Shih, Regina A.,

Improving dementia long-term care : a policy blueprint / Regina A. Shih, Thomas W. Concannon, Jodi L. Liu, Esther M. Friedman. - 1 online resource (xxiii, 40 pages)

"The research in this report was produced within RAND Health and RAND Labor and Population."--Title page verso. "This report results from the RAND Corporation's Investment in People and Ideas program."--Title page verso.

Includes bibliographical references.

Summary : Dementia, a looming epidemic -- Introduction : statement of the problem -- Stakeholder-engaged policy identification -- RAND policy evaluation and blueprint recommendations.

"In 2010, 15 percent of Americans older than age 70 had dementia, and the number of new dementia cases among those 65 and older is expected to double by the year 2050. As the baby boomer generation ages, many older adults will require dementia-related long-term services and supports (LTSS). This blueprint is the only national document to date that engages local, state, and national stakeholders to specifically focus on policy options at the intersection of dementia and LTSS. The authors undertook five major tasks that resulted in a prioritized list of policy options and research directions to help decisionmakers improve the dementia LTSS delivery system, workforce, and financing. These were to (1) identify weaknesses in the LTSS system that may be particularly severe for persons with dementia; (2) review national and state strategies addressing dementia or LTSS policy; (3) identify policy options from the perspective of a diverse group of stakeholders; (4) evaluate the policy options; and (5) prioritize policy options by impact and feasibility. Stakeholders identified 38 policy options. RAND researchers independently evaluated these options against prespecified criteria, settling on 25 priority options. These policy options can be summarized into five objectives for the dementia LTSS system: (1) increase public awareness of dementia to reduce stigma and promote earlier detection; (2) improve access to and use of LTSS; (3) promote high-quality, person- and caregiver-centered care; (4) provide better support for family caregivers of people with dementia; and (5) reduce the burden of dementia LTSS costs on individuals and families. This policy blueprint provides a foundation upon which to build consensus among a larger set of stakeholders to set priorities and the sequencing of policy recommendations"--

0833086669 0833086685 9780833086662 9780833086686

22573/ctt72gv8z JSTOR

2014023978


Chronically ill--Long-term care--United States.
Dementia--Patients--Long-term care--Government policy--United States.
Dementia--Patients--Long-term care--United States.
Medical policy--United States.
Older people with disabilities--Long-term care--United States.
Older people with mental disabilities--Long-term care--United States.
Adult.
Age Groups.
Aged--United States.
Aged.
Americas.
Analytical, Diagnostic and Therapeutic Techniques and Equipment.
Brain Diseases.
Central Nervous System Diseases.
Delirium, Dementia, Amnestic, Cognitive Disorders.
Dementia--therapy--United States.
Dementia--therapy.
Dementia.
Diseases.
Engineering.
Geographic Locations.
Geographicals.
Health Care Facilities, Manpower, and Services.
Health Care.
Health Services Administration.
Health Services.
Long-Term Care--United States.
Long-Term Care.
Mental Disorders.
Named Groups.
Nervous System Diseases.
North America.
Patient Care.
Persons.
Psychiatry and Psychology.
Quality Improvement--United States.
Quality Improvement.
Quality of Health Care.
Technology, Industry, Agriculture.
Technology, Industry, and Agriculture.
Therapeutics.
United States.
Chronically ill--Long-term care.
Dementia--Patients--Long-term care.
Health & Biological Sciences.
Medical policy.
MEDICAL--Geriatrics.
Older people with disabilities--Long-term care.
POLITICAL SCIENCE--Public Policy--Social Security.
POLITICAL SCIENCE--Public Policy--Social Services & Welfare.
Psychiatric Disorders, Individual.
Psychiatry.
Aged--United States.
Aged.
Dementia--therapy--United States.
Long-Term Care--United States.
Quality Improvement--United States.


United States.
United States.


EBooks (www)
Electronic books.

RC521 / .S52 2014

362.1968/3

WT 155