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Long-term Care

Advance Care Planning: Preferences for Care at the End of Life
AHCPR Research on Long-term Care
AHRQ Focus on Research: Long-term Care
AHRQ-Funded Grants in Long-term Care Research, FY 2001
AHRQ-Funded Projects in Long-term Care Research, FY 2003
The Characteristics of Long-term Care Users: AHRQ Research
   Report
Funding Available for Long-term Care Health Services Research
Improving the Health Care of Older Americans
Nursing Home Residents with Lower Respiratory Tract Infection


Conferences and Meetings
Future Directions for Residential Long-term Care Health Services
   Research: Expert Meeting Summary, October 1999
Future Directions for Community-Based Long-term Care Health
   Services Research: Expert Meeting Summary, June 20-21, 2000

User Liaison Program Workshop Summaries
Building a High-Quality Long-term Care Paraprofessional Workforce
Expanding Long-term Care Choices for the Elderly
Improving Long-term Care for American Indians in Region VIII
Managed Care and Persons with Disabilities and Chronic Illnesses
State Long-term Care Programs: Balancing Cost, Quality, and
   Access

Research Findings

Research Activities, May 2004:
Doctors should target chronic disease and functioning among frail older patients to lower the risk of hospitalization
More than half of assisted living facilities will not admit individuals who have moderate cognitive impairment or behavioral problems or need assistance with transfer
Increased State Medicaid reimbursement for nursing home care reduces residents' risk of being hospitalized

Research Activities, March 2004:
Only about half of stroke survivors living in nursing homes receive medicine to prevent another stroke
Medicare's role in financing nursing home care has greatly expanded

Research Activities, January 2004:
Residents of assisted living facilities with a full-time RN are less likely to leave the facility for a nursing home
Providing rehabilitation to newly admitted nursing home residents increases the likelihood of community discharge and lengthens survival
Researchers examine factors affecting diagnosis of acute illness and mental health conditions among nursing home residents

Research Activities, November 2003:
California HMOs rely on informal evaluations of quality, not hospital report cards, to select hospitals for contracting

Research Activities, October 2003:
Costs of care for pneumonia in nursing home residents vary widely and could be reduced
Nursing home facility characteristics and quality-of-care factors may contribute to unnecessary hospitalization of residents

Research Activities, September 2003:
Study finds that overall use of DNR orders changed little after passage of the Patient Self-Determination Act
Researchers examine functional decline among the frail elderly
Unsteadiness and falls often lead to hip fracture and subsequent decline in the elderly

Research Activities, August 2003:
Guidelines for improving the care of older people with diabetes emphasize reducing cardiovascular risk factors
Nursing home patients' quality of life is the most important consideration in medical decisionmaking

Research Activities, July 2003:
Infections are a serious problem in nursing homes
Changes in Medicare's PPS have led to a moderate drop in rehabilitation days at skilled nursing facilities

Research Activities, June 2003:
Variations in hospitalization rates for nursing home residents may be due to facility and market characteristics
Defending against lawsuits may divert considerable resources from nursing home quality improvement efforts

Research Activities, May 2003:
Performing a geriatric assessment of elderly patients in the ER can reduce later nursing home admissions

Research Activities, March 2003:
Regular help with personal care from adult children substantially reduces the likelihood of nursing home use by the elderly
New prospective payment system for inpateint rehabilitation facilities considers patients' severity of disability

Research Activities, October 2002:
Nurses may need to update their skills in assessing the medical status of nursing home residents

Research Activities, June 2002:
Impaired nursing home residents may not get the end-of-life care they want, even if they have an advance directive

Research Activities, April 2002:
Researchers examine rural long-term care

Research Activities, March 2002:
Private-sector experts use AHRQ evidence report as a basis for guidelines on weaning and discontinuing ventilatory support

Research Activities, December 2001:
New studies focus on lower respiratory infection in nursing home residents
New regulations and industry volatility a decade ago led to high job turnover among nursing home administrators

Research Activities, October 2001:
Increasing Medicaid reimbursement to nursing homes slightly improves quality of care
When integrated into nursing home care, hospice care decreases hospitalizations for Medicare patients

Research Activities, September 2001:
Two-thirds of elderly stroke survivors in nursing homes are not receiving medication to prevent further strokes
Reducing Medicaid benefits or restricting eligibility would disproportionately affect nursing home stays of elderly blacks

Research Activities, July 2001:
Facility, patient, and community factors are associated with long-term care costs for people with mental retardation

Research Activities, June 2001:
New assessment scale confirms that pain is prevalent and often untreated in nursing home residents

Research Activities, May 2001:
Educational program for controlling chronic pain cuts nursing home NSAID use by 70 percent

Research Activities, April 2001:
Nursing homes are adding new services to compete with other long-term care providers

Research Activities, March 2001:
Elderly men and women are fairly accurate in predicting their need for nursing home care in the next few years

Research Activities, February 2001:
Blacks are no more likely than whites to indicate a preference for family care over institutional long-term care

Research Activities, December 2000:
New checklist enables nursing assistants to effectively monitor the health of nursing home residents

Research Activities, November 2000:
Nurse staffing hours is one of several factors that affect quality of care for nursing home residents
Long-term care users range in age, and most do not live in nursing homes
Outpatient geriatric evaluation and management programs reduce the burden on caregivers

Research Activities, October 2000:
Study findings suggest segregation in nursing homes may exist in some areas

Research Activities, June 2000:
Experts recommend minimum nurse staffing standards for U.S. nursing homes
Transfers between nursing homes are fairly common, but barriers to transfer exist for some patients

Research Activities, May 2000:
Nursing home advance directives reduce use of health care services without affecting satisfaction or mortality

Research Activities, April 2000:
Improved nursing home quality does not necessarily have to cost more

Research Activities, February 2000:
Middle-aged children often provide money, caregiving time, and shared living space to help their disabled elderly parents
Nursing home quality of care improved during the early 1990s

Research Activities, January 2000:
Nursing homes vary widely in meeting Federal quality-of-care standards


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