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1. American Geriatrics Society Policy Priorities for New Administration and 115th Congress.

Author

Lundebjerg, Nancy E., Hollmann, Peter, and Malone, Michael L.

Subjects
GERIATRICS, PRESIDENTIAL administrations, OLDER people, GOVERNMENT programs, HEALTH policy, HEALTH care reform, HEALTH, TWENTY-first century, GOVERNMENT policy, HISTORY, MEDICARE, MEDICAID, CELEBRITIES, ECONOMIC impact, HEALTH services accessibility, LABOR supply, VETERANS, MEDICAL care, MEDICAL personnel, MEDICAL societies, NONPROFIT organizations, PATIENTS, POLICY sciences, PREVENTIVE health services, PUBLIC administration, QUALITY of life, PATIENT Protection & Affordable Care Act, HUMAN services programs
Abstract

This paper is a statement of the American Geriatrics Society's (AGS) core policy priorities and the Society's positions on federal programs and policies that support older Americans as articulated to the new administration. Among the AGS priorities discussed in this paper are health reform, Medicare, and Medicaid. The AGS is committed to leveraging its expertise to inform regulatory and legislative policy proposals. [ABSTRACT FROM AUTHOR]

Published
2017
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2. Rehabilitation of Older Adults with Dementia After Hip Fracture.

Author

Seitz, Dallas P., Gill, Sudeep S., Austin, Peter C., Bell, Chaim M., Anderson, Geoffrey M., Gruneir, Andrea, and Rochon, Paula A.

Subjects
GERIATRIC rehabilitation, DEMENTIA patients, HIP fractures, MEDICAL rehabilitation, POSTOPERATIVE care, INPATIENT care, ADULTS, WOUNDS & injuries, SURGERY, PATIENTS, MEDICAL care, HOSPITAL utilization, CHI-squared test, CONFIDENCE intervals, DEMENTIA, BONE fractures, HEALTH services accessibility, HIP joint injuries, LENGTH of stay in hospitals, LONGITUDINAL method, EVALUATION of medical care, NURSING care facilities, POSTOPERATIVE period, PROBABILITY theory, REHABILITATION centers, RESEARCH funding, LOGISTIC regression analysis, PROPORTIONAL hazards models, RETROSPECTIVE studies, DATA analysis software, DESCRIPTIVE statistics, KAPLAN-Meier estimator, CONFOUNDING variables, ODDS ratio, MANN Whitney U Test, OLD age
Abstract

Objectives To evaluate the effects of postoperative rehabilitation on the outcomes of older adults with dementia who experienced hip fracture. Design Retrospective cohort study. Setting Ontario, Canada. Participants Community-dwelling adults with dementia who underwent hip fracture surgery between 2003 and 2011. Participants were categorized as no rehabilitation, complex continuing care ( CCC), home-care based rehabilitation ( HCR), and inpatient rehabilitation ( IPR). Measurements Time to long-term care ( LTC) placement, mortality, and risk of repeat hip fracture and falls. Results Of 11,200 individuals with dementia who experienced a hip fracture during the study period, 4,494 (40.1%) received no rehabilitation, 2,474 (22.1%) were admitted to CCC, 1,157 (10.3%) received HCR, and 3,075 (27.4%) received IPR. HCR and IPR were associated with less risk of LTC admission after discharge from hospital than no rehabilitation. All three forms of rehabilitation were associated with lower risk of mortality than no rehabilitation, with the greatest effect observed with IPR. HCR was associated with a higher risk of falls than no rehabilitation ( P = .03); there were no other significant between-group differences in risk of falls or repeat fractures ( P > .05). Conclusion Postfracture rehabilitation for older adults with dementia is associated with lower risk of LTC placement and mortality. Improving access to rehabilitation services for this vulnerable population may improve postfracture outcomes. [ABSTRACT FROM AUTHOR]

Published
2016
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