In addition to the usual challenges of chronic disease and functional
decline, the rural elderly also face geographic isolation. Sixty-one million
people live in the rural United States, a number that exceeds the entire population
of the United Kingdom, Spain, Italy, or France.1
Nearly 15% of the US rural population is aged 65 years or older. As they age,
the rural elderly confront several barriers to obtaining medical care. To
a far greater degree than their urban counterparts, rural primary care physicians
are expected to provide urgent care, rehabilitation, outreach, and specialty
care (in collaboration with distant urban specialists) for their patients.
Health care outcomes for the rural elderly, as with other groups in the United
States, are influenced more by social position, insurance status, clinician
access, and economic status than by geography.2
When differences in outcomes between rural and urban health care have been
demonstrated, they generally relate to an imbalance of volume, staff support,
equipment, and choice. In this article, we examine practice patterns and describe
social, policy, and research issues influencing care for the rural elderly.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 42
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.