Geriatrics

Contents:

The rising number of geriatric patients with complex, chronic, and often multiple health conditions presents numerous policy challenges. RAND has conducted the most comprehensive examination of the quality of medical care provided to the vulnerable elderly and coordinates interdisciplinary research centers to develop and study innovative clinical and health services interventions to improve health care outcomes for geriatric patients.

Research conducted by: RAND Health; RAND Europe; Center for the Study of Aging; Assessing Care of Vulnerable Elders (ACOVE)

All Items (241)

Report

Low Fertility and Population Ageing: Causes, Consequences, and Policy Options — Aug 15, 2004

Examines the interrelations between European government policies and demographic trends and behaviour, and assesses which policies can prevent or mitigate the adverse consequences of current low fertility and population ageing.

Journal Article

Nursing Homes with Persistent High and Low Quality — Jan 1, 2004

This article examines the concentration of low- and high-quality care within particular nursing facilities over time.

Journal Article

Use of Resident Satisfaction Surveys in New Jersey Nursing Homes and Assisted Living Facilities — Jan 1, 2004

The authors found 86% of nursing homes and 88% of assisted living facilities to be using resident satisfaction surveys.

Journal Article

Response Formats and Satisfaction Surveys for Elders — Jan 1, 2004

A factor common to the results of many satisfaction surveys of elders is a lack of response variability.

Journal Article

Function and Response of Nursing Facilities During Community Disaster. — Jan 1, 2004

The authors sought to describe the role and function of nursing facilities after disaster.

Journal Article

Detection and Management of Falls and Instability in Vulnerable Elders By Community Physicians — Jan 1, 2004

To investigate quality of care for falls and instability provided to vulnerable elders.

Journal Article

Feasibility of Quality Indicators for the Management of Geriatric Syndromes in Nursing Home Residents — Jan 1, 2004

Steps of care critical to the assessment and management of geriatric syndromes in NHs were identified.

Journal Article

Quality Indicators for the Management of Medical Conditions in Nursing Home Residents — Jan 1, 2004

Nursing home quality measures for medical conditions must account for exclusions related to poor prognosis and advanced dementia.

Research Brief

Developing Quality of Care Indicators for the Vulnerable Elderly: The ACOVE Project — Jan 1, 2004

RAND Health has collaborated with Pfizer, Inc. to create the first quality-of-care assessment system for older persons.

Research Brief

Quality of Health Care Received by Older Adults — Jan 1, 2004

A team of experts from RAND Health has developed a system for measuring the quality of care delivered to the elderly and used the system to assess the quality of care given to a group of community-dwelling older adults who were members of a managed care plan.

Journal Article

Forecasting the Nursing Home Population — Jan 1, 2003

In recent years, the rate of institutionalization among the elderly has been falling.

Journal Article

Racial and Ethnic Differences in Public and Private Medical Care Expenditures Among Aged Medicare Beneficiaries — Jan 1, 2003

Current allocation of medical care expenditures among non-Hispanic white, non-Hispanic black, and Hispanic seniors who are Medicare beneficiaries.

Journal Article

Identifying Older People at Risk of Abuse During Routine Screening Practices — Jan 1, 2003

The results of this study suggest that the signs of potential elder abuse are associated with a diminishing social network and poor social functioning

Journal Article

Adherence to Pressure Ulcer Prevention Guidelines: Implications for Nursing Home Quality — Jan 1, 2003

The low level of adherence and high level of variation to many best-care practices for PU prevention indicate a continued need for quality improvement

Journal Article

Quality Improvement Implementation in Nursing Home — Jan 1, 2003

Quality improvement implementation is most likely to be successful in those VA nursing homes with an underlying culture that promotes innovation.

Journal Article

Does an Exercise and Incontinence Intervention Save Healthcare Costs in a Nursing Home Population? — Jan 1, 2003

Cost of implementing these interventions for frail nursing home residents unlikely to be offset by savings in medical care costs in this population.

Journal Article

Correlates of Social Function: A Comparison of a Black and a White Sample of Older Persons in Los Angeles — Jan 1, 2003

This study compares social functioning between one Black and one White urban, community-based sample of older persons in Los Angeles.

Journal Article

Participation of Patients 65 Years of Age or Older in Cancer Clinical Trials — Jan 1, 2003

The elderly are underrepresented in cancer clinical trials relative to their disease burden.

Journal Article

High Out-of-Pocket Health Care Spending By the Elderly — Jan 1, 2003

The authors use data from the Health and Retirement Study to examine the elderly's out-of-pocket health care spending.

Journal Article

Patterns of Functional Decline at the End of Life — Jan 1, 2003

Clinicians have observed various patterns of functional decline at the end of life, but few empirical data have tested these patterns.

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Researcher Spotlight

James P. Smith

Distinguished Chair in Labor Markets and Demographic Studies

James P. Smith

James P. Smith holds the Distinguished Chair in Labor Markets and Demographic Studies at the RAND Corporation. He is currently principal investigator for the New Immigrant Survey, a cost-effective survey that yields adequate sample size of the foreign-born, has known sampling properties, permits…

Michael D. Hurd

Director, RAND Center for the Study of Aging

Michael D. Hurd

Michael Hurd is a senior principal researcher at the RAND Corporation, where he directs the RAND Center for the Study of Aging. He is also a professor at the Pardee RAND Graduate School. Hurd's research focuses on the economics of retirement, social security and social welfare systems,…

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