Urban and Rural Differences in Logistics When Attending In-Person Appointments
Elizabeth Chamberlin, Steven Shirk, Victoria Ngo, Elizabeth Marfeo, Lauren Moo

TL;DR
The study compares urban and rural caregivers' experiences in helping Veterans attend healthcare appointments, finding rural caregivers face more logistical challenges.
Contribution
The study identifies specific logistical differences between urban and rural caregivers in assisting Veterans with healthcare appointments.
Findings
Rural caregivers spend more time preparing for appointments and traveling compared to urban caregivers.
Rural caregivers missed more work due to caregiving responsibilities.
Rural caregivers traveled significantly greater distances for appointments.
Abstract
The lack of long-term formal care for older adults and the wish to age in place has increased the use of informal caregivers. These caregivers take on many responsibilities, including assisting their care recipients with in-person healthcare visits. A national survey of informal caregivers of military Veterans (N = 511), included the VAL to assess logistical differences between urban (n = 253) and rural (n = 258) caregivers when assisting in in-person health care appointments. There was no significant difference between urban and rural Veterans’ level of functioning. For the six domains of VAL (1) scheduling, 2) preparing for the visit, 3) visit-related time and travel, 4) work, therapeutic, academic, and recreational impact, 5) routine disruption, and 6) overall feelings/impression), preparing (2), time (3), and impact (4) were significantly different for urban and rural caregivers.…
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Taxonomy
TopicsGeriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving · Family and Patient Care in Intensive Care Units
