RAND Research Topic: The Elderly

Trends In Home Care Versus Nursing Home Workforce Sizes

2022-02-08T09:45:00Z

Since 2009, most states have increased the size of their home care workforces and decreased the size of their nursing home workforces, but there is substantial variation across states. More targeted efforts may be needed to ensure that people with disabling conditions can have their needs met in their desired setting across the nation.

Understanding What Works

2022-01-26T09:00:00Z

This issue brief describes challenges and opportunities related to measuring, reporting, and monitoring the quality of HCBS sponsored by Medi-Cal.

Societal Impact of Research Funding for Women's Health in Rheumatoid Arthritis

2022-01-25T08:45:00Z

The authors find that small investments are likely to yield large gains from increasing research funding in rheumatoid arthritis; investing in women's health research yields benefits above investing in general research.

Investment in Women's Health Research Could Reap Large Societal Benefits

2021-10-11T13:00:00Z

The potential gains from women-focused research are substantial, given the limitations in knowledge about disease development and impacts for women relative to men. Savings would include increased life years, fewer disruptions to work productivity, and fewer years with disease and functional dependence.

The Impact of Funding Heart Disease Research Focused on Women

2021-10-11T09:00:00Z

Physiological differences between men and women affect factors that relate to the development and progression of heart disease. Increasing investment in women's health research on coronary artery disease could yield considerable societal gains, including increased health-related quality of life and labor productivity.

RAND Summer Institute Lecture Series 2020

2021-05-13T07:45:00Z

This video session is from the 27th Annual RAND Summer Institute, held virtually July 6-10, 2020, which addresses critical issues facing the aging population.

Weinberg Center for Elder Justice Offers Potential Cost Savings and Other Benefits

2021-05-10T08:00:00Z

The Weinberg Center is the first shelter designed for older adults experiencing abuse or mistreatment. In addition to counseling and medical care, clients can get help with their finances, are encouraged to socialize, and are introduced to outside social services. The Center has the potential to generate benefits and savings that far exceed its operating costs.

An Initial Evaluation of the Weinberg Center for Elder Justice's Shelter Model for Elder Abuse and Mistreatment

2021-05-10T08:00:00Z

The authors describe the model of the Weinberg Center (the nation's first elder-specific shelter), examine some client outcomes, and begin to quantify the model's costs and benefits for individuals experiencing elder abuse or mistreatment.

The Impact of Funding Brain Health Research Focused on Women

2021-04-22T16:38:00Z

An examination of the impact of increased funding for research on Alzheimer's disease and Alzheimer's disease-related dementias in women showed that small investments in women's health research can yield large gains, including benefits above investing in general research.

Low-Value Proton Pump Inhibitor Prescriptions Among Older Adults at a Large Academic Health System

2021-04-09T09:00:00Z

Older adults are particularly vulnerable to complications from proton pump inhibitor drugs. We sought to characterize the prevalence of potentially low-value PPI prescriptions among older adults to inform a quality improvement intervention.

Priority-Setting to Address the Geriatric Pharmacoparadox for Pain Management

2021-02-25T08:30:00Z

Our objective was to explore the extent of consensus among expert stakeholders regarding what analgesic issues should be prioritized for comparative-effectiveness studies of beneficial and adverse effects of analgesic regimens in nursing home residents.

Older Adults, New Mobility, and Automated Vehicles

2021-02-18T08:45:00Z

New technologies for mobility could improve access for older Americans or pass them by. Research and action are needed to promote benefits for older and other Americans.

Financial Literacy and Financial Decision-Making at Older Ages

2021-02-09T08:15:00Z

This paper examines how financial literacy is associated with three types of financial decisions pertinent to older individuals: adherence to timely credit card repayment, stock market participation, and risk diversification of household assets.

Do Income Supplemental Programs for Older Adults' Help Reduce Primary Caregiver Burden?

2020-12-15T09:30:00Z

This article analyzes the effects of a supplemental income program for older adults on primary caregiver burden, in Yucatan, Mexico.

Mental Illness, Access to Hospitals with Invasive Cardiac Services, and Receipt of Cardiac Procedures by Medicare Acute Myocardial Infarction Patients

2020-12-03T10:15:00Z

Mental illness was associated with reduced cardiac procedure use within each type of admitting hospital (with on-site invasive cardiac services or not).

The Foreclosure Crisis, Community Change, and the Cognitive Health of Older Adults

2020-12-01T09:45:00Z

Community-level foreclosures are associated with a faster decline in individual cognition at older ages, with implications for the cognitive health of older adults.

Transforming social care provision

2020-08-12T07:30:00Z

The main focus of this Perspective is on ideas to stimulate and sustain innovation in social care; and ideas for research to bring closer a system of sustainable social care innovation.

Association of Medicare Part D Benzodiazepine Coverage Expansion With Changes in Fall-Related Injuries and Overdoses Among Medicare Advantage Beneficiaries

2020-05-05T10:30:00Z

This study found an increase in the rate of overdose after Medicare Part D coverage began to include benzodiazepines among adults aged 65 to 69 years and 80 years or older and an increase in the rate of fall-related injury in adults 80 years or older.

Palliative Care and Infection Management at End of Life in Nursing Homes

2020-03-19T09:00:00Z

The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation.

Health System and Beneficiary Costs Associated With Intensive End-of-Life Medical Services

2020-03-11T09:45:00Z

The objective of this paper is to quantify expected beneficiary and health system costs incurred in association with receipt of intensive medical services in the last month of life.