Personal care, home health, and nursing aides provide the majority of care to chronically ill and disabled older adults. This workforce faces challenging working conditions, resulting in high turnover and workforce instability that affect the quality of care for older adults. This study adds to the literature by examining racial and ethnic disparities in well-being…
Medical providers are significant drivers of care in post-acute long-term care settings, yet little research has examined the medical provider workforce and its role in ensuring quality of care. This article examines the impact of nursing home medical staffing organization dimensions on the quality of care in US nursing homes. Respondents who reported having a…
Increased training and input from registered nurses is needed to identify appropriate health maintenance tasks to delegate to home care workers and to support development of training strategies. Using a qualitative case study approach, 4 states were selected with varying levels of restrictions in their nurse delegation regulations to conduct interviews. The researchers spoke with…
The delivery of medical care services in nursing homes is dependent on a workforce that includes physicians, nurse practitioners, and physician assistants. Each of these professions operates under a unique regulatory framework while adhering to common standards of care. Nursing home provider characteristics and their roles in care delivery can illuminate potential links to clinical…
Over 1.5 million new jobs for medical assistants, nursing aides, and home care aides need to be filled by 2026. Many of these providers will work in the long-term services and supports (LTSS) sector. This article discusses a study that utilized 16 years of data from the American Time Use Survey, which examines the financial…
An estimated one in 10 adults over the age of 60 suffers from some form of elder abuse. A key component of addressing ongoing elder abuse and the likelihood that its prevalence will increase as a result of a rapidly growing older adult population is the network of local and state agencies that form the…
In California, many Medicaid recipients receive home-and-community-based services (HCBS) in the form of home care aids. Family members can also receive payment as home care aids to these Medicaid recipients. This article describes an analysis of the data on first-time HCBS recipients to see which factors were associated with switching home care aids to provide…
Rapidly emerging technological advances could mitigate rising health workforce demand, but will not replace the direct care workforce, according to a new study from UCSF Health Workforce Research Center on Long-Term Care. The report includes a taxonomy of currently available and emerging technology categories based on products sold by 115 companies, in addition to targeted…
There are insufficient numbers of practicing geriatricians to meet the current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans rapidly increases. Understanding how to best leverage geriatricians as members of an overall care team is critical. This report is the second component…
Nursing homes are important for providing accessible long-term care options for post-acute care patients. Unfortunately, the quality of care for these patients in the nursing home setting is often inadequate. This article examines the roles and relationships between directors of nursing and physicians in nursing homes to determine how these relationships affect patient care.
