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The Roger C. Lipitz Center for Integrated Health Care

Keyword: aging

Patterns and Predictors of Transitions across Residential Care Settings and Nursing Homes Among Community-Dwelling Older Adults in the United States

A study led by 3rd year health services research & policy doctoral student Linda Chyr and co-authors Chanee Fabius, and Emmanuel Drabo in the Gerontologist finds older adults in worse health, with less social support, and more limited economic resources are at heightened risk for transitioning from the community to residential care facilities or nursing homes, while those who were Black or Hispanic were more likely to remain living in the community. Read More. 

Change Over Time in Caregiving Networks for Older Adults With and Without Dementia

Article by Brenda Spillman, Vicki Freedman, Judith Kasper and Jennifer Wolff provides national estimates of caregiving networks for older adults with and without dementia and examine how these networks develop over time. Most prior research has focused on primary caregivers and rarely on change over time....Read More

Why State Medicaid Programs Should Cover Hearing Aids for Adults

Hearing loss affects approximately 1 in 5 Americans aged 12 years or older. Prevalence is highest among older adults; two-thirds of Americans aged 70 years and older have hearing loss. Hearing loss is associated with numerous negative health and quality-of-life outcomes, including cognitive decline, dementia, falls, depression, social isolation, hospitalizations, readmissions, and higher health care costs. Studies have shown the impact of hearing loss on patient-clinician communication, indicating it likely impedes effective care provision. Although there are many reasons for Medicaid programs to cover hearing aids and related services, the up-front cost of including this benefit can create barriers....Read More

Older Adult Factors Associated With Identified Need for Family Caregiver Assistance During Home Health Care

A study led by doctoral student Julia Burgdorf with Alicia Arbaje and Jennifer Wolff in Home Health Care Management & Practice analyzes the role of family caregivers during Medicare home health visits. The Centers for Medicare and Medicaid Services (CMS) recently enacted a policy that requires home health providers to assess family caregivers’ abilities and offer training and education. The study finds nearly 9 in 10 Medicare beneficiaries receiving home health care require family caregiver assistance in addition to care from home health care: the majority require assistance with 5 or more health care activities. Study findings support calls to develop training interventions and strengthen the partnership between home health providers and family caregivers. ...Read More

The True Outcomes of Geriatric Trauma—If We Do Not Count Them, We Will Never Know

Invited commentary from Vanessa Ho, Lisa Reider and Elliott Haut in JAMA Surgery calls into question the usefulness of registries for measuring the full burden of trauma in older adults. Current registries are unable to track and forecast non-injury mortalities, highlighting a missed opportunity for quality improvement initiatives in a growing segment of the trauma population....Read More