Abstract:
:Objective: Geriatricians are skilled in the recognition of asymptomatic and atypical presentations that occur in the elderly and provide comprehensive medication management including recognizing adverse drug events, reducing polypharmacy, and de-prescribing. However, despite the increasing average age of the U.S. population, with the number of individuals above 65 years old predicted to increase 55% by 2030, the geriatric workforce capacity in the United States has actually decreased from 10,270 in 2000 to 8,502 in 2010. Method: We describe physiologic changes in older adults, historical trends in geriatric training, and propose solutions for this looming crisis. Results: Many factors are responsible for the shortage of skilled geriatric providers. Discussion: We discuss the historical context of the lack of geriatricians including changes to the training system, describe the impact of expert geriatric care on patient care and health system outcomes, and propose methods to improve recruitment and retention for geriatric medicine.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Lester PE,Dharmarajan TS,Weinstein Edoi
10.1177/0898264319879325subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1052-1062issue
9eissn
0898-2643issn
1552-6887journal_volume
32pub_type
杂志文章abstract:OBJECTIVES:The study examined whether ethnicity or socioeconomic status influenced a group's ability to meet eligibility criteria and willingness to enroll. METHOD:The eligibility and enrollment status of 904 women aged 65 years and older who responded to recruitment efforts of an estrogen and osteoporosis clinical tr...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264304264211
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:This research seeks to determine which aspects of social support are most effective in mediating mood state among working-age and elderly adults with disability (N = 442). METHODS:Participants were identified through random-digit dialing of telephone exchanges and administration of a disability screen. Mult...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430001200303
更新日期:2000-08-01 00:00:00
abstract::Objective: This study examines effects of physical and functional limitations on health care utilization among older cancer survivors, compared with those without cancer and without physical and functional limitations. Method: Medicare Current Beneficiary Survey data from 2008 to 2011 were used. Physical limitations (...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319872309
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:Cognitive training has been shown to improve both cognitive and everyday abilities in older adults; however, little is known concerning the amount of training needed or the characteristics of those who benefit. These analyses examined the longitudinal impact of dosage (number of training sessions) on the imp...
journal_title:Journal of aging and health
pub_type: 杂志文章,随机对照试验
doi:10.1177/0898264312470167
更新日期:2013-12-01 00:00:00
abstract::The purpose of this article is to describe the impact of a capitated community-care demonstration in Illinois that attempted to increase the range of services provided while constraining overall costs. The authors examined the implementation and outcomes, using pretest and posttest measures of client satisfaction, ran...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264302239029
更新日期:2003-02-01 00:00:00
abstract::This article examines the impact of mental health services on the mortality rate for mentally ill nursing home residents. Previous research has documented the unmet need for mental health services among nursing home residents. Some research using small data sets has indicated patient benefits from treatment. This ar...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439700900404
更新日期:1997-11-01 00:00:00
abstract::Since the development of the Index of Independence in Activities of Daily Living, ADL tools have been used to describe older persons' status and to predict outcomes. It is suggested that this approach is grounded in an ADL research tradition. An alternative that is based upon Husserl's phenomenology is proposed. A ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439500700102
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVES:Multimorbidity in centenarians is common; although investigations of the prevalence of morbidity in centenarians are accumulating, research on profiles of co-occurrence of morbidities is still sparse. Our aim was to explore profiles of comorbidities in centenarians. METHOD:Health insurance data from 1,121 c...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317737894
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:This study investigated nativity disparities in life satisfaction among ethnoracial groups of older adults in the United States and the factors associated with such disparities. METHOD:Cross-sectional data from 7,348 respondents aged 60 and older from the 2012/2014 waves of the Health and Retirement Study (H...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317726608
更新日期:2019-02-01 00:00:00
abstract::Objectives: We investigated changes in the prevalence of disabilities among individuals with type 2 diabetes and analyzed the contribution of comorbidities on this change. Methods: Data were drawn from the Survey of Health, Ageing, and Retirement in Europe (SHARE). We estimated predicted probabilities of impaired (ins...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320970324
更新日期:2020-10-31 00:00:00
abstract:OBJECTIVE:The aim of this study is to increase our understanding of declining network size with aging by differentiating between processes of loss and gain and studying the associations with various health problems. METHODS:Six observations of the Longitudinal Aging Study Amsterdam (LASA) across a time period of 16 ye...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264312468033
更新日期:2013-03-01 00:00:00
abstract::Objectives: This study examined whether older patients' greater daily pain perceived by their spouses was associated with spouses' higher daily negative affect. We further investigated whether spouses' lower confidence in patients' ability to manage pain exacerbated the daily association between perceived patient pain...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320919631
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:We estimated the 2-year incidence of poor physical performance according to gender roles and examined mediating pathways related to health behaviors and chronic conditions. METHOD:Data are from the International Mobility in Aging Study ( n = 1,676). The Bem Sex Role Inventory was used to classify participant...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317704750
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the association between aspects of social capital and loneliness among the very old living at home and in institutional settings. METHOD:Half of those aged 85 years, and all 90- and 95-year-olds and older in urban and rural municipalities in northern Sweden and wester...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313497508
