BACKGROUND Patients who are cared for in long-term care facilities are vulnerable to lose personal dignity. An instrument measuring factors that influence dignity can be used to better target dignity-conserving care to an individual patient, but no such instrument is yet available for the long-term care setting. The aim of this study was to create the Measurement Instrument for Dignity AMsterda...

here are many challenges in providing good-quality health and social service care to the aging Canadian population, especially to frail and cognitively impaired elderly people. Despite the best efforts of families and professionals to assist elderly people in the community, the need for facility-based long-term care (LTC) is a big challenge. Remaining in the community “at all costs” is a laudab...

Objective: The objective of the study was to determine whether health care aides (HCAs) could safely assist in medication administration in long-term care (LTC). Method: We obtained medication error reports from LTC facilities that involve HCAs in oral medication assistance and we analyzed Resident Assessment Instrument (RAI) data from these facilities. Standard ratings of error severity were "...

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003, § 307 (MMA) requires the establishment of a pilot program for background checks of new employees of long-term care (LTC) facilities. Michigan was the only participating state to single out psychiatric facilities and employees under laws designed to comply with the program specified in § 307. The program was a demonstrat...

Evolving family structure and economic conditions may affect individuals' ability and willingness to plan for future long-term care (LTC) needs. We applied life course constructs to analyze focus group data from a study of family decision making about LTC insurance. Participants described how past exposure to caregiving motivated them to engage in LTC planning; in contrast, child rearing discou...

Background While a large literature links psychosocial workplace factors with health and health behaviors, there is very little work connecting psychosocial workplace factors to healthcare utilization.   Methods Survey data were collected from two different employers using computer-assisted telephone interviewing as a part of the Work-Family Health Network (2008-2013): one in the information te...

Unlike the mortality risk on which actuaries have been working for more than a century, the long-term care (LTC) risk is young and as of today hardly mastered. Semi-Markov processes have been identified as an adequate tool to study this risk. Nevertheless, access to data is limited and the associated literature still scarce. Insurers mainly use discrete time methods directly inspired from the s...

Long-term care (LTC) in the form of care provided in nursing homes, homes for the aged and home care is considered an appropriate answer to the growing needs of the aging populations of the industrialized world. However, the provision of and expenditures on LTC vary considerably between these industrialized countries. Although one would expect LTC to be subject to many internationally comparati...

BACKGROUND Dual eligible Medicare and Medicaid beneficiaries consume disproportionate shares of both programs. OBJECTIVES To compare Medicare and Medicaid expenditures of elderly dual eligible beneficiaries with non-dual eligible beneficiaries based on their long-term care (LTC) use. RESEARCH DESIGN Secondary analysis of linked MAX and Medicare data in seven states. SUBJECTS Dual eligible...

Simulation analyses quantify admission and continuing physical and cognitive impairment patient case-mix changes under two scenarios: with increases in residential care supply and with all nursing homes licensed only as skilled care facilities. Findings raise caution about the assumed interplay between residential care supply and nursing home use. The proportion of nursing home patients with on...