Improving dementia long-term care : a policy blueprint /

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Bibliographic Details
Author / Creator:	Shih, Regina A., author.
Imprint:	Santa Monica, CA : RAND, [2014]
Description:	xxiii, 40 pages ; 26 cm
Language:	English
Series:	Research report (Rand Corporation)
Subject:	Dementia -- Patients -- Long-term care. Older people with mental disabilities -- Long-term care. Older people with disabilities -- Long-term care. Chronically ill -- Long-term care. Aged -- United States. Dementia -- therapy -- United States. Long-Term Care -- United States. Quality Improvement -- United States. Chronically ill -- Long-term care. Dementia -- Patients -- Long-term care. Older people with disabilities -- Long-term care.
Format:	Print Book
URL for this record:	http://pi.lib.uchicago.edu/1001/cat/bib/10081369

Hidden Bibliographic Details
Other authors / contributors:	Concannon, Thomas W., author. Liu, Jodi L., author. Friedman, Esther M., 1976- author. Rand Corporation, issuing body. RAND Health, issuing body. Labor and Population Program, issuing body.
ISBN:	9780833086303 (pbk. : alk. paper) 0833086308 (pbk. : alk. paper)
Notes:	"RR-597." "The research in this report was produced within RAND Health and RAND Labor and Population." "This report results from the RAND Corporation's Investment in People and Ideas program." Includes bibliographical references.
Summary:	"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"--
Other form:	Online version: Shih, Regina A., author. Improving dementia long-term care Santa Monica, CA : RAND, 2014 9780833086662

Table of Contents:

Preface
Abstract
Tables
Summary
Acknowledgments
Abbreviations
Chapter 1. Introduction
Statement of the Problem
Goals of the RAND Dementia LTSS Blueprint
Why Focus on the Intersection of Dementia LFSS?
Caregiving for Persons with Dementia Is Especially Challenging
Vulnerable Populations Are at Risk for Dementia and Inadequate LTSS Coverage
The LTSS Delivery System Is Fragmented, and Quality of Care Is Variable
The Dementia LTSS Workforce Is Insufficiently Staffed, Trained, and Supported
LTSS Are Expensive, and Financing Mechanisms Are Inadequate for Many Families
RAND's Blueprint Builds on Current U.S. Dementia or LTSS Strategies
Organization of the Report
Chapter 2. Stakeholder-Engaged Policy Identification
Overview
Methods for Identifying and Evaluating Policy Options
Stakeholder-Identified Policy Options
Comparison of Policy Options to Recommendations in Other Reports
Research Directions
Summary
Chapter 3. RAND Policy Evaluation and Blueprint Recommendations
Overview
Impact and Feasibility Ratings of Policy Options
Priority Policy Options for Dementia LTSS
Policy Options by Stakeholders and Stages of Dementia
Summary
Comparison with Other Dementia or LTSS National Plans and Reports
Strengths and Limitations
Future Steps
References

Improving dementia long-term care : a policy blueprint /

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