The publications below were produced through research projects in the RAND Center for the Study of Aging.
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.
Because of the rapid expansion of palliative care as a medical specialty, there has been a growing awareness of and emphasis on the importance of developing quality measures specific to palliative care, especially measures that capture the patient's experience of care. This report summarizes background information on the importance of and need for development of quality measures for palliative care based on patient-reported experience.
This work brings together perspectives on household adjustments in response to a major health shock in the U.S. It concludes that the family plays a key role in insuring against health shocks, and that informal and formal assistance are imperfect substitutes for one another.
This article analyzes the effects of a supplemental income program for older adults on primary caregiver burden, in Yucatan, Mexico.
We explored nursing home (NH) personnel perceptions of the National Healthcare Safety Network (NHSN), interviewing NH personnel about their facility's decision-making and infection prevention program. We identified barriers and facilitators to NHSN enrollment and reporting in NHs.
Centralized resources with tailored or specialized links to unique local resources such as in-person trainings and state-specific contact information could be more beneficial for NH.
The ways in which workplace accommodation is measured in national surveys have implications for identifying accommodation-sensitive individuals (those on the margin of working or not, depending on whether they are accommodated), and estimating unmet need for accommodation.
Identifies key decisions prior to retirement that may be correlated with insecurity in later years and populations who may benefit most from targeted information.
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.
According to the American Working Conditions Survey, more older workers report having meaningful work compared with their prime-age counterparts, and nearly half of retirees would return to work under the right conditions.
Investigates the main barriers to the accumulation of retirement savings faced by minority groups in the United States.
This article represents the first U.S. study employing exclusively household-level longitudinal data spanning the Great Recession to estimate the response of household spending to negative wealth shocks induced by the sharp declines in house prices.
This paper presents findings from a qualitative study examining the impact of the Medicaid Balancing Incentive Program. The analysis in this paper examines factors associated with rural disparities in access to home and community-based services.
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.
The purpose of this study is to extend prior research on our understanding of the connection between the experience of work and retirement timing.
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.
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.
