Moving Toward a Global <scp>Age‐Friendly</scp> Ecosystem

Fulmer, Terry; Patel, Pinkey; Levy, Nicole; Mate, Kedar S.; Berman, Amy; Pelton, Leslie; Beard, John; Kalache, Alexandre; Auerbach, John

doi:10.1111/jgs.16675

Cited by 72 publications

(90 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 Health care providers, community-based aging agencies, and long-term care centers should be aware of these resources, and help disseminate them to the general population. Existing campaigns, such as Dementia Friendly America, 23 Age-Friendly Health Care, 24,25 and President Joe Biden's priority to create a caregiving workforce, 26 are examples of platforms that may be used to distribute ACP education and outreach. In addition, public health agencies such as the Centers for Disease Control have a rare opportunity to further promote (beyond some individuals' natural reaction to revisit plans as in response to a disaster) ACP, rather than just focusing on precautions, as part of the COVID-19 safety protocol measures.…”

Section: Discussionmentioning

confidence: 99%

A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning

Dassel

Towsley

Utz

et al. 2021

Palliative Medicine Reports

View full text Add to dashboard Cite

Background: Little is known about how COVID-19 has influenced the role of family caregivers in advance care planning (ACP). Objectives: To explore the experiences of family caregivers and ACP in the United States during the COVID-19 pandemic. Design: Exploratory sequential mixed-methods design of caregiver characteristics and pandemic response to ACP. Settings/Subjects: Family caregivers of care recipients with varied caregiving needs (dementia, mental illness, etc.). Measurements: Quantitative survey was done of fixed-choice questions of 82 caregivers. Semistructured qualitative telephone interviews were performed of a subsample of participants (n = 28). Results: Some (19%) of family caregivers revisited or updated advance directives of care recipients and/or had some type of contingency plan (33%) if they were to become ill. We identified three barriers caregivers faced during the pandemic that may have limited their engagement with ACP. Conclusions: Family caregivers need education regarding ACP and specific resources that can guide and support them through the process of ACP, for both themselves and care recipients.

show abstract

Section: Discussionmentioning

confidence: 99%

A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning

Dassel

Towsley

Utz

et al. 2021

Palliative Medicine Reports

View full text Add to dashboard Cite

show abstract

“…By working together between the disciplines and creating truly multisectoral actions, a genuine age-friendly society may be achieved for current and future generations. Such actions may even go beyond the current borders of the age-friendly movement, covering age-friendly public health and health systems, age-friendly states, and age-friendly universities [80].…”

Section: Technology and The Age-friendly Citymentioning

confidence: 99%

Age-Friendly Cities and Communities: State of the Art and Future Perspectives

Hoof

Marston

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…The progress made in the acute health care sector to provide age‐friendly health care has not extended substantially to the long‐term care sector 92 . First coined in 2002 by the World Health Organization and accelerated in 2017 by partnerships between the John A. Hartford Foundation, the Institute for Healthcare Improvement, and two health systems, the age‐friendly health care movement has been primarily limited to the ambulatory care, emergency department, and inpatient settings 93 . Inclusion of care in the home is a goal of the movement as well to more effectively engage with and support unpaid caregivers.…”

Section: Recommendationsmentioning

confidence: 99%

COVID‐19: The Time for Collaboration Between Long‐Term Services and Supports, Health Care Systems, and Public Health Is Now

et al. 2021

View full text Add to dashboard Cite

Policy Points To address systemic problems amplified by COVID‐19, we need to restructure US long‐term services and supports (LTSS) as they relate to both the health care systems and public health systems. We present both near‐term and long‐term policy solutions. Seven near‐term policy recommendations include requiring the uniform public reporting of COVID‐19 cases in all LTSS settings; identifying and supporting unpaid caregivers; bolstering protections for the direct care workforce; increasing coordination between public health departments and LTSS agencies and providers; enhancing collaboration and communication across health, LTSS, and public health systems; further reducing barriers to telehealth in LTSS; and providing incentives to care for vulnerable populations. Long‐term reform should focus on comprehensive workforce development, comprehensive LTSS financing reform, and the creation of an age‐friendly public health system. Context The heavy toll of COVID‐19 brings the failings of the long‐term services and supports (LTSS) system in the United States into sharp focus. Although these are not new problems, the pandemic has exacerbated and amplified their impact to a point that they are impossible to ignore. The primary blame for the high rates of COVID‐19 infections and deaths has been assigned to formal LTSS care settings, specifically nursing homes. Yet other systemic problems have been unearthed during this pandemic: the failure to coordinate the US public health system at the federal level and the effects of long‐term disinvestment and neglect of state‐ and local‐level public health programs. Together these failures have contributed to an inability to coordinate with the LTSS system and to act early to protect residents and staff in the LTSS care settings that are hotspots for infection, spread, and serious negative health outcomes. Methods We analyze several impacts of the COVID‐19 pandemic on the US LTSS system and policy arrangements. The economic toll on state budgets has been multifaceted, and the pandemic has had a direct impact on Medicaid, the primary funder of LTSS, which in turn has further exacerbated the states’ fiscal problems. Both the inequalities across race, ethnicity, and socioeconomic status as well as the increased burden on unpaid caregivers are clear. So too is the need to better integrate LTSS with the health, social care, and public health systems. Findings We propose seven near‐term actions that US policymakers could take: implementing a uniform public reporting of COVID‐19 cases in LTSS settings; identifying and supporting unpaid caregivers; bolstering support for the direct care workforce; increasing coordination between public health departments and LTSS agencies and providers; enhancing collaboration and communication across health, LTSS, and public health systems; further reducing the barriers to ...

show abstract

Moving Toward a Global Age‐Friendly Ecosystem

Cited by 72 publications

References 14 publications

A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning

A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning

Age-Friendly Cities and Communities: State of the Art and Future Perspectives

COVID‐19: The Time for Collaboration Between Long‐Term Services and Supports, Health Care Systems, and Public Health Is Now

Contact Info

Product

Resources

About