Geriatrics

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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.

  • An older couple reading on a porch

    Journal Article

    Dementia Is More Prevalent Among Rural Seniors

    Dec 20, 2017

    A nationally representative study of 16,000 U.S. seniors is the first to show that dementia and cognitive impairment are more common among rural seniors than their urban peers. However, rural investments in boosting high school graduation rates have narrowed the gap.

  • Home health worker speaking with elderly woman in her home

    Report

    Evaluating the Effectiveness of a Fall Prevention Intervention

    Oct 26, 2016

    An evaluation of a fall prevention intervention found no significant reduction in health care costs or emergency room visits for fall-related injuries.

Explore Geriatrics

  • News Release

    News Release

    Improving Dementia Long-Term Care: RAND Offers Policy Blueprint to Assist Millions

    As millions of Americans struggle to help loved ones with dementia, policymakers should consider more ways to improve long-term services and supports for the soaring numbers of people with the debilitating condition and their caregivers.

    Jun 23, 2014

  • losing brain function, tree with leaves falling

    Research Brief

    What Can Be Done About Dementia?

    Policy options to improve dementia long-term care include those that increase public awareness and promote earlier detection, improve access to and quality of services, increase support to family caregivers, and reduce the cost burden.

    Jun 22, 2014

  • Woman walking with and guiding her elderly grandmother

    Report

    Improving Dementia Long-Term Care: A Policy Blueprint

    As millions of Americans struggle to help loved ones with dementia, policymakers should consider more ways to improve long-term services and supports for the soaring number of people with the debilitating condition and their caregivers.

    Jun 22, 2014

  • Infographic

    Infographic

    Dementia's Mounting Toll on the U.S. Economy

    Dementia costs Americans hundreds of billions of dollars per year, and the annual cost could top half a trillion by 2040 due to the 'graying' of the U.S. population.

    May 27, 2014

  • Journal Article

    Journal Article

    An Examination of Longitudinal CAUTI, SSI, and CDI Rates from Key HHS Data Systems

    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.

    Feb 1, 2014

  • Journal Article

    Journal Article

    The National Response for Preventing Healthcare-Associated Infections: Infrastructure Development

    This article examines the unique infrastructure developed through the Action Plan to support adoption of HAI prevention practices.

    Feb 1, 2014

  • Journal Article

    Journal Article

    The National Response for Preventing Healthcare-Associated Infections: Research and Adoption of Prevention Practices

    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.

    Feb 1, 2014

  • Journal Article

    Journal Article

    The National Response for Preventing Healthcare-Associated Infections: System Capacity and Sustainability for Improvement

    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.

    Feb 1, 2014

  • Journal Article

    Journal Article

    Regional Interventions to Eliminate Healthcare-Associated Infections

    Key to the success of the National Action Plan was the multilevel approach to implementation of initiatives at the federal, regional, and state levels.

    Feb 1, 2014

  • Journal Article

    Journal Article

    Transforming Nurse Home Culture: Evidence for Practice and Policy

    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.

    Feb 1, 2014

  • Journal Article

    Journal Article

    What Does the Evidence Really Say About Culture Change in Nursing Homes?

    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.

    Feb 1, 2014

  • Britain's Prime Minister David Cameron speaks at the G8 Dementia Summit

    Commentary

    A Global Focus on Dementia

    The Group of 8 industrial nations is convening a special session to seek an international approach to dementia research at a time the disease is being recognized as a 21st century global health crisis of historic proportions.

    Dec 11, 2013

  • An elderly woman using a walker with a young woman assisting her

    Blog

    RAND Summer Institute July 7–10, 2014

    Applications are being accepted now through March 21 for the 21st annual RAND Summer Institute (RSI), a pair of conferences on aging that will be held next July 7–10 at the RAND Corporation headquarters in Santa Monica.

    Oct 21, 2013

  • grandfather and granddaughter

    Journal Article

    Benefits of Slowing the Aging Process

    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.

    Oct 1, 2013

  • Journal Article

    Journal Article

    SCOPE: A Scorecard for Osteoporosis in Europe

    The scorecard summarises key indicators of the burden of osteoporosis and its management in each of the member states of the European Union.

    Sep 23, 2013

  • doctor writing

    Brochure

    Measuring the Quality of Health Care

    RAND is engaged in developing and supporting the use of quality measures by the Centers for Medicare & Medicaid Services (CMS)

    Jun 26, 2013

  • Couple reviewing finances with an advisor

    Commentary

    The Cost of Dementia: Who Will Pay?

    It is time for the government in partnership with industry to return to the drawing board to craft a plan that will provide protection for the more than 9 million people who will need care for dementia by 2040, writes Michael D. Hurd.

    May 1, 2013

  • Young woman and grandfather sitting hand in hand at table

    Commentary

    Dementia's Growing Cost to Caregivers

    At the rate that the U.S. population is aging, the total cost of dementia could reach half a trillion dollars a year by 2040. Those who care for impaired relatives and friends are acutely aware of the effects of dementia, and unfortunately they are all too familiar with its costs, writes Kathleen J. Mullen.

    Apr 29, 2013

  • an elderly couple, man possibly with dementia

    Journal Article

    Cost of Dementia Tops $159 Billion Annually in the United States

    The monetary cost of dementia in the United States ranges from $159 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.

    Apr 1, 2013

  • CPR valve mask

    Blog

    When CPR Is the Wrong Call: Mistaking Medical Treatment for Care

    If a medical treatment worked only a fraction of the time and resulted in bad outcomes more often than not, practitioners would not make this treatment the default approach. Yet that is exactly what has happened when it comes to CPR for individuals 85 years and older who suffer cardiac arrest in a community setting.

    Mar 14, 2013