2021 Home and Community Preferences Survey: A National Survey of Adults Age 18-Plus

Binette, Joanne

doi:10.26419/res.00479.001

Cited by 29 publications

(23 citation statements)

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“… 3 The supply of nursing home beds may be declining, in part, because of individual preferences to remain in the community for as long as possible rather than receiving care in a nursing home. 4 It may also be declining in the context of increasing availability of home- and community-based care. 5 , 6 However, as the US population has aged and required more assistance with care, 7 it is unclear whether the supply of nursing home beds has kept pace with demand.…”

Section: Introductionmentioning

confidence: 99%

Trends in Supply of Nursing Home Beds, 2011-2019

2023

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ImportanceNursing homes play a vital role in providing postacute and long-term care for individuals whose needs cannot be met in the home or community. Whether the supply of nursing home beds and, specifically, the supply of high-quality beds has kept pace with the growth of the older adult population is unknown.ObjectiveTo describe changes in the supply of population-adjusted nursing home beds from 2011 to 2019.Design, Setting, and ParticipantsThis cross-sectional study examines changes in the population-adjusted supply of nursing home beds across all US counties from 2011 to 2019 and describes county and nursing home characteristics where the supply of nursing home beds has increased vs decreased.Main Outcomes and MeasuresNumber of nursing home beds adjusted per 10 000 adults aged 65 years and older.ResultsThe population-adjusted supply of nursing home beds declined from 2011 to 2019 for 86.4% of US counties, by a mean (SD) of 129.9 (123.8) beds per 10 000 adults aged 65 years or older per county from a baseline mean (SD) of 552.5 (274.4) beds per 10 000 adults aged 65 years or older per county in 2011. The share of beds that were high quality (4- or 5-star ratings) also declined, which was driven by a small number of counties where nursing home bed supply increased due to a proliferation of lower-quality beds. Simultaneously, metropolitan counties with declining numbers of nursing home beds also experienced declining number of senior housing residential beds (−11.3 [54.6] beds per 10 000 adults aged 65 years or older per county from a baseline mean [SD] of 354.8 [222.3]).Conclusions and RelevanceThe findings of this cross-sectional study suggest that the supply of nursing home beds, specifically high-quality nursing home beds, and senior residential housing beds have not kept pace with the demographics of an aging population. Understanding the supply of high-quality nursing home beds and associated geographic variation can inform targeted policies to best support older adults requiring nursing home care.

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Section: Introductionmentioning

confidence: 99%

Trends in Supply of Nursing Home Beds, 2011-2019

2023

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“…When age-related changes significantly affect older adults' independence to do basic daily activities, they need continued support at home, or they may need to move to other residential settings that provide care and support for them. However, the latter choice is less preferred, as most older adults want to stay in their current home and community for as long as possible (20).…”

Section: Lifelong Approach To Designing For Older Adults: Introducing...mentioning

confidence: 99%

(St)aging in place: Information and communication technologies for a health-centered agile dwelling unit

Cevallos

Ramadhani²,

Lindgren³

et al. 2023

Front. Public Health

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As the number of older adults is growing rapidly in the U.S., the need for personalized, innovative, and sustainable Information and Communication Technologies (ICTs) solutions is critical to support individuals' social, emotional, and physical health. Such technology can significantly help older adults' ability to live independently in their homes despite the challenges the aging process may present, referred to as aging or staging in place. In this study, we explored ways to integrate ICTs into Agile Dwelling Units (AgDUs) through affordable, innovative, technology-enabled tools and practices that can be adapted to respond to individual's needs while supporting independent, secure, and engaged healthy living. The technology-enabled and human-centered AgDUs organically transform in response to users' needs. This approach offers a viable solution for older adults at different stages throughout their lifespan to transition into an intimate, technologically-enhanced living environment while allowing for (1) customization to user's needs; (2) cost optimization and maintenance; and (3) accessibility that minimizes gaps in compliance from a provider and user perspectives. Integrating ICTs in AgDUs to support health monitoring and management could reduce forthcoming pressure on the healthcare system and care providers to accommodate the needs of older adults. This approach is described through a collaborative multidisciplinary lens that highlights a partnership between academia, industry experts, and key stakeholders to advance healthy living and extend lifespan through design-build and technology integration. The main goal of this approach is to increase access to health services and optimize healthcare costs.

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“…This number is expected to grow 34% by 2029. This is in part due to the rapidly aging U.S. population, but also due to the rising movement of adults who want to age in place and avoid nursing homes (Binette, November 2021; Bureau of Labor Statistics, 2019). The type of support that HCWs provide can be for short or long terms and varies from assisting with personal care (e.g., activities of daily living and instrumental activities of daily living), to assisting with medical self-care (e.g., reminders to take medication, tracking weight), to monitoring vital signs and reporting changes in a client’s condition (Bureau of Labor Statistics, 2019).…”

Section: Introductionmentioning

confidence: 99%

Better Preparation and Training Determine Home Care Workers’ Self-Efficacy in Contributing to Heart Failure Self-Care

et al. 2022

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Objective Identify determinants of home care workers’ (HCW) self-efficacy in contributing to heart failure (HF) self-care. Methods Secondary analysis of a survey ( n = 328) examining characteristics of HCWs caring for adults with HF in New York. Self-efficacy assessed using Caregiver Self-Efficacy in Contributing to Self-Care Scale. Standardized scores range 0–100; ≥ 70 points indicate adequate self-efficacy. Characteristics determined by self-efficacy (low vs. adequate). Prevalence ratios with 95% confidence intervals (PR [95% CI]) were estimated using multivariable Poisson regression with robust standard errors. Results Home care workers with adequate self-efficacy had at least some prior HF training (55% vs. 17%, p < .001) and greater job satisfaction (90% vs. 77%, p = .003). Significant determinants for adequate self-efficacy were employment length (1.02 [1.00–1.03], p = .027), preparation for caregiving (3.10 [2.42–3.96], p < .001), and HF training (1.48 [1.20–1.84], p < .001). Conclusion Home care agencies and policy-makers can target caregiving preparation and HF training to improve HCWs’ confidence in caring for adult HF patients.

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2021 Home and Community Preferences Survey: A National Survey of Adults Age 18-Plus

Cited by 29 publications

References 0 publications

Trends in Supply of Nursing Home Beds, 2011-2019

Trends in Supply of Nursing Home Beds, 2011-2019

(St)aging in place: Information and communication technologies for a health-centered agile dwelling unit

Better Preparation and Training Determine Home Care Workers’ Self-Efficacy in Contributing to Heart Failure Self-Care

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