Journal of the American Medical Directors Association · 2026
Statewide Examination of Rural-Urban Differences in Assisted Living Facilities.
СтатьяСравнительное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Trainum Katie, Stuifbergen Alexa, Becker Heather, Morgan Stephanie
Аннотация
OBJECTIVES: To compare facility characteristics between rural and urban assisted living facilities (ALFs).
DESIGN: A descriptive, cross-sectional study.
SETTING AND PARTICIPANTS: A convenience sample of 517 ALFs (143 rural) that included facilities from all public health regions in Texas.
METHODS: Survey data were collected from administrative staff at each facility. Data were analyzed using descriptive statistics, χ2 analysis, and Mann-Whitney U tests.
RESULTS: Overall, rural areas had relatively more Type A and fewer Type B facilities (the latter require 24-hour attendants) than did urban areas. Rural facilities (vs urban) also had significantly fewer Alzheimer's disease certifications and licensed beds. Provided services differed significantly between rural and urban facilities: urban facilities more often offered concierge, medical, and nursing services, whereas rural facilities more often provided transportation, wound care, and physical/occupational therapy. Antipsychotic use was high across all facilities (26.6%), but only 38.5% reported initiating gradual dose reductions.
CONCLUSIONS AND IMPLICATIONS: Findings highlight rural-urban differences in service availability and dementia care. Combined with high rates of antipsychotic use, these findings suggest a need for policy reforms, especially as resident acuity in ALFs increases. Additional research is needed to improve ALF quality measurement and to better understand factors influencing care quality in rural and urban settings.
DESIGN: A descriptive, cross-sectional study.
SETTING AND PARTICIPANTS: A convenience sample of 517 ALFs (143 rural) that included facilities from all public health regions in Texas.
METHODS: Survey data were collected from administrative staff at each facility. Data were analyzed using descriptive statistics, χ2 analysis, and Mann-Whitney U tests.
RESULTS: Overall, rural areas had relatively more Type A and fewer Type B facilities (the latter require 24-hour attendants) than did urban areas. Rural facilities (vs urban) also had significantly fewer Alzheimer's disease certifications and licensed beds. Provided services differed significantly between rural and urban facilities: urban facilities more often offered concierge, medical, and nursing services, whereas rural facilities more often provided transportation, wound care, and physical/occupational therapy. Antipsychotic use was high across all facilities (26.6%), but only 38.5% reported initiating gradual dose reductions.
CONCLUSIONS AND IMPLICATIONS: Findings highlight rural-urban differences in service availability and dementia care. Combined with high rates of antipsychotic use, these findings suggest a need for policy reforms, especially as resident acuity in ALFs increases. Additional research is needed to improve ALF quality measurement and to better understand factors influencing care quality in rural and urban settings.