<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="6.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Buchanan, R. J.</style></author><author><style face="normal" font="default" size="100%">Bolin, J.</style></author><author><style face="normal" font="default" size="100%">Wang, S.</style></author><author><style face="normal" font="default" size="100%">Zhu, L.</style></author><author><style face="normal" font="default" size="100%">Kim, M.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Urban/rural differences in decision making and the use of advance directives among nursing home residents at admission</style></title><secondary-title><style face="normal" font="default" size="100%">J Rural Health</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Advance Directives/ statistics &amp; numerical data</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Decision Making</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Health Care Surveys</style></keyword><keyword><style  face="normal" font="default" size="100%">Health Knowledge, Attitudes, Practice</style></keyword><keyword><style  face="normal" font="default" size="100%">Homes for the Aged/ utilization</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Nursing Homes/ utilization</style></keyword><keyword><style  face="normal" font="default" size="100%">Patient Participation/statistics &amp; numerical data</style></keyword><keyword><style  face="normal" font="default" size="100%">Rural Population/ statistics &amp; numerical data</style></keyword><keyword><style  face="normal" font="default" size="100%">United States</style></keyword><keyword><style  face="normal" font="default" size="100%">Urban Population/ statistics &amp; numerical data</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2004</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Spring</style></date></pub-dates></dates><number><style face="normal" font="default" size="100%">2</style></number><edition><style face="normal" font="default" size="100%">2004/04/17</style></edition><volume><style face="normal" font="default" size="100%">20</style></volume><pages><style face="normal" font="default" size="100%">131-5</style></pages><isbn><style face="normal" font="default" size="100%">0890-765X (Print)0890-765X (Linking)</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">CONTEXT: Advance directives promote patient autonomy and encourage greater awareness of final care options while reducing physician and family uncertainty regarding patient preferences. PURPOSE: To investigate differences in decision making authority and the use of advance directives among nursing home residents admitted from urban and rural areas. METHODS: A total of 551,208 admission assessments in the Minimum Data Set were analyzed for all residents admitted to a nursing facility in 2001. Using the Rural Urban Commuting Areas (RUCA) methodology and ZIP code of primary residence before admission, these residents were classified into 4 urban/rural areas. FINDINGS: Residents from rural areas were significantly more likely to have executed a durable power of attorney for health care or for financial decisions than residents admitted from the other areas, with the largest differences observed between residents admitted from urban and rural areas. Almost 6 residents in 10 from urban areas had no advance directives in place at admission compared with only 4 residents in 10 admitted from rural areas. CONCLUSIONS: Health providers and social workers in both rural and urban areas should advise patients about the value of advance directives.</style></abstract><accession-num><style face="normal" font="default" size="100%">15085626</style></accession-num><notes><style face="normal" font="default" size="100%">Buchanan, Robert JBolin, JaneWang, SuojinZhu, LiKim, MyungSukCA-57030/CA/NCI NIH HHS/United StatesComparative StudyResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.United StatesThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care AssociationJ Rural Health. 2004 Spring;20(2):131-5.</style></notes><auth-address><style face="normal" font="default" size="100%">College of Health and Human Services, University of North Carolina at Charlotte, 9201 University City Blvd, Charlotte, NC 28223-0001, USA. rjbuchan@email.uncc.edu</style></auth-address><remote-database-provider><style face="normal" font="default" size="100%">Nlm</style></remote-database-provider></record></records></xml>