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Improving Dementia Long-Term Care

Improving Dementia Long-Term Care: A Policy Blueprint

Regina A. Shih
Thomas W. Concannon
Jodi L. Liu
Esther M. Friedman
Copyright Date: 2014
Published by: RAND Corporation
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  • Book Info
    Improving Dementia Long-Term Care
    Book Description:

    In 2010, 15 percent of Americans older than age 70 had dementia. By 2050, the number of new dementia cases among those 65 and older is expected to double. This blueprint outlines policy options to help decisionmakers improve dementia long-term services and supports (LTSS) by promoting earlier detection, improving access to LTSS, promoting person- and caregiver-centered care, supporting caregivers, and reducing dementia LTSS costs.

    eISBN: 978-0-8330-8668-6
    Subjects: Public Health, Psychology, Health Sciences

Table of Contents

  1. Front Matter
    (pp. i-ii)
  2. Preface
    (pp. iii-iv)
  3. Abstract
    (pp. v-vi)
  4. Table of Contents
    (pp. vii-viii)
  5. Tables
    (pp. ix-x)
  6. Summary
    (pp. xi-xx)
  7. Acknowledgments
    (pp. xxi-xxii)
  8. Abbreviations
    (pp. xxiii-xxiv)
  9. CHAPTER ONE Introduction
    (pp. 1-12)

    Dementia is a debilitating and progressive condition that affects memory and cognitive functioning, results in behavioral and psychiatric disorders, and leads to decline in the ability to engage in activities of daily living and self-care.³⁵ In 2010, 14.7 percent of persons older than age 70 in the United States had dementia. With the expected doubling of the number of Americans age 65 or older from 40 million in 2010 to more than 88 million in 2050, the annual number of new dementia cases is also expected to double by 2050, barring any significant medical breakthroughs.⁴

    Alzheimer’s disease, which accounts for...

  10. CHAPTER TWO Stakeholder-Engaged Policy Identification
    (pp. 13-26)

    As described in the previous chapter, this blueprint is meant to jointly address long-term care and dementia policy challenges and solutions. As such, a key goal was to gather insight from individuals with a variety of perspectives about the challenges associated with delivering LTSS for persons with dementia and to identify policy options that could address those challenges.

    In this chapter, we present the methods and results of RAND’s stake-holderengaged policy identification process. We first provide a brief overview of our stake-holder identification and interview methods. The remaining sections present the 38 policy options that were identified by stakeholders during...

  11. CHAPTER THREE RAND Policy Evaluation and Blueprint Recommendations
    (pp. 27-34)

    A simultaneous, comprehensive comparison of all 38 policy options on 14 evaluation dimensions and seven stakeholder groups is extremely challenging. Nevertheless, consideration of all of these options, evaluation dimensions, and stakeholder groups is valuable. In this chapter, we synthesize the comprehensive evaluation presented in Chapter Two in order to lay out a blueprint of priority policy options for stakeholders to consider.

    The chapter is organized in three sections. First, we evaluate the impact and implementation feasibility for each of the 38 policy options. More detailed summaries of all 38 policy options and our evaluation of them on all 14 impact...

  12. References
    (pp. 35-40)