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The Elderly

Journal Article

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

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.

Apr 9, 2021
Journal Article

Priority-Setting to Address the Geriatric Pharmacoparadox for Pain Management: A Nursing Home Stakeholder Delphi Study

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.

Feb 25, 2021
Journal Article

Older Adults, New Mobility, and Automated Vehicles

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.

Feb 18, 2021
Journal Article

Financial Literacy and Financial Decision-Making at Older Ages

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.

Feb 9, 2021
Commentary

Humans Are Living Longer, So What Do We Do with All This Extra Time?

Medical and public health improvements over the past century have led to dramatic increases in longevity. New policies may be needed to ensure these extra years become mutually beneficial to all generations.

Feb 5, 2021
Journal Article

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

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

Dec 15, 2020
Journal Article

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

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

Dec 3, 2020
Journal Article

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

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

Dec 1, 2020
Commentary

Learning from Existing Novel Approaches to Solving the Adult Social Care Crisis Is Better Than Reinventing the Wheel

The growing gap in the UK between the need for social care for older people and the provision of support arises not only from a crisis of funding, but also from a failure to learn from what is already being done well. Closing the gap might be achieved by learning from creative approaches already being tried and then implementing them.

Oct 14, 2020
Report

Transforming social care provision: first steps towards sustained innovation

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.

Aug 12, 2020
Journal Article

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

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.

May 5, 2020
Commentary

Should You Consider Taking a Loved One Out of a Long-Term Care Facility?

As modern living is changing during this pandemic, so is assisted living. Already, many of us are facing difficult decisions about whether someone we know should stay in an assisted living facility or be taken out due to the coronavirus crisis. If you're in the position to bring someone to hunker down with you, is it even a good idea?

Mar 30, 2020
Journal Article

Palliative Care and Infection Management at End of Life in Nursing Homes: A Descriptive Survey

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.

Mar 19, 2020
Journal Article

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

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.

Mar 11, 2020
Journal Article

Effect of Early-Stage Alzheimer's Disease on Household Financial Outcomes

Our goal in this study is estimate, on net, the financial effects of early-stage Alzheimer's Disease, from the start of first symptoms to diagnosis, on individuals and their families.

Mar 10, 2020
Journal Article

Advancing Policy to Build a Behavioral Health Workforce That Addresses the Needs of Older Adults

This study draws from an evaluation of how older adults are served by California's public mental health delivery system, and a review of state planning documents and academic literature, to describe gaps and deficiencies in the workforce that serves older adults.

Dec 20, 2019
Report

2019 RAND Summer Institute Lecture Series

Video sessions from the 26th Annual RAND Summer Institute, two annual conferences in Santa Monica, California, which addressed critical issues facing our aging population: The Mini-Medical School for Social Scientists on July 8–9, and the Demography, Economics, Psychology, and Epidemiology of Aging conference on July 10–11, 2019.

Dec 9, 2019
Journal Article

Impact of the Southwark and Lambeth Integrated Care Older People's Programme on Hospital Utilisation and Costs: Controlled Time Series and Cost-Consequence Analysis

This article estimates the impact on hospital utilisation and costs of a multi-faceted primary care intervention for older people identified as being at risk of avoidable hospitalisation. It concludes the intervention was not cost saving.

Nov 22, 2019
Commentary

Turning Off Power to Combat Wildfires Could Harm the Very People Who Need Protection

Intentionally shutting off power may be a practical way to prevent power lines from sparking wildfires. But is it worth the risks? Until more thoughtful and comprehensive decisions are made, planned power outages need to be planned better.

Oct 28, 2019
Journal Article

High-frequency Internet Survey of a Probability Sample of Older Singaporeans: The Singapore Life Panel®

We detail the methodology by which the Singapore Life Panel was constructed using a population-representative sampling frame from the Singapore Department of Statistics.

Sep 20, 2019

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RAND Topic:
The Elderly

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