
10.3928/00989134-20211109-09
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发表时间：
2021-12
影响因子：
1.3
通讯作者：
Stone, Patricia W.
中科院分区：
文献类型：
--
作者：
Quigley, Denise D.;Estrada, Leah, V;Alexander, Gregory L.;Dick, Andrew;Stone, Patricia W.
Despite evidence acknowledging disadvantages in care provided to older adults in rural nursing homes (NHs) in the United States (U.S.), since 2010 no literature review has focused on differences in care provided in U.S. urban versus rural NHs. We examined these differences, by searching U.S. English-language peer-reviewed articles published after 2010 on differences in care quality in urban and rural NHs. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and used Newcastle-Ottawa Scale for quality appraisal. We conducted full-text abstraction of 56 (of 286) articles, identifying ten relevant studies. Metric specification of urban/rural location varied and care quality measures were wide-ranging, making it hard to interpret the evidence. The limited evidence did support that rural NHs, compared to urban, provided sparse mental health support and limited access to hospice care after controlling for facility and resident characteristics. Our review highlights the need for more research examining urban and rural differences in the quality of NH care and raises several issues in current research examining urban/rural NH differences, where future work is needed.
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DOI：
10.1136/bmj.b2535
发表时间：
2009-07-21
期刊：
BMJ (Clinical research ed.)
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发表时间：
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