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A Bipartisan Lifeline for Alzheimer's: Relationships that are Good for the Heart. 阿尔茨海默氏症的两党生命线:对心脏有益的关系。
Pub Date : 2022-05-10 eCollection Date: 2022-01-01 DOI: 10.1093/ppar/prac007
Sarah Khasawinah
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引用次数: 0
International Dementia Policies and Legacies of the Coronavirus Disease 2019 Pandemic. 国际痴呆症政策与 2019 年冠状病毒疾病大流行的遗产。
Pub Date : 2022-05-06 eCollection Date: 2022-01-01 DOI: 10.1093/ppar/prac008
Walter D Dawson, Adelina Comas-Herrera
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引用次数: 0
Degraded Rationality and Suboptimal Decision-Making in Old Age: A Silent Epidemic With Major Economic and Public Health Implications. 老年理性退化和次优决策:一种具有重大经济和公共卫生影响的无声流行病。
Pub Date : 2022-04-26 eCollection Date: 2022-01-01 DOI: 10.1093/ppar/prac003
Patricia A Boyle, Lei Yu, Gary Mottola, Kyle Innes, David A Bennett
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引用次数: 1
Engaging and Supporting Care Partners of Persons With Dementia in Health-Care Delivery: Results From a National Consensus Conference. 让痴呆症患者的护理伙伴参与并支持医疗保健服务:全国共识会议的成果。
Pub Date : 2022-04-25 eCollection Date: 2022-01-01 DOI: 10.1093/ppar/prac004
Catherine Riffin, Joan M Griffin, Lilla Brody, Jennifer L Wolff, Karl A Pillemer, Ronald D Adelman, Lauren R Bangerter, Steven M Starks, Francesca Falzarano, Martha Villanigro-Santiago, Loretta Veney, Sara J Czaja
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引用次数: 0
Addressing Health Disparities Among Older Asian American Populations: Research, Data, and Policy. 解决老年亚裔美国人的健康差异:研究、数据和政策。
Pub Date : 2022-01-01 DOI: 10.1093/ppar/prac015
Bei Wu, Xiang Qi
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引用次数: 5
Challenges and Facilitators in Implementing a Focus on Function in Structured Clinical Settings. 在结构化的临床环境中实现对功能的关注的挑战和促进因素。
Pub Date : 2022-01-01 DOI: 10.1093/ppar/prab028
Kathryn E Callahan
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引用次数: 1
Implementation Science: A Critical Tool for Research Utilization and Policy Evaluation 实施科学:研究利用和政策评估的关键工具
Pub Date : 2022-01-01 DOI: 10.1093/ppar/prac001
Prusaczyk, Bobitt
Implementation science is “the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of health services” (Eccles & Mittman, 2006, p. 1, para 2). We are pleased to present this themed issue of Public Policy & Aging Report, in which the articles discuss how implementation science can and has informed the implementation of aging-related evidence-based practices (EBPs) in a variety of settings. Additionally, an article contributed by Lisa Onken with the National Institute on Aging (NIA) discusses how it is currently promoting and conceptualizing implementation science, and another highlights how implementation science can be used to evaluate and improve policy dissemination and implementation. A number of this issue’s contributors discuss their experiences implementing aging-related EBPs in different health-care settings, including nursing homes, hospitals, and the Veterans Administration (VA) health system. Abbott, Douglas, and Van Haitsma (2022) elucidate the unique characteristics and challenges of the nursing home setting, including the inequities present in nursing homes due, in part, to the vulnerable and marginalized patient and worker populations in nursing homes, such as racial and ethnic minorities and immigrants. They argue that more attention must be paid to implementing EBPs in nursing homes to address these inequities, and that policies such as those that create mechanisms for reimbursement and increase reimbursement levels for existing mechanisms could help close this gap. Callahan, a clinician herself, highlights the ongoing implementation science efforts in clinical settings such as the NIA’s Imbedded Pragmatic Alzheimer’s Disease and Related Dementias Clinical Trials (IMPACT) Collaboratory and the Geriatric Emergency Care Applied Research (GEAR) Network (Callahan, 2022). She urges more age-friendly policies to ensure these ongoing efforts are successful, such as policies that prioritize function and function-focused outcomes, as well as policies that prioritize reimbursement for quality and value. Sullivan and Hughes (2022) are both implementation scientists working in the VA Health System, and they outline a number of ways the VA has been a leader in the implementation of aging-related EBPs across a number of settings. They note that while there are unique aspects to the VA, there are also many similarities to other large, integrated health systems, and therefore, there are many lessons that can be learned from the VA about implementation strategies and policies that support implementation in health systems. Last, Juckett, Bunck, and Thomas (2022) discuss three service amendments to the Older Americans Act 2020 Reauthorization and their barriers to implementation. They also provide examples of implementation strategies that could optimize the delivery of evidence-based services and programs, if
