Retooling for an Aging America


Book Description

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.




Copayments and the Demand for Prescription Drugs


Book Description

Increasing prescription drug cost-sharing by patients - in the form of increasing copayments - is one of the most striking, and controversial, developments in the health sector over recent years. The exact nature and use of copayments by health care insurers continues to be hot topic of debate. This detailed and meticulously researched study is one of the first of its kind: its results suggest that differences in copayments influence choice, shifting market share for these drugs. Differential copayments for medically equivalent alternatives is one strategy insurers use to affect the choice of one drug over another when faced with differing prices. Relative copayments for therapeutically equivalent drugs, imposed by insurers, are shown to have a significant impact on consumer choice – the implication being that physicians are acting in patients’ financial, as well as medical interest. Unlike much work in this area, Copayments and the Demand for Prescription Drugs is not sponsored by any drug company; and its up-to-date results, established on a firm scientific basis, are entirely unbiased. Its results have applications for the private insurance and pharmaceutical sectors as well as the public sector, and it will be of great interest to professionals and researchers in the fields of health economics, economic and healthcare policy-making, and microeconomics: its primary findings are especially critical to the United States public health sector which is on the cusp of providing a prescription drug benefit to nearly forty million elderly Americans.




Pharmacokinetics and Drug Interactions in the Elderly and Special Issues in Elderly African-American Populations


Book Description

Reports in the popular press about the increasing longevity of Americans and the aging of the baby boom generation are constant reminders that the American population is becoming older. Consequently, an issue of growing medical, health policy, and social concern is the appropriate and rational use of medications by the elderly. Although becoming older does not necessarily correlate with increasing illness, aging is associated with anatomical and physiological changes that affect how medications are metabolized by the body. Furthermore, aging is often related to an increased frequency of chronic illness (often combined with multiple health problems) and an increased use of medications. Thus, a better understanding of the absorption, distribution, metabolism, and excretion of drugs; of the physiologic responses to those medications; as well as of the interactions among multiple medications is crucial for improving the health of older people.










Patient Safety and Quality


Book Description

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/




Pharmacy Practice in an Aging Society


Book Description

Learn how to talk—and listen—to your elderly clients Pharmacy Practice in an Aging Society examines the aspects of aging that transcend physical and biological changes, addressing practical concerns such as communication, understanding values, and end-of-life issues. This unique book provides pharmacists with the basics on how to enhance their service to the elderly and offers additional suggestions for improving the empathy and understanding they have for their patients. The book explores general health and pharmacy concerns of the elderly, including abuse, neglect, sexuality, stress, and addictions, and presents methods of helping seniors stay healthy through exercise and with appropriate interventions. 34 figures, tables, and exhibits make complex information easy to access and understand. Fewer than five percent of persons over 65 end up in a nursing home, and many stay only long enough to recover or rehabilitate before returning home. The other 95 percent need our attention and our care. Pharmacy Practice in an Aging Society helps pharmacists develop the special tools they need to deal with the elderly, identifying the most challenging areas, and providing effective frameworks for addressing them. The book also includes sidebars that summarize important ideas, including: “Communication”—choosing the right words when delivering difficult or even unwelcome information to patients “Ethics on the Spot”—anticipating difficult questions and determining if information is appropriate to pass along to a patient “Statistics at a Glance”—comparative statistics presented in a way that makes a point “Cutting Edge”—current research findings and what they mean to your patients “Too Late Now”—when changing a patient’s behavior or adding a medication is unlikely to help “Then and Now”—compares past treatment and approaches with current ones and much more! Pharmacy Practice in an Aging Society is an essential resource for community and hospital pharmacists, educators, and anyone else with an interest in health.




Prescription Drug Prices


Book Description




A Status Report


Book Description