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     <title>RAND Research Topic: Geriatrics</title>
     <link rel="self" href="http://www.rand.org/topics/geriatrics.xml"/>
     <updated>2012-05-24T14:14:49Z</updated>
     <link rel="alternate" type="text/html" hreflang="en" href="http://www.rand.org/topics/geriatrics.html" />
     <rights>Copyright (c) 2012, The RAND Corporation</rights>
     <author>
       <name>RAND Corporation</name>
     </author>
     <id>http://www.rand.org/topics/geriatrics.html</id>
	 
 <entry>
   <title type="html">Evaluating English Program of Integrated Care Pilots</title>
   <id>http://www.rand.org/randeurope/research/projects/integrated-care-pilots.html</id>
   <published>Mar 22, 2012</published>
   <updated>Mar 22, 2012</updated>
   <summary type="html">An evaluation of 16 integrated care pilot programs in England revealed that greater integration of health and social care led to improved care processes and more satisfied staff, but some aspects of patient experience were less positive, and the intended reduction in emergency admissions was not seen.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/randeurope/research/projects/integrated-care-pilots.html" />
   
 </entry>
 
 <entry>
   <title type="html">Trends in Late-Life Disability in Taiwan, 1989-2007: The Roles of Education, Environment, and Technology</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100241.html</id>
   <published>Oct 31, 2011</published>
   <updated>Oct 31, 2011</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100241.html" />
   
 </entry>
 
 <entry>
   <title type="html">Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100221.html</id>
   <published>Sep 30, 2011</published>
   <updated>Sep 30, 2011</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100221.html" />
   
 </entry>
 
 <entry>
   <title type="html">Developing Interdisciplinary Centers in Aging: Learning from the RAND/Hartford Building Interdisciplinary Geriatric Health Care Research Centers Initiative</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100187.html</id>
   <published>Sep 30, 2011</published>
   <updated>Sep 30, 2011</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100187.html" />
   
 </entry>
 
 <entry>
   <title type="html">Effect of Usual Source of Care on Depression Among Medicare Beneficiaries: An Application of a Simultaneous-Equations Model</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110031.html</id>
   <published>Feb 8, 2011</published>
   <updated>Feb 8, 2011</updated>
   <summary type="html">Having a usual source of care was associated with lower depression prevalence and higher realized access among community-dwelling Medicare beneficiaries.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110031.html" />
   
 </entry>
 
 <entry>
   <title type="html">Home Health Care Could Help Sustain Health Care Systems, but Requires Efforts by Stakeholders</title>
   <id>http://www.rand.org/news/press/2010/12/07.html</id>
   <published>Dec 7, 2010</published>
   <updated>Dec 7, 2010</updated>
   <summary type="html">Home health care technology may provide one important solution to global concerns about how to sustain health care systems threatened by rising costs and manpower shortages, but such a change faces multiple obstacles to adoption.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2010/12/07.html" />
   
 </entry>
 
 <entry>
   <title type="html">A Controlled Trial of an Intervention to Improve Urinary and Fecal Incontinence and Constipation</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100108.html</id>
   <published>Jul 31, 2010</published>
   <updated>Jul 31, 2010</updated>
   <summary type="html">&lt;p&gt;This study evaluates the effects of a multicomponent intervention to reduce fecal incontinence and urinary incontinence.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100108.html" />
   
 </entry>
 
 <entry>
   <title type="html">An Examination of Special Focus Facility Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100063.html</id>
   <published>Jun 2, 2010</published>
   <updated>Jun 2, 2010</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100063.html" />
   
 </entry>
 
 <entry>
   <title type="html">Improving the Quality of Care for Dementia</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9530.html</id>
   <published>May 11, 2010</published>
   <updated>May 11, 2010</updated>
   <summary type="html">&lt;p&gt;Results of a pilot program in RAND Health&apos;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&apos;s Association chapters.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9530.html" />
   
