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2010 and 2011 - Census Bureau

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HoMe HeAltH cAre For persons witH cognitive iMpAirMent: tHe inFluence<br />

oF HoMe HeAltH cAre Agency cHArActeristics on tHe relAtionsHip<br />

between consuMer cognitive stAtus And service voluMe And cost (ncHs)<br />

Daniel Kaplan—Columbia University<br />

The elderly population is growing<br />

rapidly in all nations. With<br />

advanced age comes the risk for<br />

age-associated illnesses, such as<br />

disorders of dementia.<br />

People with dementia require<br />

increasing support <strong>and</strong> care,<br />

<strong>and</strong> experience numerous<br />

complex behavioral <strong>and</strong> psychiatric<br />

syndromes as the disorder<br />

progresses. Their care is very<br />

difficult to provide, causing high<br />

rates of burnout among informal<br />

<strong>and</strong> formal caregivers <strong>and</strong><br />

premature institutionalization of<br />

patients. Yet nearly all research<br />

aiming to discover ways to delay<br />

costly institutionalization of<br />

dementia patients has focused<br />

only on bolstering family caregiver<br />

capacities. The knowledge<br />

gaps pertaining to home care<br />

tHe eFFects oF college educAtion on HeAltH (ncHs)<br />

Ning Jia—University of Notre Dame<br />

Melinda Morrill—North Carolina State University<br />

Abigail Wozniak—University of Notre Dame<br />

This research examines the<br />

causal impact of education on<br />

health outcomes using variation<br />

in college attainment induced<br />

by draft-avoidance behavior<br />

during the Vietnam War. The<br />

service use raise serious<br />

concerns.<br />

The capacity of the home health<br />

care service industry to meet<br />

adequately the needs of people<br />

living with cognitive impairment<br />

is highly questionable.<br />

This study offers a number of<br />

important innovations. Newly<br />

available health services survey<br />

data will be used. The aims of<br />

the study employ a framework<br />

that requires an adaptation of<br />

a widely used model of health<br />

services utilization. The study<br />

offers comparisons of service<br />

use <strong>and</strong> cost for consumers with<br />

dementia to those without, <strong>and</strong><br />

previously unstudied agency<br />

characteristics are examined in<br />

relation to utilization.<br />

project exploits both national<br />

<strong>and</strong> state-level induction risk<br />

to identify the effect of educational<br />

attainment on various<br />

health outcomes. It considers<br />

health outcomes associated with<br />

Most importantly, multilevel<br />

analyses will examine how<br />

agency characteristics are<br />

associated with the relationship<br />

between cognitive impairment<br />

<strong>and</strong> service use for consumers<br />

nested within each agency. This<br />

study will identify profiles of<br />

home care service use for people<br />

with cognitive impairment while<br />

accounting for <strong>and</strong> examining<br />

the impact of the variability<br />

among provider agencies.<br />

Findings from this study will<br />

inform policymakers <strong>and</strong> industry<br />

stakeholders about how to<br />

design programs to best serve<br />

those with cognitive impairment,<br />

<strong>and</strong> consumers will have<br />

information to make decisions<br />

about selecting providers.<br />

mortality for this age group,<br />

including hypertension,<br />

obesity, <strong>and</strong> diabetes. It also<br />

considers health behaviors, such<br />

as smoking, drinking, exercise,<br />

<strong>and</strong> mental health outcomes.<br />

64 Research at the Center for Economic Studies <strong>and</strong> the Research Data Centers: <strong>2010</strong>–<strong>2011</strong> U.S. <strong>Census</strong> <strong>Bureau</strong>

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