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.
The objective of this analysis was to identify key system capacity issues for sustainability from evaluation of the Action Plan to prevent healthcare–associated infections, a major national initiative launched by the US Department of Health and Human Services in 2009.
Key to the success of the National Action Plan was the multilevel approach to implementation of initiatives at the federal, regional, and state levels.
In response to the growing concern about healthcare–associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections.
This paper describes progress and challenges in Healthcare–associated infections (HAI) research and prevention practices, as explained through an examination of Health and Human Services (HHS) Action Plan's goals, inputs, and implementation in each area.
This article examines the unique infrastructure developed through the Action Plan to support adoption of HAI prevention practices.
The nursing home culture change movement aims to improve resident quality of life and quality of care by emphasizing the deinstitutionalization of nursing home culture and focusing on person-centered care.
Nursing home culture change remains an evolving field. Although culture change has clear face validity, the current evidence does not give providers sufficient information for selecting interventions based on the expectation of improving outcomes.
Most medical research focuses on fighting individual disease. But delayed aging could boost life expectancy by more than two years and yield more than $7 trillion over 50 years. Greater investment in research to delay aging could be a very efficient way to prevent disease, improve public health, and extend healthy life.
The scorecard summarises key indicators of the burden of osteoporosis and its management in each of the member states of the European Union.
The rising cost of Medicare can be cut through strategies such as increasing premiums and raising the eligibility age, but those moves could drive many elderly Americans from the program, leaving them with limited access to health services.
The monetary cost of dementia in the United States ranges from $157 billion to $215 billion annually, making the disease more costly to the nation than either heart disease or cancer. The greatest cost is associated with providing institutional and home-based long-term care rather than medical services.
Significant changes to the Minimum Data Set (MDS), a standardized assessment of nursing home residents, aim to improve the tool's clinical utility.
In a study on 568 adults between 25 and 80 years of age, hypotheses were tested on the specific relationships between individual differences in working memory, episodic memory, and semantic memory, and 6 main components of decision-making competence.
This survey measures family members' experiences of nursing home care, and the results contribute to the understanding of quality of care in nursing homes.
This article reports on research mentorship in the context of interdisciplinary geriatric research based on experiences with the RAND/Hartford Program for Building Interdisciplinary Geriatric Research Centers.
Few patients 75 years of age and older participate in clinical trials, thus whether adjuvant chemotherapy for stage III colon cancer (CC) benefits this group is unknown.
Care provided by physicians was substantially supplemented by nurse care managers, as measured by Assessing Care of Vulnerable Elders quality indicators.
Geriatricians were more efficient than other physicians in managing hospitalized elderly adults with medical DRGs frequently managed by geriatricians. This efficiency did not compromise patient outcomes.
The aim of this study was to develop a measure of social care outcome, an equivalent to the quality-adjusted life year (QALY) in health, which could be used in a range of circumstances.
This article examines the relationship between cognitive functioning and emotional distress in a sample of 2,684 married couples from the 2006 and 2008 Korean Longitudinal Study of Aging.