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Volumn 39, Issue 2, 2011, Pages 140-155

Health care accessibility for chronic illness management and end-of-life care: A view from rural America

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; CHRONIC DISEASE; ECONOMICS; HEALTH CARE COST; HEALTH CARE DELIVERY; HUMAN; RURAL HEALTH CARE; TERMINAL CARE; UNITED STATES; VULNERABLE POPULATION;

EID: 79955788942     PISSN: 10731105     EISSN: 1748720X     Source Type: Journal    
DOI: 10.1111/j.1748-720X.2011.00584.x     Document Type: Article
Times cited : (25)

References (109)
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    • Despite this modification for nurse practitioners at the federal level, some states have regulatory policies that make this difficult to implement, so the potential to increase and monitor hospice patients is really a state by state problem, not a federal one. Personal communication from Ronald Crossno to author [KEA] ().
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    • Note
    • A Critical Access Hospital (CAH) is a hospital that is certified to receive cost-based reimbursement from Medicare. The reimbursement that CAH's receive is intended to improve their financial performance and thereby reduce hospital closures. Each hospital must review its own situation to determine if CAH status would be advantageous. CAH's are certified under a different set of Medicare conditions of participation (CoP) that are more flexible that an acute care hospitals CoP. A map marking the location of CAH's can be accessed at (last visited March 3, 2011). As of September, 2010, there were 1, 320 certified Critical Access Hospitals located throughout the U.S. CAH's must be located in a rural area and meet one of the following criteria: (1) located 35 miles or more from another hospital or 15 miles from another hospital in mountainous terrain or areas with only secondary roads. More detailed information can be accessed in a letter sent from CMS to State Survey Agency Directors September 7, 2007, available at (last visited March 3, 2011).
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    • ed., Quality End of life Cancer Care for Medicare Beneficiaries, a Report of the Dartmouth Atlas Project and Dartmouth Institute for Health Policy and Clinical Practice
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    • (2010)
    • Goodman, D.C.1    Fisher, E.S.2    Chang, C.3    Morden, N.E.4    Jacobson, J.O.5    Murray, K.6    Miesfeldt, S.7    Bronner, K.K.8
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    • "Quality through Collaboration: The Future of Rural Health,"
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    • see also E. S. Fisher, D. E. Wennberg, T. A. Stukel, D. J. Gottlieb, F. L. Lucas, and E. L. Pinder, "The Implications of Regional Variations in Medicare Spending. Part 2: Health Outcomes and Satisfaction with Care, " Annals of Internal Medicine 138, no. 4 (2003): 288-298
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