Beyond Clinical Complexity: Nonmedical Barriers to Nursing Home Care for Rural Residents

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13 Scopus citations


We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural areas: financial issues, transportation, nursing home availability and infrastructure, and timeliness. We also identified policy and programmatic interventions across four themes: loosen bureaucratic requirements, improve communication between facilities, increase rural long-term care capacity, and address underlying social determinants of health.

Original languageEnglish (US)
Pages (from-to)109-126
Number of pages18
JournalJournal of Aging and Social Policy
Issue number2
StatePublished - Mar 15 2018

Bibliographical note

Funding Information:
This study was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under PHS Grant No. 5U1CRH03717. The information, conclusions, and opinions expressed in this article are those of the authors and no endorsement by FORHP, HRSA, or HHS is intended or should be inferred.

Publisher Copyright:
© 2018 Taylor & Francis.

Copyright 2018 Elsevier B.V., All rights reserved.


  • Rural
  • access to care
  • discharge planning
  • nursing home care


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