Geriatrics

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 (240)

Journal Article

Reforming Care for Persons Near the End of Life: The Promise of Quality Improvement — Jan 1, 2002

Most people in developed countries will live with a serious, eventually fatal, chronic condition for months or years before dying.

Journal Article

Incidence and Costs of Acute Medical Conditions in Long-Stay Incontinent Nursing Home Residents — Jan 1, 2002

Acute illness is very common among incontinent nursing home residents, and is generally diagnosed and treated at the nursing home site.

Journal Article

Development, Reliability, and Validity of the Expectations Regarding Aging (ERA-38) Survey — Jan 1, 2002

To develop a reliable and valid instrument to measure older adults' expectations regarding aging.

Journal Article

Indicators of the Quality of Nursing Home Residential Care — Jan 1, 2002

Experts identified 19 specific care processes as valid and important measures of the quality of NH residential care.

Journal Article

Nursing Home Reform Act. — Jan 1, 2002

Examines the organizational and aggregate resident characteristics of nursing homes associated with poor quality in the use of physical restraints.

Journal Article

Do Older Adults Expect to Age Successfully? The Association Between Expectations Regarding Aging and Beliefs Regarding Healthcare Seeking Among Older Adults — Jan 1, 2002

Measures expectations about aging among community-residing older adults, identifies characteristics associated with having low expectations regarding aging, and examines whether expectations are associated with healthcare-seeking beliefs.

Journal Article

Collaborative Care Management of Late-Life Depression in the Primary Care Setting: A Randomized Controlled Trial — Jan 1, 2002

Examines the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment collaborative care management program for late-life depression.

Research Brief

Improving Access to Drugs for Medicare Beneficiaries: Can State Law Help? — Jan 1, 2002

This research brief summarizes RAND Health research on pharmacy compliance with California's prescription drug discount program for Medicare beneficiaries.

Journal Article

Administrator Turnover and Quality of Care in Nursing Homes — Jan 1, 2001

In this article, the author examine the association between turnover of nursing home administrators and five important quality of care outcomes.

Journal Article

Alzheimer's Special Care Units and Top Management in Nursing Homes — Jan 1, 2001

The author discusses these results in terms of their significance of nursing homes and top management.

Journal Article

Risk Assessment and Identification — Jan 1, 2001

Authors review the role of risk assessment in allowing clinicians to target services and interventions to individuals, especially for frail elders.

Journal Article

Relocation of the Elderly — Jan 1, 2001

The author's model helps show some opportunities for future research in the relocation of the elderly.

Journal Article

Deficiency Citations for Mental Health Care in Nursing Homes — Jan 1, 2001

The Centers for Medicare and Medicaid Services (CMS) certifies approximately 17,000 nursing homes per year.

Journal Article

Quality Indicators for the Management and Prevention of Falls and Mobility Problems in Vulnerable Elders — Jan 1, 2001

Falls and mobility problems generally result from multiple, diverse, and interacting causes. After detecting a problem, clinicians must use careful and thorough diagnostic approaches to identify the most likely causes, contributing factors, and associated comorbid conditions, many of which will respond to intervention.

Journal Article

Quality Indicators for the Management of Heart Failure in Vulnerable Elders — Jan 1, 2001

This project investigated the relationship between processes and outcomes of care and aimed to develop explicit criteria to evaluate the quality of care of elderly patients with heart failure.

Journal Article

Quality Indicators for Appropriate Medication Use in Vulnerable Elders — Jan 1, 2001

Medication use provides an ideal opportunity for monitoring quality of care in the vulnerable elders.

Journal Article

Quality Indicators for the Management of Osteoarthritis in Vulnerable Elders — Jan 1, 2001

On the basis of a comprehensive literature review, a set of process indicators to assess the quality of health care for vulnerable elders with osteoarthritis was developed. This paper summarizes the methods used to develop these indicators and reviews the evidence on which they are based.

Journal Article

Quality Indicators for the Management of Osteoporosis in Vulnerable Elders — Jan 1, 2001

The methods for developing the ACOVE quality indicators for the management of osteoporosis, including the literature review and expert panel consideration, are detailed elsewhere in this supplement. A structured literature review found 2960 titles on osteoporosis, from which abstracts and articles were identified that were relevant to this report. Based on the literature and the authors' expertise, 24 potential quality indicators were proposed.

Journal Article

Quality Indicators for Pain Management in Vulnerable Elders — Jan 1, 2001

Although few experts disagree that painful conditions should be treated, less consensus exists on specific treatments for particular conditions. For this reason, indicators have been proposed for the general management of chronic pain in areas in which evidence is strong or a consensus among experts exists.

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