In California, many Medicaid recipients receive home-and-community-based services (HCBS) in the form of home care aids. Family members can also receive payment as home care aids to these Medicaid recipients. This article describes an analysis of the data on first-time HCBS recipients to see which factors were associated with switching home care aids to provide…
Rapidly emerging technological advances could mitigate rising health workforce demand, but will not replace the direct care workforce, according to a new study from UCSF Health Workforce Research Center on Long-Term Care. The report includes a taxonomy of currently available and emerging technology categories based on products sold by 115 companies, in addition to targeted…
There are insufficient numbers of practicing geriatricians to meet the current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans rapidly increases. Understanding how to best leverage geriatricians as members of an overall care team is critical. This report is the second component…
Nursing homes are important for providing accessible long-term care options for post-acute care patients. Unfortunately, the quality of care for these patients in the nursing home setting is often inadequate. This article examines the roles and relationships between directors of nursing and physicians in nursing homes to determine how these relationships affect patient care.
Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, the success of HIT systems in nursing homes depend on implementation and little is known about how these systems impact nursing home staff. This article describes a study that included a literature review of articles on…
Peer providers are a growing workforce who have become increasingly essential for supporting long-term care needs and alleviating behavioral health workforce shortages. These workers often face stigma and low wages with limited opportunities for career growth. This article describes a mixed-methods study that included a national panel of subject matter experts, site visits in four…
As the aging population increases, the demand for long-term care (LTC) is also expected to increase substantially. The patients in need of LTC are also expected to become more racially diverse over time. As patients tend to prefer care providers who share their cultural and racial background, it will be increasingly important to understand the…
Leaders from academic medical centers, large integrated and community health systems, home health and hospice organizations, and the Veterans Administration were recruited to participate in this qualitative study. This article assesses perspectives of US community-based palliative care program leaders on staffing, recruitment, and training.
More than 5 million older adults in the US are currently living with Alzheimer’s disease and related dementias (ADRD), and the prevalence of ADRD is expected to rise to 16 million by 2050. Dementia care specialists (DCSs) have been proposed as a solution in California aimed at keeping older individuals with ADRD in their homes…
There are currently too few geriatricians to meet the needs of the geriatric patient population. Therefore, a better understanding of the current roles of geriatricians, how those roles are changing, and how they collaborate with other health professionals is needed. This report describes a literature review that makes up the first stage of a study…
