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* The new gold standard has evolved from aging in place to aging in community. * Having social capital by being an active member of a community has a positive effect and can decrease vulnerability to health risk. * Federal and state monies have been utilized to support community activities for the elderly including the first meal programs and moving to community-based assisted living programs. * While staying in the community is the ideal, a community can be created by progressive leadership in a traditional retirement community including a skilled nursing home. * Retirement communities based on the six dimensions of wellness can create a nurturing environment. * Nurse leaders can meet the challenge of creating strong environments for the elderly., IT IS A RARE NURSE LEADER WHO IS NOT INVOLVED IN issues of aging. This might be in planning care environments for elderly clients, determining ways to extend the careers [...]

Third-party support and reimbursement in cancer detection and treatment has increased over the past 10 years. Research in the early 1980s and more recently has shown the impact that early diagnosis and treatment can have. Medicare, Medicaid, managed care, and even state Medigap rules have expanded the benefits for Pap smears and mammographic screening, and hospice care. Surprisingly, usage of these benefits is mixed. Of special importance are the findings that use is directly related to a physicians' recommending various tests. This paper will review some of the changes that have occurred, the issues involved, and the impacts measured on third-party support care in the elderly and in urban and rural settings. Cancer 1994; 74:2200-3.

June M. McKoy, MD, MPH Assistant Professor Division of Geriatrics Karen A. Fitzner, PhD Research Associate Division of Hematology/Oncology Beatrice J. Edwards, MD Assistant Professor Division of Geriatrics Motasem Alkhatib, [...]

AoA: Integrated care. The Administration on Aging has $600,000 to help area agencies on aging and other aging service providers work with managed care organizations, perhaps on a capitated basis [...]

HRSA: Geriatric education. The Health Resources and Services Administration has $660,000 to teach people about the needs of elderly patients. Eligible grantees include schools of nursing, health care facilities and [...]

This week's unprecedented second report by the Royal Commission on Long Term Care highlights the double standards of the Westminster government's treatment of older people compared with other groups such [...]

A study of the efficiency of using medical cost information self-reported by elderly patients to predict Medicare costs is examined. The study found that self-reported costs produced more accurate predictions of Medicare costs than the current principal inpatient diagnostic cost group method of prediction.

A recent study of Medicare + Choice plans offered to California seniors has found big discrepancies in both cost and value. Sponsored by the Oakland-based California Healthcare Foundation (CHCF), the [...]

There is no doubt financial difficulty impacts on people's mental and physical health. While anyone can be the victim of financial hardship, older Australians are particularly at risk. Life events [...]

WASHINGTON -- The Medicare Modernization Act's drug benefit program likely will be a boon to millions of low-income seniors who qualify for its most generous subsidies and should save another [...]

Elderly dementia or Alzheimer's patients are loosing out in the National Health Service funding allocation system according to nursing homes which do not have enough money to provide adequate or appropriate care.

The UK National Health Service is treating more people in the 1990s than it did in the 1980s. However, it is discharging people sooner after surgery to achieve this improved efficiency. These shorter hospital stays affect old people in particular, as they are more prone to postoperative problems and they take longer to recover from illnesses. Community nursing services cater for only a small proportion of discharged patients, so elderly people needing postoperative nursing care may have to pay for it themselves.

Elderly African American Medicare beneficiaries are more than twice as likely as whites to report that they can't afford prescription drugs, the Center for Studying Health System Change reports in [...]

Elderly African-American Medicare beneficiaries are more than twice as likely as whites to report that they can't get afford prescription drugs, the Center for Studying Health System Change reports in [...]

DENVER -- Only 23 of 125 poor elderly patients with asthma reported taking their medications regularly and cost was the main obstacle, Dr. Carol A. Saltoun said. The cross-sectional survey [...]