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Families Caring for an Aging America (Paperback)
National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Family Caregiving for Older Adults; Edited by Jill Eden, …
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R1,931
Discovery Miles 19 310
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Family caregiving affects millions of Americans every day, in all
walks of life. At least 17.7 million individuals in the United
States are caregivers of an older adult with a health or functional
limitation. The nation's family caregivers provide the lion's share
of long-term care for our older adult population. They are also
central to older adults' access to and receipt of health care and
community-based social services. Yet the need to recognize and
support caregivers is among the least appreciated challenges facing
the aging U.S. population. Families Caring for an Aging America
examines the prevalence and nature of family caregiving of older
adults and the available evidence on the effectiveness of programs,
supports, and other interventions designed to support family
caregivers. This report also assesses and recommends policies to
address the needs of family caregivers and to minimize the barriers
that they encounter in trying to meet the needs of older adults.
Table of Contents Front Matter Summary 1 Introduction 2 Older
Adults Who Need Caregiving and the Family Caregivers Who Help Them
3 Family Caregiving Roles and Impacts 4 Economic Impact of Family
Caregiving 5 Programs and Supports for Family Caregivers of Older
Adults 6 Family Caregivers' Interactions with Health Care and
Long-Term Services and Supports 7 Recommendations to Support Family
Caregivers of Older Adults Appendix A: Acronyms and Glossary
Appendix B: Committee and Staff Biographies Appendix C: Public
Workshop Agendas Appendix D: Number of Years and Percentage of
Adult Life Spent Caring for an Older Adult Appendix E: Methodology:
NHATS and NSOC Surveys Appendix F: Caregiving: The Odyssey of
Becoming More Human Appendix G: Caregiving Stories Appendix H:
HIPAA and Caregivers' Access to Information
Healthcare decision makers in search of reliable information that
compares health interventions increasingly turn to systematic
reviews for the best summary of the evidence. Systematic reviews
identify, select, assess, and synthesize the findings of similar
but separate studies, and can help clarify what is known and not
known about the potential benefits and harms of drugs, devices, and
other healthcare services. Systematic reviews can be helpful for
clinicians who want to integrate research findings into their daily
practices, for patients to make well-informed choices about their
own care, for professional medical societies and other
organizations that develop clinical practice guidelines. Too often
systematic reviews are of uncertain or poor quality. There are no
universally accepted standards for developing systematic reviews
leading to variability in how conflicts of interest and biases are
handled, how evidence is appraised, and the overall scientific
rigor of the process. In Finding What Works in Health Care the
Institute of Medicine (IOM) recommends 21 standards for developing
high-quality systematic reviews of comparative effectiveness
research. The standards address the entire systematic review
process from the initial steps of formulating the topic and
building the review team to producing a detailed final report that
synthesizes what the evidence shows and where knowledge gaps
remain. Finding What Works in Health Care also proposes a framework
for improving the quality of the science underpinning systematic
reviews. This book will serve as a vital resource for both sponsors
and producers of systematic reviews of comparative effectiveness
research. Table of Contents Front Matter Summary 1 Introduction 2
Standards for Initiating a Systematic Review 3 Standards for
Finding and Assessing Individual Studies 4 Standards for
Synthesizing the Body of Evidence 5 Standards for Reporting
Systematic Reviews 6 Improving the Quality of Systematic Reviews:
Discussion, Conclusions, and Recommendations Appendix A:
Abbreviations and Acronyms Appendix B: Glossary Appendix C:
Workshop Agenda and Questions to Panelists Appendix D: Expert
Guidance for Chapter 2: Standards for Initiating a Systematic
Review Appendix E: Expert Guidance for Chapter 3: Standards for
Finding and Assessing Individual Studies Appendix F: Expert
Guidance for Chapter 4: Standards for Synthesizing the Body of
Evidence Appendix G: Expert Guidance for Chapter 5: Standards for
Reporting Systemic Reviews Appendix H: Preferred Reporting Items
for Systematic Reviews and Meta-Analyses (PRISMA) Checklist
Appendix I: Committee Biographies
Today's physician education system produces trained doctors with
strong scientific underpinnings in biological and physical sciences
as well as supervised practical experience in delivering care.
Significant financial public support underlies the graduate-level
training of the nation's physicians. Two federal programs-Medicare
and Medicaid-distribute billions each year to support teaching
hospitals and other training sites that provide graduate medical
education. Graduate Medical Education That Meets the Nation's
Health Needs is an independent review of the goals, governance, and
financing of the graduate medical education system. This report
focuses on the extent to which the current system supports or
creates barriers to producing a physician workforce ready to
provide high-quality, patient-centered, and affordable health care
and identifies opportunities to maximize the leverage of federal
funding toward these goals. Graduate Medical Education examines the
residency pipeline, geographic distribution of generalist and
specialist clinicians, types of training sites, and roles of
teaching and academic health centers. The recommendations of
Graduate Medical Education will contribute to the production of a
better prepared physician workforce, innovative graduate medical
education programs, transparency and accountability in programs,
and stronger planning and oversight of the use of public funds to
support training. Teaching hospitals, funders, policy makers,
institutions, and health care organizations will use this report as
a resource to assess and improve the graduate medical education
system in the United States. Table of Contents Front Matter Summary
1 Introduction 2 Background on the Pipeline to the Physician
Workforce 3 GME Financing 4 Governance 5 Recommendations for the
Reform of GME Financing and Governance Appendix A: Abbreviations
and Acronyms Appendix B: U.S. Senate Letters Appendix C: Public
Workshop Agendas Appendix D: Committee Member Biographies Appendix
E: Data and Methods to Analyze Medicare GME Payments Appendix F:
Illustrations of the Phase-In of the Committee's Recommendations
Shortly after 1998, leading members of Georgia's government,
medical community, and public-spirited citizenry began considering
ways in which some of Georgia's almost $5 billion, 25-year
settlement from the tobacco industry's Master Settlement Agreement
with the 50 states could be used to benefit Georgia residents.
Given tobacco's role in causing cancer, they decided to create an
entity and program with the mission of making Georgia a national
leader in cancer prevention, treatment, and research. This new
entity--called the Georgia Cancer Coalition, Inc. (GCC)-- and the
state of Georgia subsequently began implementing a far-reaching
state cancer initiative that includes five strategic goals: (1)
preventing cancer and detecting existing cancers earlier; (2)
improving access to quality care for all state residents with
cancer; (3) saving more lives in the future; (4) training future
cancer researchers and caregivers; and (5) turning the eradication
of cancer into economic growth for Georgia.
"Assessing the Quality of Cancer Care" identifies a set of measures
that could be used to gauge Georgia's progress in improving the
quality of its cancer services and in reducing cancer-related
morbidity and mortality.
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