A5019052005- Geriatric Care and Nursing Homes
- Intergenerational Family Dynamics and Caregiving
- Health disparities and outcomes
- Global Health Care Issues
- Healthcare Policy and Management
- Palliative Care and End-of-Life Issues
- Primary Care and Health Outcomes
- Dementia and Cognitive Impairment Research
- Family and Patient Care in Intensive Care Units
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Frailty in Older Adults
- Family Support in Illness
- Interprofessional Education and Collaboration
- Gender, Labor, and Family Dynamics
- Migration, Aging, and Tourism Studies
- Emergency and Acute Care Studies
- Retirement, Disability, and Employment
- Chronic Disease Management Strategies
- Financial Literacy, Pension, Retirement Analysis
- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Family and Disability Support Research
- Family Caregiving in Mental Illness
- Social Policy and Reform Studies
Duke University
2016-2025
Durham VA Health Care System
2012-2025
Duke Institute for Health Innovation
2020-2025
Durham VA Medical Center
2016-2025
Health Services Research & Development
2011-2024
Duke Medical Center
2014-2024
Duke University Hospital
2012-2024
Geriatric Research Education and Clinical Center
2019-2024
Center for Innovation
2023-2024
Government of the United States of America
2023
A great deal of clinical cancer care is delivered in the home by informal caregivers (e.g. family, friends), who are often untrained. Caregivers' context varies widely, with many providing despite low levels resources and high additional demands.Changes health have shifted much to home, limited data inform this transition. We studied characteristics, tasks, needs patients.Caregivers seven geographically institutionally defined cohorts newly diagnosed colorectal lung patients completed...
Abstract We examine the physical and mental health effects of providing care to an elderly mother on adult child caregiver. address endogeneity selection in out caregiving using instrumental variable approach, death recipient sibling characteristics. also carefully control for baseline work status child. explore flexible specifications, such as Arellano–Bond estimation techniques. Continued over time increases depressive symptoms decreases self‐rated married women men. In addition, increase...
To understand how caring for grandchildren affects the physical and mental health of grandparents in Taiwan. Grandparents aged 50 older from 4 waves Taiwan Longitudinal Study on Aging (1993–2003, n = 3,711) were divided into 7 categories based living arrangement caregiving history. Generalized estimation equations controlling sociodemographic characteristics disease status used to estimate relationship between outcomes: self-rated health, mobility limitation, life satisfaction, depressive...
Informal care provides many benefits to cancer patients, but can be costly caregivers. This study quantified the economic burden for informal caregivers of lung (LC) and colorectal (CRC) examining differences by type, phase disease, stage at diagnosis, patient age, relationship.A cross-sectional survey LC CRC patients participating in Share Thoughts on Care was conducted. Economic calculated using opportunity cost caregiver time, value work hours lost, out-of-pocket expenditures. Factors...
Because of workforce needs and demographic chronic disease trends, nurse practitioners (NPs) physician assistants (PAs) are taking a larger role in the primary care medically complex patients with conditions. Research shows good quality outcomes, but concerns persist that NPs’ PAs’ vulnerable populations could increase costs compared to traditional physician-dominated system. We used 2012–13 Veterans Affairs data on cohort diabetes compare health services use depending whether provider was...
Long-term care (LTC) facilities are particularly dangerous places for the spread of COVID-19 given that they house vulnerable high-risk populations. Transmission-based precautions to protect residents, employees, and families alike must account potential risks posed by LTC workers' second jobs unpaid work. This observational study describes prevalence their (1) jobs, (2) work dependent children and/or adult relatives (double- triple-duty caregiving) overall occupational group (registered...
Abstract This study aims to measure the causal effect of informal caregiving on health and care use women who are caregivers, using instrumental variables. We data from South Korea, where daughters daughters‐in‐law prevalent source caregivers for frail elderly parents parents‐in‐law. A key insight our variable approach is that having a parent‐in‐law with functional limitations increases probability providing parent‐in‐law, but parent‐in‐law's limitation does not directly affect...
Veterans who survive multiple traumatic injuries, including brain injuries (TBI), must often rely on family caregivers for ongoing care and support with reintegration. Understanding factors associated caregiving that help or harm caregivers' health is critical identifying appropriate effective interventions caregiver promote the provision of quality to veterans. This study utilized cross-sectional data from Family Caregiver Experiences Study, a survey 564 caring veterans served after...
Rates of informal home care use among older adults with disabilities increased from 2004 to 2016, such that in 2016 almost three-quarters these received care. Informal remains the most common source care, even though formal grew at twice rate, a 6-percentage-point increase 36.9 percent 2016.
Diabetes mellitus among older men has been associated with increased bone mineral density but paradoxically fracture risk. Given the interactions medication treatment, glycemic control, and diabetes-associated comorbidities, relative effects of each factor remains unclear. This retrospective study includes 652,901 male veterans aged ≥65 years diabetes baseline hemoglobin A1c (HbA1c) value. All subjects received primary care in Veterans Health Administration (VHA) from 2000 to 2010....
Abstract Objective To examine the effect of rural hospital closures on EMS response time (minutes between dispatch notifying unit and arriving at scene); transport leaving scene destination); total activation 9‐1‐1 call to responding returning service), as longer times are associated with worse patient outcomes. Data Sources/Study Setting We use secondary data from National Information System, Area Health Resource, Center for Medicare & Medicaid Provider Service files (2010‐2016). Study...
Evidence-based models are needed to deliver exercise-related services for knee osteoarthritis efficiently and according patient needs.To examine a stepped exercise program patients with (STEP-KOA).Randomized controlled trial. (ClinicalTrials.gov: NCT02653768).2 U.S. Department of Veterans Affairs sites.345 (mean age, 60 years; 15% female; 67% people color) symptomatic osteoarthritis.Participants were randomly assigned in 2:1 ratio STEP-KOA or an arthritis education (AE) control group,...
Family and friend caregivers play critical roles in ensuring that persons with serious illness receive high-quality care, their responsibilities often increase as patients transition from receiving solely curative-focused care to primarily palliative-focused care. Integrating family into the health team supporting them role has significant benefits for caregivers, patients, systems, communities, society. Palliative clinicians across all disciplines are uniquely suited provide necessary...
Most parents divide their bequests equally among children, whereas inter‐vivos transfers are usually unequal. We propose that exchange is better for inducing than bequests. Inter‐vivos can be adjusted quickly to the amount of care, less costly writing a will, and kept secret from other family members public. The results national longitudinal data show that, as expected, if parent gives any transfers, she more likely give children who provide informal care. Informal care has no effect on...