Aging and Health
2011
Developing Interdisciplinary Centers in Aging: Learning from the RAND/Hartford Building Interdisciplinary Geriatric Health Care Research Centers Initiative — 2011
The Building Interdisciplinary Geriatric Health Care Research Centers initiative created centers that brought together individuals from a wide range of disciplines and helped them collaborate to develop new projects or build on existing efforts.
Effect of Usual Source of Care on Depression Among Medicare Beneficiaries: An Application of a Simultaneous-Equations Model — 2011
Having a usual source of care was associated with lower depression prevalence and higher realized access among community-dwelling Medicare beneficiaries.
Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model — 2011
Vulnerable older adults enrolled in plans that use nurse care managers receive, on average, 69% of recommended care for geriatric conditions, compared with 53% for elders in plans without nurse care managers.
Trends in Late-Life Disability in Taiwan, 1989-2007: The Roles of Education, Environment, and Technology — 2011
This study assessing trends in late-life disability in the emerging economy of Taiwan showed that limitations in seeing, hearing, and instrumental activities of daily living declined.
2010
Adjuvant Chemotherapy Use and Adverse Events Among Older Patients with Stage III Colon Cancer — 2010
Evaluate adjuvant chemotherapy use and outcomes for older patients with stage III colon cancer from well-defined population-based settings and health care systems.
Assessing Care of Vulnerable Elders--Alzheimer's Disease: A Pilot Study of a Practice Redesign Intervention to Improve the Quality of Dementia Care — 2010
This pilot study suggests that a practice-based intervention can increase referral to Alzheimer's Association chapters and improve quality of dementia care.
A Controlled Trial of an Intervention to Improve Urinary and Fecal Incontinence and Constipation — 2010
This study evaluates the effects of a multicomponent intervention to reduce fecal incontinence and urinary incontinence.
Cost-effectiveness of Shared Pharmaceutical Care for Older Patients: RESPECT Trial Findings — 2010
An economic evaluation was undertaken in which NICE reference case standards were applied to data collected in the RESPECT trial.
An Examination of Special Focus Facility Nursing Homes — 2010
This descriptive study of nursing home characteristics found that facilities targeted by a CMS improvement initiative typically have fewer nurses and nurse aides and higher rates of quality of care citations.
The Impact of Functional Status on Life Expectancy in Older Persons — 2010
Functional status has a dramatic impact on life expectancy. 75-year-olds without limitations can expect to live 5 years longer than those with limitations in performing daily activities and more than 1 year longer than those with limited mobility.
Improving the Quality of Care for Dementia — 2010
Results of a pilot program in RAND Health's Assessing Care of Vulnerable Elders-2 project indicate that quality indicators for dementia care are improved when primary care practices are coupled with links to local Alzheimer's Association chapters.
Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods — 2010
Primary care practices in sociodemographically vulnerable neighborhoods were more likely than other practices to have medical home capabilities (e.g., interpreters, multilingual physicians), making them potentially eligible for enhanced payments
Practice Redesign to Improve Care for Falls and Urinary Incontinence: Primary Care Intervention for Older Patients — 2010
Redesign of primary care practices, based on quality indicators from the Assessing Care of Vulnerable Elders project, improved care for older patients with falls and urinary incontinence.
Trends in Disability and Related Chronic Conditions Among People Ages Fifty to Sixty-Four — 2010
The proportion of people ages 50-64 who reported needing help with personal care activities increased significantly from 1997 to 2007. The proportions needing help with routine household chores indicating difficulty with physical functions were stable. These patterns contrast with reported declines in disability among the population age 65 and older. Particularly concerning among those ages 50-64 are significant increases of limitation in specific mobility-related activities, such as getting into and out of bed.
Variations in Surgeon Treatment Recommendations for Lobectomy in Early-Stage Non-Small-Cell Lung Cancer By Patient Age and Comorbidity — 2010
Lower rates of lobectomy (resection of early-stage non-small-cell lung carcinomas) among older patients do not seem to be explained by age-related biases among surgeons for otherwise healthy patients.
2009
The 15th Annual RAND Summer Institute Video — 2009
The RAND Summer Institute (RSI) consists of conferences addressing critical issues facing our aging population.
Aging in America in the Twenty-First Century: Demographic Forecasts from the MacArthur Foundation Research Network on an Aging Society — 2009
Life expectancy for U.S. men and women in 2050 may be higher than predicted in official government forecasts, with the result that the costs of Medicare and Social Security could be significantly higher than currently estimated.
Annual Expenditures for Nursing Home Care: Private and Public Payer Price Growth, 1977 to 2004 — 2009
Evaluates changes in private and public prices for annual nursing home care from 1977 to 2004, and compares nursing home price growth to overall price growth and growth in the price of medical care.
Effects of Payment Changes on Trends in Post-Acute Care — 2009
Test how the implementation of new Medicare post-acute payment systems affected the use of inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and home health agencies.
The Health Consequences of Using Physical Restraints in Nursing Homes — 2009
Using a national longitudinal sample of nursing homes residents we examine whether physical restraint use contributes to subsequent physical or psychological health decline.
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