2021-04-13T19:37:58Z Copyright (c) 2021, The RAND Corporation RAND Corporation https://www.rand.org/topics/long-term-care.html Esther M. Friedman; Patricia K. Tong; Robert S. Rudin https://www.rand.org/pubs/perspectives/PEA1079-1.html 2021-01-05T08:15:00Z 2021-01-05T08:15:00Z

The authors describe why, in light of COVID-19, it is more critical than ever to integrate family caregivers into patients' health care teams and highlight several solutions for accomplishing this goal.

Lori Frank https://www.rand.org/pubs/perspectives/PEA1079-3.html 2021-02-02T08:00:00Z 2021-02-02T08:00:00Z

The coronavirus disease 2019 pandemic underscores that long-term care residents and families who are most affected by facility policies are underrepresented in decisionmaking. Policies should incorporate resident, staff, and family preferences.

Julia Rollison; Jason Michel Etchegaray; Julia Bandini https://www.rand.org/pubs/perspectives/PEA1079-2.html 2021-02-03T09:00:00Z 2021-02-03T09:00:00Z

Home health and personal care aides are socially isolated and at heightened risk during the COVID-19 pandemic. Journaling is a promising way to give them a voice and reduce stress and anxiety. But policy-level changes are needed to address the issues of low wages and minimal benefits.

Lori Frank https://www.rand.org/pubs/perspectives/PEA1079-3.html 2021-02-02T09:00:00Z 2021-02-02T09:00:00Z

The COVID-19 pandemic has underscored that long-term care residents, their families, and staff have limited representation when it comes to facility policies. Recognizing them as stakeholders with perspectives to include in decisionmaking could improve infection control practices and also address residents' health-related quality of life.

Esther M. Friedman; Patricia K. Tong; Robert S. Rudin https://www.rand.org/pubs/perspectives/PEA1079-1.html 2021-01-05T08:00:00Z 2021-01-05T08:00:00Z

The pandemic has produced changes in health care practices, such as shorter hospital stays and more frequent management of chronic illnesses at home. This has shifted the responsibility for many medical tasks to family caregivers. Caregivers have become frontline workers and should be treated as members of the health care team.

Emma Aguila; Mariana López-Ortega; Sean Angst https://www.rand.org/pubs/external_publications/EP68379.html 2020-12-15T09:30:00Z 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.

Anil N. Makam; Oanh Kieu Nguyen; Michael D. Miller; Sachin J. Shah; Kandice A. Kapinos; Ethan A. Halm https://www.rand.org/pubs/external_publications/EP68341.html 2020-11-17T10:30:00Z 2020-11-17T10:30:00Z

We conducted a retrospective cohort study of patients hospitalized on a medicine service in a high-LTACH use region and discharged to either an LTACH or SNF and followed for one year.

Esther M. Friedman; Patricia K. Tong https://www.rand.org/pubs/research_reports/RRA105-1.html 2020-11-10T03:01:00Z 2020-11-10T03:01:00Z

About 53 million family and friends provide care and assistance to loved ones in the United States, but they are often overlooked by health care systems. Integrating them into a patient's health care team can help improve care quality and the quality of life for patients and their families.

Esther M. Friedman; Regina A. Shih; Sangeeta C. Ahluwalia; Virginia Kotzias; Jessica Phillips; Daniel Siconolfi; Debra Saliba https://www.rand.org/pubs/external_publications/EP68239.html 2020-08-04T09:45:00Z 2020-08-04T09:45:00Z

This article examines the reasons underlying states' decisions regarding their applications to the Balancing Incentive Program.

Daniel Siconolfi; Sangeeta C. Ahluwalia; Regina A. Shih; Esther M. Friedman; Debra Saliba https://www.rand.org/pubs/external_publications/EP68067.html 2020-01-29T09:45:00Z 2020-01-29T09:45:00Z

Rebalancing long-term services and supports toward increased home- and community-based services will engage and affect multiple stakeholder groups, including governmental and nongovernmental stakeholders. This study describes stakeholder engagement in a LTSS rebalancing initiative.

RAND Corporation https://www.rand.org/news/press/2019/12/10/index1.html 2019-12-10T11:01:00Z 2019-12-10T11:01:00Z

Federal disability benefits can lead to increases in other support for beneficiaries, such as in-kind assistance from adult children. They also increase the likelihood that children are paid for their in-kind assistance and enable children who provide that assistance to reduce the amount that they work.

Yan Wang https://www.rand.org/pubs/rgs_dissertations/RGSD426.html 2019-09-24T09:30:00Z 2019-09-24T09:30:00Z

Explores home and community-based services as a way to curb long-term services and supports spending growth through an evaluation of Medicaid's most recent rebalancing effort -- the Balancing Incentive Program.

Doug Irving https://www.rand.org/pubs/corporate_pubs/CP922.html 2019-09-09T09:30:00Z 2019-09-09T09:30:00Z

The costs of dementia -- economic and personal -- are staggering. A recent RAND analysis quantifies the scope of the problem in the United States and serves as a wake-up call to policymakers everywhere.

B. Josea Kramer; Beth Creekmur; Michael R. Mitchell; Debra Saliba https://www.rand.org/pubs/external_publications/EP67568.html 2018-04-20T12:00:00Z 2018-04-20T12:00:00Z

Expanding home- based primary care to American Indian Reservations and other rural communities increased access to long term care and enrollment for health care benefits; outcomes were similar for Indian Health Service and non-Indian Health Service populations.

Richard Schulz; Scott Beach; Esther M. Friedman; Grant R. Martsolf; Juleen Rodakowski; A. Everette James https://www.rand.org/pubs/external_publications/EP67416.html 2017-12-15T12:00:00Z 2017-12-15T12:00:00Z

Fundamental changes are needed in the way we identify, assess, and support family caregivers of seriously ill relatives.

RAND Corporation https://www.rand.org/news/press/2017/08/28/index1.html 2017-08-28T15:00:00Z 2017-08-28T15:00:00Z

The average American's lifetime risk of using a nursing home is substantially greater than previous research has suggested. Among persons age 57 to 61, 56 percent will stay in a nursing home at least one night during their lifetime.

Terri Tanielian; Kathryn E. Bouskill; Rajeev Ramchand; Esther M. Friedman; Thomas E. Trail; Angela Clague https://www.rand.org/pubs/research_reports/RR1873.html 2017-06-14T11:30:00Z 2017-06-14T11:30:00Z

Millions of Americans provide informal care and support to current and former U.S. service members. A new research blueprint could help inform efforts to improve support for these “hidden heroes.”

Regina A. Shih https://www.rand.org/pubs/testimonies/CT457.html 2016-07-13T14:00:00Z 2016-07-13T14:00:00Z

Testimony submitted to the Senate Finance Committee, Subcommittee on Health Care on July 13, 2016.

Sandra Simmons; Emmett B. Keeler; Ruopeng An; Xulei Liu; Matthew Shotwell; Brittany Kuertz; Heidi Silver; John Schnelle https://www.rand.org/pubs/external_publications/EP50948.html 2015-11-11T15:15:00Z 2015-11-11T15:15:00Z

This study aims to determine the cost-effectiveness of two nutrition interventions on food, beverage, and supplement intake and body weight.

Esther M. Friedman; Regina A. Shih; Kenneth M. Langa; Michael D. Hurd https://www.rand.org/pubs/external_publications/EP50899.html 2015-10-20T10:15:00Z 2015-10-20T10:15:00Z

This study looks at the prevalence and predicators in informal care for cognitive impairment or probable dementia in the U.S.