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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.
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Outdoor mobility in old age is a complex phenomenon. On the one hand, it is a basic human need and means the physical ability to move. On the other, it means the realization of all types of trips out-of-doors, either by foot or by means of transportation. In addition, societal and individual necessities, modern values and economic interests mutually reinforcing each other have resulted in mobility as an ever more important precondition of ensuring the ability to lead an autonomous life and participate actively in society according to one's individual needs. Mobility also promotes healthy ageing, delays the onset of disabilities, and postpones frailty, thereby contributing to subjective well-being and life satisfaction. With advancing age, however, maintaining mobility may become jeopardized because of the increasing risk of physical and sensory impairments. This book includes information on older people's actual out-of-home mobility, on the transportation tools used, the prevalence of typical problems associated with out-of-home mobility, the impact of health, social networks, the home and neighbourhood environments, and psychological aspects on their mobility and activities, differences between urban and non-urban areas, and age and gender differences. In addition, a new model of mobility is suggested and the relation between mobility and quality of life is analysed. The book concludes with implications for social and transport policies, urban planning, and industrial pursuits for meeting the mobility needs of ageing adults.
With today's spatial separation of spheres of life, mobility has become an important aspect of ensuring one's everyday life and social participation. Due to the decline of physical and sensory competences, older people will find it difficult to maintain the requisite levels of mobility and, by this, social well-being and quality of life. This book is based on a study carried out in four European countries (five regions), investigating how the mobility behaviour of elderly men and women is affected by various individual resources and differing cultural and environmental conditions. It concludes with implications for problem-solving strategies for meeting the mobility needs of the ageing population.