The publications below were produced through research projects in the RAND Center for the Study of Aging.
Anyone interested in joining the military must undergo a medical exam. If the standard in place at the time of that exam is tightened or loosened under Department of Defense or service policy, does a service member's chance of being medically discharged change? If so, how does the probability of medical discharge alter postservice costs to the department? This report answers those questions.
This paper reports the first analysis of older Singaporeans' financial literacy using a unique new dataset, the Singapore Life Panel (SLP®).
We detail the methodology by which the Singapore Life Panel was constructed using a population-representative sampling frame from the Singapore Department of Statistics.
This paper sheds new light on the importance of home production in welfare analyses by focusing on the elasticity of substitution estimated over the retired population, thus holding constant non-work time, but also on the share of spending that is potentially substitutable.
A substantial body of evidence exists to support clinical practice guidelines for quality palliative care but the quality of evidence is limited.
A study to identify how community-based social innovations function across a number of rapidly ageing countries and the policies, programmes and health system factors underpinning their success.
This paper estimates cumulative lifetime medical expenditures that can be attributed to the onset of dementia using a nationally representative longitudinal survey from the U.S., the Health and Retirement Study.
We estimate that the U.S. veteran population will shrink over the next decade - declining from 21.6 million in 2014 to 17.5 million by 2024, a 19-percent decrease.
The purpose of this study is to extend prior research on our understanding of the connection between the experience of work and retirement timing.
National baseline data on nursing home infection control programs will aid evaluations of a Centers for Medicare & Medicaid Services rule requiring facilities to include an antibiotic stewardship and employ an infection preventionist.
Among Americans aged 55-69, rates of cognitive limitation are many times higher for groups with lower socioeconomic status (SES) than those with higher SES, and recent trends show little indication that gaps are narrowing.
The prevalence of dementia in the U.S. among those 65 or older decreased between 2000 and 2012, although less rapidly than reported in other studies.
This paper explores the utility of two prominent psychological variables - cognitive ability and personality - as predictors, while also substantially expanding the detail with which retirement pathways can be characterized.
The higher risk of dementia among U.S. rural adults compared with their urban peers highlight the importance of public health planning for more rapidly aging rural communities.
Fundamental changes are needed in the way we identify, assess, and support family caregivers of seriously ill relatives.
RAND analysts tested performance measures of health-related quality of life to validate the Patient-Reported Outcomes Measurement Information System 29-item (PROMIS-29) profile instrument in a geriatric population and to develop a better understanding of the practical use of patient-reported outcome–based performance measures in a geriatric population, especially people with multiple chronic conditions.
The results of this study provide unique information on individuals' responses to a Social Security reform that would implement a 30 percent cut in benefits.
Despite a 2005 CMS mandate that all nursing home residents be offered the influenza and pneumococcal vaccinations, racial/ethnic disparities persist.
By following individuals over many years as they progress to advanced old age, we estimated how many days individuals will spend in nursing homes and how much they will spend out-of-pocket.
We assess the extent to which personality traits are directly associated with labor force transitions at older ages and moderate the effect of non-monetary job characteristics on retirement decisions.
The Minimum Data Set can help to identify trends in nursing home infections but nursing homes vary in how they define and track infections.
Simulation of means testing benefit schemes showing beneficial effects on poverty and income inequality. Validated with data from a field experiment in Yucatan, Mexico, the simulations provide a good forecast of observed effects in the experiment.
In this report, RAND researchers describe elements of a research blueprint to inform future efforts to improve support for military and veteran caregivers. To construct this blueprint, researchers inventoried research and gathered stakeholder input. The report highlights the need for more studies that examine how military and veteran caregiver needs evolve over time, how programs are working, and how caregiving affects specific subgroups.
Hispanics, and particularly foreign-born Mexican Americans, have been shown to fare better across a range of health outcomes than might be expected given the generally higher levels of socioeconomic disadvantage in this population, a phenomena termed the "Hispanic Paradox". Previous research on social disparities in cognitive aging, however, has been unable to address both race/ethnicity and nativity (REN) in a nationally-representative sample of US adults leaving unanswered questions about potentially "paradoxical" advantages of Mexican ethnic-origins and the role of nativity, socioeconomic status (SES), and enclave residence.
To examine factors associated with isolation precaution use in nursing home (NH) residents with multidrug-resistant organism (MDRO) infection.