 </entry>
 
 <entry>
   <title type="html">Middle-Aged Americans Reporting More Mobility-Related Disabilities</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100017.html</id>
   <published>Apr 5, 2010</published>
   <updated>Apr 5, 2010</updated>
   <summary type="html">&lt;p&gt;The proportion of older middle-aged Americans who report disabilities related to mobility increased significantly from 1997 to 2007, in contrast to the disability decline that has been found among Americans ages 65 and over.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100017.html" />
   
 </entry>
 
 <entry>
   <title type="html">Colon Cancer Treatment Often Is Less Aggressive Than Recommended by Research</title>
   <id>http://www.rand.org/news/press/2010/03/16/index1.html</id>
   <published>Mar 16, 2010</published>
   <updated>Mar 16, 2010</updated>
   <summary type="html">New results from a major initiative on the quality of cancer care in the U.S. have  found that patients with a common type of colon cancer&amp;mdash;especially older patients&amp;mdash;often are not treated as aggressively with chemotherapy as research shows is necessary to improve survival.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2010/03/16/index1.html" />
   
 </entry>
 
 <entry>
   <title type="html">Colon Cancer Treatment Often Is Less Aggressive Than Recommended by Research</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100011.html</id>
   <published>Mar 15, 2010</published>
   <updated>Mar 15, 2010</updated>
   <summary type="html">&lt;p&gt;New results from a major initiative on the quality of cancer care in the U.S. have  found that patients with a common type of colon cancer&amp;mdash;especially older patients&amp;mdash;often are not treated as aggressively with chemotherapy as research shows is necessary to improve survival.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100011.html" />
   
 </entry>
 
 <entry>
   <title type="html">Assessing Care of Vulnerable Elders--Alzheimer&apos;s Disease: A Pilot Study of a Practice Redesign Intervention to Improve the Quality of Dementia Care</title>
   <id>http://www.rand.org/pubs/external_publications/EP20101312.html</id>
   <published>Jan 31, 2010</published>
   <updated>Jan 31, 2010</updated>
   <summary type="html">&lt;p&gt;This pilot study suggests that a practice-based intervention can increase referral to Alzheimer&apos;s Association chapters and improve quality of dementia care.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20101312.html" />
   
 </entry>
 
 <entry>
   <title type="html">Practice Redesign to Improve Care for Falls and Urinary Incontinence: Primary Care Intervention for Older Patients</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100159.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100159.html" />
   
 </entry>
 
 <entry>
   <title type="html">Cost-effectiveness of Shared Pharmaceutical Care for Older Patients: RESPECT Trial Findings</title>
   <id>http://www.rand.org/pubs/external_publications/EP20101301.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">&lt;p&gt;An economic evaluation was undertaken in which NICE reference case standards were applied to data collected in the RESPECT trial.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20101301.html" />
   
 </entry>
 
 <entry>
   <title type="html">Variations in Surgeon Treatment Recommendations for Lobectomy in Early-Stage Non-Small-Cell Lung Cancer By Patient Age and Comorbidity</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100048.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100048.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Impact of Functional Status on Life Expectancy in Older Persons</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100044.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100044.html" />
   
 </entry>
 
 <entry>
   <title type="html">Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100043.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">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</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100043.html" />
   
 </entry>
 
 <entry>
   <title type="html">The 15th Annual RAND Summer Institute </title>
   <id>http://www.rand.org/pubs/conf_proceedings/CF254.html</id>
   <published>Mar 25, 2009</published>
   <updated>Mar 25, 2009</updated>
   <summary type="html">The RAND Summer Institute consists of conferences addressing critical issues facing our aging population. Select sessions from the 15th Annual RAND Summer Institute, held July 7-10, 2008 in Santa Monica, California, are available for online viewing.
</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/conf_proceedings/CF254.html" />
   
 </entry>
 
 <entry>
   <title type="html">Why Not Just Ask the Resident? Refinement of a Preference Assessment Tool for Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20091120.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;Evaluates a draft preference assessment tool designed to replace the current Customary Routine section of the Minimum Data Set (MDS) for nursing homes.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20091120.html" />
   
 </entry>
 
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