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Related Experiment Video

Updated: May 4, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Rural-urban differences in the utilization of care by the elderly.

J C Gerritsen1, E W Wolffensperger, W J Van Den Heuvel

  • 1Department of Health Sciences, University of Groningen, Anthonie Deusinghlaan 1, 9713, Groningen, AV, The Netherlands.

Journal of Cross-Cultural Gerontology
|January 7, 2014
PubMed
Summary

This study found that the availability of elderly care services, not location, influences utilization. Service capacity directly correlated with use in both rural and urban areas for specific facilities.

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Area of Science:

  • Sociology
  • Gerontology
  • Public Health

Background:

  • The traditional rural-urban divide in sociological research is shifting towards direct variable measurement.
  • Understanding elderly care utilization requires examining needs, service availability, and geographical context.

Purpose of the Study:

  • To analyze the utilization of community mental health care for the elderly.
  • To compare service needs and availability between rural and urban areas in the Netherlands.
  • To investigate the relationship between elderly needs, care provision, and utilization patterns.

Main Methods:

  • Comparative analysis of a rural and an urban area in the Netherlands.
  • Review of literature on rural-urban differences in care provision.
  • Hypothesis testing on elderly care needs and service utilization.

Main Results:

  • No systematic variation in the need and supply of elderly care services between rural and urban areas was found.
  • Elderly individuals with poorer physical or mental health did not disproportionately utilize services.
  • Service availability demonstrated an influence on utilization, particularly for specific facilities.

Conclusions:

  • The capacity of services, such as old people's homes and mental hospitals, directly impacts their utilization, irrespective of geographical setting.
  • Rural-urban differences in elderly care needs and utilization are less pronounced than previously assumed.
  • Service availability is a more significant determinant of elderly care utilization than geographical location alone.