Research Catalog

Systematic review : risk factors and interventions to prevent or delay long-term nursing home placement for adults with impairments

Title
Systematic review : risk factors and interventions to prevent or delay long-term nursing home placement for adults with impairments / principal investigator, Wei Duan-Porter ; co-investigators, Edward Ratner, Kristine E. Ensrud, Joseph E. Gaugler, Tetyana Shippee ; research associates, Kristen Ullman, Nancy Greer, Lauren McKenzie, Christina Rosebush.
Author
Duan-Porter, Wei
Publication
Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, May 2019.

Available Online

https://purl.fdlp.gov/GPO/gpo146542

Details

Additional Authors
  • United States. Department of Veterans Affairs. Health Services Research and Development Service, sponsoring body
  • Minneapolis VA Health Care System (U.S.). VA Evidence Synthesis Program, issuing body
Series Statement
Evidence synthesis program
Uniform Title
Evidence-based synthesis program (Series)
Alternative Title
  • Risk factors and interventions to prevent or delay long-term nursing home placement for adults with impairments
  • Interventions to delay nursing home entry
Subject
  • People with mental disabilities > Institutional care > United States
  • People with mental disabilities > Home care > United States
  • Long-term care facilities > United States
  • Nursing homes > United States
  • Veterans > Medical care > United States
  • Medical care > Needs assessment
  • Hospitals, Convalescent
  • Nursing homes
  • Risk assessment
Note
  • "May 2019."
Bibliography (note)
  • Includes bibliographical references (pages 36-54).
Funding (note)
  • Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence Synthesis Program (ESP) Center, Minneapolis VA Health Care System, Minneapolis, MN, Timothy J. Wilt, MD, MPH, MS, Director
  • VA ESP
Source of Description (note)
  • Description based on online resource; title from PDF title page (viewed May 29, 2020).
Call Number
GPO Internet VA 1.107/3:N 93
OCLC
1156736382
Author
Duan-Porter, Wei, author.
Title
Systematic review : risk factors and interventions to prevent or delay long-term nursing home placement for adults with impairments / principal investigator, Wei Duan-Porter ; co-investigators, Edward Ratner, Kristine E. Ensrud, Joseph E. Gaugler, Tetyana Shippee ; research associates, Kristen Ullman, Nancy Greer, Lauren McKenzie, Christina Rosebush.
Publisher
Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, May 2019.
Description
1 online resource (v, 99 pages) : illustrations.
Type of Content
text
Type of Medium
computer
Type of Carrier
online resource
Series
Evidence synthesis program
Evidence-based synthesis program (Series) http://id.loc.gov/authorities/names/no2010127829
Bibliography
Includes bibliographical references (pages 36-54).
Summary
In fiscal year 2020, the Department of Veterans Affairs (VA) is projected to spend $9.8 billion on long-term care services for eligible Veterans. Recent legislation have created and expanded VA programs to support informal caregivers (ie, family or friends who provide unpaid care for Veterans with substantial impairments). A substantial proportion of Veterans with impairments served after September 11, 2001; there is a higher prevalence of mental health conditions for this younger group, and their caregivers are more likely to lack social support networks. In 2017, the VA Secretary launched the Choose Home Initiative to enhance VA policies and practices for supporting Veterans and their informal caregivers, and to improve collaboration with non-VA community groups. To help VA policymakers understand the effects of VA-provided or -funded home and community-based services (HCBS), particularly with regard to avoiding long-term nursing home placement (NHP), the VA Evidence Synthesis Program (VA ESP) was asked to examine evidence on modifiable risk factors for long-term NHP and interventions that aimed to delay long-term NHP for community-dwelling adults with physical and/or cognitive impairments. We sought evidence for both adults with existing disabilities (or at high risk for developing impairments) and individuals with posttraumatic stress disorder (PTSD) and/or traumatic brain injury (TBI). To address the broad scope of questions for these diverse populations and to provide specific recommendations for VA policies, we undertook an umbrella review of systematic reviews. We present qualitative summaries of results from the highest quality and most recent reviews covering the largest range of risk factors and interventions. We also describe policy implications and evidence gaps.
Funding
Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence Synthesis Program (ESP) Center, Minneapolis VA Health Care System, Minneapolis, MN, Timothy J. Wilt, MD, MPH, MS, Director
VA ESP 09-009
Connect to:
https://purl.fdlp.gov/GPO/gpo146542
Added Author
United States. Department of Veterans Affairs. Health Services Research and Development Service, sponsoring body.
Minneapolis VA Health Care System (U.S.). VA Evidence Synthesis Program, issuing body.
Running Title
Interventions to delay nursing home entry
Gpo Item No.
0985-A-12 (online)
Sudoc No.
VA 1.107/3:N 93
Research Call Number
GPO Internet VA 1.107/3:N 93
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