Course: Health Issues for Aging Populations

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Topic Readings

Demography of Aging

A Profile of Older Americans: 2005, Administration on Aging. US Department of Health and Human Services (DHHS)

For extensive census data on older persons, look at: 65+ in the United States : issued December 2005. Current Population Reports, Special Studies. US DHHS

Biological Aspects of Aging

National Institute on Aging, National Institutes of Health. Aging under the Microscope: a biological quest. NIH, 2006

National Institute on Aging, National Institutes of Health. Research Programs (Extramural).

National Institute on Aging, National Institutes of Health. Intramural Research Program.

Physical Disorders of Older Persons

Federal Interagency Forum on Aging-Related Statistics, 2006. Older Americans 2006: Key Indicators of Well-Being. Health Status, Health Status Indicators. (Chapters on health status and health risk behaviors)

Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56:M146-156

Manton KG, Gu X. Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999. PNAS 2001;98:6354-6359

Partnership for Solutions. Chronic conditions: making the case for ongoing care. Johns Hopkins University ,2004.

Mental Disorders Among Older Persons

Mental Health: A Report of the Surgeon General , Chapter 5, Older Adults and Mental Health. US Public Health Service, 1999

Willis SL, et al., 2006. Long-term effects of cognitive training on everyday functional outcomes in older adults. JAMA 296:2805-14

Black BS, et al. Identifying dementia in high-risk community samples: the memory and medical care study. Alzheimer Dise Assoc Disor 2003;17:9-18.

Rabins PV, et al. Effectiveness of a nurse-based outreach program for identifying and treating psychiatric illness in the elderly. JAMA 2000;283:2802-9.

Small GW, Rabins PV, Barry PP, et al. Diagnosis and treatment of Alzheimer Disease and related disorders: consensus statement of the American Association for Geriatric Psychiatry, the Alzheimer's Association, and the American Geriatrics Society. JAMA 1997;278:1363-1371

Functional Impairment, Disability, and Compression of Morbidity

Katz S, Branch LG, Branson MH, Papsidero JA, Beck JC, Greer DS. Active life expectancy. N Engl J Med 1983;309:1218-1224.

Verbrugge LM, Patrick DL. Seven chronic conditions: their impact on US adults' activity levels and use of medical services. AJPH 1995;85:173-182.

Fries JF. Measuring and monitoring success in compressing morbidity. Ann Intern Med 2003;139:455-459.

Manton KG. Changes in the prevalence of chronic disability trends United States black and nonblack population above age 65 from 1982-1999. PNAS 2001;98:6354-9.

Fries JF. Aging, natural death and the compression of morbidity. N Engl J Med 1980;303:130-135.

Health Services: Acute and Long-Term Care

Federal Interagency Forum on Aging-Related Statistics, 2006. Older Americans 2006: Key Indicators of Well-Being. Health Status, Health Status Indicators. Health Care Indicators 28-37.

Leff B, et al. Hospital at Home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med 2005;143:798-808.

Feder J, Komisar HL, Niefeld M. Long-term care in the United States: an overview. Health Affairs 2000;19:40-56.

Burton LC, German PS, Gruber-Baldini AL , et al. Medical care for nursing home residents: differences by dementia status. J Am Geriatr Soc 2001;49:142-147.

Boult C, Boult LB, Morishita L, et al. A randomized clinical trial of outpatient geriatric evaluation and management . J. Am Geriatr Soc 2001;49:351-359.

Kane RL, Homyah P, Bershadsky B, Flood S. Variations on a theme called PACE. J Gerontol A Biol Sci Med Sci 2006;61:689-693.

Newcomer RJ, Harrington C, Kane R. Implementing the second generation social health maintenance organization. J Am Geriatr Soc 2000;48:829-834.

Mui AC. The Program of All-Inclusive Care for the Elderly (PACE): an innovative long-term care model in the United States. J Aging Soc Policy. 2001;13:53-67.

Ware JE, Baylis MS, Rogers WH, Kosinski M, Tarlov AR. Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems JAMA. 1996;276:1039-47.

Weissert WG, Hedrick SC. Lessons learned from research on effects of community-based long-term care. J Am Geriatr Soc 1994;42:348-353.

Preventive Health for Older Persons

Guirguis-Blake J, Calonge N, Miller T, Siu A, Teutsch S, Whitlock E. For the U.S. Preventive Services Task Force (USPSTF), 2006. Refining Evidence-based Recommendation Development, Current Processes.

US Preventive Services Task Force, 2006. Recommendations.

Rowe JW, Kahn RL. Successful aging. Gerontologist 1997;37:433-440.

German PS, Burton LC, Shapiro S, et al. Extended coverage for preventive services for the elderly: response and results in a demonstration population, Am J Public Health 1995;85:379-386.

Burton LC, Steinwachs DM, German PS, et al. Preventive services for the elderly: would coverage affect utilization and costs under Medicare? Am J Public Health 1995;85:387-391.

Family Caregiving for Patients with Long Term Care Needs

Sorensen S, Pinquart M, Duberstein P. How effective are interventions with caregivers? An updated meta-analysis. Gerontologist 2002;42:356

Schulz R, Beach SR, Lind B, et al. Involvement in caregiving and adjustment to death of a spouse: findings from the Caregiver Health Effects Study. JAMA 2001;285:3123-3129

Wolff JL, Kasper PD. Informal caregiver characteristics and subsequent hospitalization outcomes among recipients of care. Aging Clinical Experience and Research 2004;16:307-313

Federal and State Health Policies for Older Persons

Spillman BC, Lubitz J. The effect of longevity on spending for acute and long-term care. N Engl J Med. 2000;342:1409-15.

Thomas C, Sussman J. Medicare Part D: Successes and Continuing Challenges. Impact of Medicare Part D on Massachusetts Health Programs and Beneficiaries Mass Health Policy Forum Issues Brief 2007;32:1-32.

Wiener JM, Tilly J. End-of-life care in the United States: policy issues and model programs of integrated care. Int J Integrated Care 2003;3:1-11

Meara E, White C, Cutler DM. Trends in medical spending by age, 1963-2000. Health Affairs 2004;23:176

Foote SM. Population-based disease management under fee-for-service Medicare. Health Affairs, Web-exclusive, 2003

Spillman BC, Lubitz J. New estimates of lifetime nursing home use: have patterns of use changed? Med Care 2002;40:965-75

Cuellar AE, Wiener JM. Can social insurance for long-term care work? The experience of Germany. Health Affairs 2000;19:8-25

Ethical Issues in Long-term Care

Schneiderman LJ, Gilmer T, Teetzel HD, et al. Effects of an ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial. JAMA 2003;290:1166-1172.

Okie S. Physician-assisted suicide� Oregon and beyond. N Engl J Med 2005;352:1627-1630.

Thomasma DC. From ageism toward autonomy. in: Binstock RH, Post SG, eds. Too Old for Health Care? Controversies in Medicine, Law, Economics, and Ethics Baltimore, MD: Johns Hopkins University Press, 1991.

Council on Scientific Affairs and Council on Ethical and Judicial Affairs, American Medical Society. Persistent vegetative state and the decision to withdraw or withhold life support JAMA 1990;263:426-430.

Callahan D. Setting Limits: Medical Goals in an Aging Society. New York: Simon and Schuster, 1987.

Social Aspects of Health and Aging

Baltes PB, Smith J. New frontiers in the future of aging: from successful aging of the young old to the dilemmas of the fourth age. Gerontology. 2003;49:123-135.

Rodin J. Aging and health: effects of the sense of control. Science. 1986:1271-1276

Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. Social Science and Medicine 2000;51:843-857.