更新日期:2013-09-01 00:00:00
abstract::Objective: To examine cross-sectional and longitudinal associations between (a) activity-limiting fall worry (ALW) and (b) self-reported health-related restrictions and social engagement among older adults. Method: The National Health and Aging Trends Study Waves 5 (T1) and 6 (T2) provided data (n = 6,279). Binary and...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319825586
更新日期:2020-06-01 00:00:00
abstract::Objective: To estimate the prevalence of frailty using five different instruments in a cohort of older adults and explore the association between frailty and various risk factors. Method: 1,867 participants aged 65 years and above were included in the current retrospective cross-sectional study. Frailty was operationa...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264318801735
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:This study was designed to investigate the benefits of a short-term intervention for older adults that targeted cognitive functioning and quality of life issues important for independent living. METHOD:One hundred twenty-four community-dwelling participants (aged 60 to 86) took part in one of three study con...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264304265819
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:Investigate influence of ethnicity on older American Indian patients' interpretations of providers' affective behaviors. METHOD:Using data from 115 older American Indian patients, random effects ordered logit models related patient ratings of providers' respect, empathy, and rapport first to separate measure...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264312457410
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:Underlining ecological theories of aging, we assessed the impact of relocation, residential type, and individual lifestyle factors on the structure of health status overtime. METHODS:From the data of Longitudinal Study on Aging II, we included older adults aged 70 and older (N = 5,294). To analyze individual...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264308328960
更新日期:2009-03-01 00:00:00
abstract::Objective: For long-term care (LTC) residents, transfers to emergency departments (EDs) can be associated with poor health outcomes. We aimed to describe characteristics of residents transferred, factors related to decisions during transfer, care received in emergency medical services (EMS), ED settings, outcomes on r...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264318808908
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:This was a cross-sectional study of the ability of independently living healthy elders to follow a medication regimen. Participants were divided into a group with High Cognitive Function (HCF) or Low Cognitive Function (LCF) based on their scores on the ADAS-Cog. METHOD:Thirty-eight participants aged 65 or o...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264309332836
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to analyze whether the associations between perceived environmental and individual characteristics and perceived walking limitations in older people differ between those with intact and those with poorer lower extremity performance. METHOD:Persons aged 75 to 90 ( N = 834) participat...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264316641081
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:We examined the longitudinal association between the severity of fatigue and falls in community-dwelling older adults. METHOD:Subjective fatigue was assessed using the Short Form 36 Health Survey (SF-36) Vitality subscale and classified into four categories by quartile (mildest, mild, moderate, severe). The ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317721825
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:We examined the association between alcohol use, at-risk drinking, and binge drinking, and loneliness in a sample of middle-aged and older adults. METHOD:We studied participants aged 50+ years from the 2008 wave of the Health and Retirement Study who reported alcohol use. We ran separate multinomial logisti...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315589579
更新日期:2016-03-01 00:00:00
abstract::Objective: This study examined the trajectories of depressive symptoms and associated factors in older adults using an enhanced group-based trajectory modeling. Method: The study sample consisted of 7,573 adults aged ≥65 years from the National Health and Aging Trends Study (Rounds 1-7). Depressive trajectories were e...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319852835
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:People in poor health tend to view life-prolonging treatments (e.g., tube feeding) as more acceptable than do healthier people. Do proxies' substituted judgments reveal a similar tendency, showing greater acceptance when the elder is in worse health? METHOD:In a cross-sectional telephone-based survey of 202 ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264312454572
更新日期:2012-10-01 00:00:00
abstract::Family caregivers, often called "informal" caregivers, are the unpaid relatives, partners, or close friends who provide directly or manage the health care for individuals who are seriously ill or disabled. As a result of changes in the American health care system, family caregivers confront increasing responsibilitie...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439901100305
更新日期:1999-08-01 00:00:00
abstract::Objective: Lack of social support is linked to lower cognitive function and cognitive decline. We investigated the effects of a specific type of social relationship, family ties, on cognitive trajectories in non-Hispanic whites, non-Hispanic blacks, and Hispanics. Methods: Using multiple-group latent growth curve mode...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320935238
更新日期:2020-12-01 00:00:00
abstract::This article compares the recruitment costs and participant characteristics associated with the use of probability and nonprobability sampling strategies in a longitudinal study of older hemodialysis patients and their spouses. Contrasts were made of people who accrued to the study based on probability and nonprobabil...
journal_title:Journal of aging and health
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doi:10.1177/0898264306291420
更新日期:2006-08-01 00:00:00
abstract::This article examines care-related decision making within the context of in-home family care. It also uses the Andersen-Newman model to identify the correlates of physician involvement and centrality in decision making and the impact that it has on family members' caregiving satisfaction. Analysis of data from 244 fam...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439000200302
更新日期:1990-08-01 00:00:00