实施科学是“对方法的科学研究,以促进系统地将研究结果和其他循证实践纳入日常实践,从而提高卫生服务的质量和有效性”(Eccles & Mittman, 2006年,第1页,第2段)。我们很高兴提出这一期《公共政策与老龄化报告》的主题。其中,文章讨论了实施科学如何能够并已经告知在各种环境中实施与老龄化相关的循证实践(ebp)。此外,国家老龄研究所(NIA)的Lisa Onken撰写了一篇文章,讨论了它目前如何促进和概念化实施科学,另一篇文章强调了如何使用实施科学来评估和改进政策的传播和实施。本期的许多撰稿人讨论了他们在不同医疗保健机构(包括养老院、医院和退伍军人管理局(VA)卫生系统)实施与老龄化相关的ebp的经验。Abbott, Douglas和Van Haitsma(2022)阐明了养老院环境的独特特征和挑战,包括养老院中存在的不平等,部分原因是养老院中弱势和边缘化的病人和工人群体,如种族和少数民族和移民。他们认为,必须更多地关注在养老院实施ebp,以解决这些不平等问题,并且诸如创建报销机制和提高现有机制的报销水平等政策可以帮助缩小这一差距。作为一名临床医生,Callahan强调了在临床环境中正在进行的科学实施工作,如NIA的嵌入式实用阿尔茨海默病和相关痴呆症临床试验(IMPACT)合作实验室和老年急救护理应用研究(GEAR)网络(Callahan, 2022)。她敦促制定更多有利于老年人的政策,以确保这些正在进行的努力取得成功,例如优先考虑功能和以功能为重点的结果的政策,以及优先考虑质量和价值报销的政策。Sullivan和Hughes(2022)都是在VA健康系统工作的实施科学家,他们概述了VA在许多环境中率先实施与老龄化相关的ebp的多种方式。他们指出,虽然退伍军人管理局有其独特之处,但与其他大型综合卫生系统也有许多相似之处,因此,在支持卫生系统实施的实施战略和政策方面,可以从退伍军人管理局吸取许多教训。最后,Juckett、Bunck和Thomas(2022)讨论了《2020年美国老年人法案》再授权的三项服务修正案及其实施障碍。它们还提供了实施战略的实例,如果得到社区生活管理局(ACL)的支持,这些战略可以优化以证据为基础的服务和项目的提供。从ebp如何为政策制定提供信息开始,Derzon和Menne(2022)讨论了如何使用实施科学来评估和改进政策实施的吸收和传播,以及改善规划结果。他们提供了几个对老年人有重大影响的国家老龄服务政策的例子,并讨论了如何应用实施科学方法来支持这些政策。《公共政策与老龄化报告》引用自:《公共政策与老龄化报告》,2022,Vol. 32, No. 1, 4-5 https://doi.org/10.1093/ppar/prab035
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引用次数: 0
Older Grandparents Caring for Grandchildren in Rural China: Cohort Change in Resources and Deficits Across 17 Years. 中国农村老年祖父母对孙辈的照顾:17年来资源和缺口的群体变化。
Pub Date : 2022-01-01 DOI: 10.1093/ppar/prac012
Merril Silverstein, Ying Xu
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引用次数: 1
"We Were Just Taking Our Marching Orders and Moving Forward With Whatever We Were Given": Policy Implications of Pandemic Quarantine and Social Isolation in Older Persons. “我们只是接受了我们的行军命令,并根据我们得到的一切向前迈进”:大流行隔离和老年人社会隔离的政策影响。
Pub Date : 2022-01-01 DOI: 10.1093/ppar/prac020
Rebecca S Koszalinski, Diana L Sturdevant, Brenda Olmos, Molly Kachale-Netter, Patsy Smith, Julie Gordon
No one could have foreseen the rapid onset of the novel severe acute respiratory syndrome coronavirus 2 and the resulting complications in an unprepared health-care system. One complication was intensification of social isolation (SI) (Cudjoe & Kotwall, 2020) in response to protective quarantine and lockdown in nursing homes and assisted living centers. This resulted in new or worsening symptoms of depression and anxiety, worsened dementia, feelings of despair, and failure to thrive (Abbasi, 2020; Elmer et al., 2020; Gorenko et al., 2021; Mukhtar, 2020; Plagg et al., 2020; Santini et al., 2020). In response, many state-level aging, disability, and community-based organizations designed and implemented interventions through collaborative public partnerships in attempts to mitigate the negative effects of SI (Advancing States, 2020). For example, Florida’s Department of Senior Services provided robotic companion pets to older persons in SI, persons with disabilities, and caregivers via funding through the Coronavirus Aid, Relief, and Economic Security Act (CARES) Act, passed by Congress on March 27, 2020 (Sontan, 2021). Additionally, Alabama reported the use of innovative approaches, such as weekly check-in calls and virtual social activities, while Arkansas paired staff with volunteers for regular conversations. No one could have foreseen rapid onset of the novel SARS-CoV-2 and resulting complications in an unprepared healthcare system. One complication was intensification of social isolation (SI) in response to protective quarantine and lock-down in nursing homes and assisted living centers.
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引用次数: 2
Making Medicare Complicated: How Privatizing Medicare is Increasing Administrative Burden for Beneficiaries 使医疗保险复杂化:医疗保险私有化如何增加受益人的行政负担
Pub Date : 2021-10-20 DOI: 10.1093/PPAR/PRAB021
P. Herd
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引用次数: 4
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The Public policy and aging report
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