RAND research on population and aging analyzes demographic and immigration trends and explores a range of concerns, from family planning to religion to discrimination. RAND also addresses vulnerable populations—such as the elderly and the poor—analyzing retirement and other aspects of financial decisionmaking, welfare, and end-of-life issues.
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Interventions such as amphetamine drug treatment and sexual risk reduction programs targeted at this population are needed.
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The Centers for Medicare and Medicaid Services (CMS) certifies approximately 17,000 nursing homes per year.
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Few American adults received HIV care in rural areas of the United States.
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A function-based targeting system effectively and efficiently identifies older people at risk of functional decline and death.
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Summary of a panel discussion at the Conference on Epidemiology and Demography held at Georgetown University, in Washington D.C. on February 8-9, 2001
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Conference on Epidemiology and Demography: Frontiers in Population Health and Aging held at Georgetown University February 8-10, 2001.
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In many industrial countries, ownership rates of risky assets have risen substantially over the past decade.
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This chapter focuses on initial mental health assessment of child crime victims, including diagnosis and treatment planning.
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The author searches for patterns in the African American response to immigrants in several metropolitan areas with above-average immigrant populations, to examine whether immigration has had a negative effect of the labor market participation of African Americans.
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The Assessing Care of Vulnerable Elders project endeavored to develop a comprehensive set of quality-assessment tools for ill older persons.
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With the concurrence of the Assessing Care of Vulnerable Elders (ACOVE) Policy Advisory Committee, the authors chose to assess the care of vulnerable elders by using processes rather than outcomes.
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This paper presents indicators to assess the quality of care for patients with dementia.
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This project investigated the relationship between processes and outcomes of care and sought to develop explicit criteria to evaluate the quality of end-of-life care of vulnerable elders.
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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.
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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.
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Medication use provides an ideal opportunity for monitoring quality of care in the vulnerable elders.
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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.
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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.
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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.