Purpose: This article describes early efforts of four community partnerships in Boston, El Paso, Houston, and Milwaukee to address governance and management structures in ways that promote the sustainability of innovative community-based long-term care system improvements. The four communities are grantees of the Community Partnerships for Older Adults Program, a national initiative of the Robert Wood Johnson Foundation that fosters local partnerships to improve long-term care and supportive-services systems in order to meet the current and future needs of older adults.
Design And Methods: We examined community partnership approaches to governance and management, as well as evidence of the partnerships' influence in their communities, by using the conceptual framework of the community health partnerships typology developed by Shannon M.
Context: The more limited availability and use of community-based long-term care services in rural areas may be a factor in higher rates of nursing home use among rural residents.
Purpose: This study examined differences in the rates of nursing home discharge for older adults receiving posthospital care in a nursing facility.
Methods: The study sample was comprised of a cohort of rural and urban residents newly admitted to nursing home care in Maine following surgery for hip fracture.
Purpose: This study explored issues surrounding hospitalization rates among rural and urban nursing facility (NF) residents.
Design And Methods: Data from the Minimum Data Set (MDS+) collected by states participating in the national Multi-State Case Mix Demonstration were used to assess whether rural NF residents experience higher rates of hospitalization compared with urban residents and to understand the extent that resident, facility, and market/area characteristics contribute to these differences.
Results: Rural NF residents were more likely than urban residents to have multiple hospitalizations.