HEALTH STATUS AND FAMILY SUPPORT OF THE ELDERLY

老年人的健康状况和家庭支持

• 批准号: 6349714
• 负责人: ROBERT F SCHOENI
• 金额: $ 4.58万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-02-05 至 2001-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6349714
• 关键词: behavioral /social science research tag; clinical research; family structure /dynamics; functional ability; health care model; health care service; health economics; human old age (65+); human subject

The proposed research will examine the provision of care to the elderly by their families. The emphasis will be on the relationship between the health status of the elderly and the assistance they receive. Because a solid foundation on issues of health status measurement and modeling will be required to conduct rigorous analyses of transfers to the elderly, these topics will be the focus of the training component. The training will consist of enrollment in formal courses, completion of directed readings, attendance at special conferences, and collaborative research with experts in the field of health and socioeconomic outcomes. For mentors, I will draw upon four researchers who will provide required and complementary skills. James P. Smith is Chair of Labor Market and Demographic Studies at RAND. He has extensive experience modeling socioeconomic and demographic processes. Robert B. Wallace is Head of the Department of Preventive Medicine and will, therefore, provide a clinical perspective to the research. Moreover, Dr. Wallace was responsible for designing the questions pertaining to health status that were used in one of the two surveys that will be examined in the proposed research. Ron D. Hays is a Senior Social Policy Analyst at RAND and Adjunct Associate Professor at the UCLA School of Medicine. His research emphasis has been on constructing and evaluating measures of health status and health-related behavior, Paul Gertler is a Senior Health Economist at RAND who has extensive experience with behavioral and econometric models of health status. The research project will examine the relationship between family assistance received by the elderly and their health and changes in their health. Various measures of health status will be examined, including self-reported activities of daily living, instrumental activities of daily living, general health, chronic conditions, cognition, as well as clinical information. Moreover, the research will treat family assistance as multidimensional, taking the form of shared housing, direct financial transfers, and assistance with a variety of activities. The research project will also determine whether programs such as Social Security and Supplemental Security Income influence the amount of assistance family members provide to the elderly. Although these government assistance programs were established to enhance the well- being of the elderly, they may have the unintended effect of dissuading family members from providing the same level of support that they would in the absence of the programs. Knowledge of health measurement and modeling will allow me to develop my specific, intermediate-run research agenda on the relationship between health status and family support, as described in the research proposal. Moreover, one of the benefits of my training program is that it will continue to reap dividends throughout mu career. Almost all behavioral decisions of the elderly, whether they be the provision of family assistance, labor market participation, must consider health. Therefore, any analysis of aging that I will conduct throughout my career will be enhanced by the skills I develop during this SERCA. The training will take place at RAND, the University of California at Los Angeles, and the University of Southern California. Each of these institutions conducts world-renowned research on health and aging, and I will tap into the unique resources available at each organization.

拟议的研究将审查向老年人提供护理的情况 被他们的家人。重点将放在两国之间的关系上 老年人的健康状况和他们得到的帮助。因为 对健康状况测量和建模问题有扎实的基础 将被要求对转移到 对于老年人，这些主题将是培训部分的重点。这个 培训将包括注册参加正规课程，完成 定向阅读、出席特别会议和协作 与健康和社会经济成果领域的专家进行研究。 对于导师，我将聘请四名研究人员，他们将提供所需的 和互补的技能。詹姆斯·P·史密斯是劳动力市场主席， 兰德大学的人口统计学研究。他有丰富的模特儿经验 社会经济和人口过程。罗伯特·B·华莱士是 预防医学部，因此，将提供 从临床角度对研究进行展望。此外，华莱士博士 负责设计与健康状况有关的问题， 在两个调查之一中使用，这两个调查将在 拟开展的研究。罗恩·D·海斯是一名高级社会政策分析师 兰德和兼职副教授，加州大学洛杉矶分校医学院。 他的研究重点一直是构建和评估措施 在健康状况和健康相关行为方面，保罗·格特勒是一名大四学生 兰德大学的健康经济学家，在行为学方面有丰富的经验 以及健康状况的计量经济模型。 这项研究项目将考察家庭与家庭之间的关系 老年人接受的援助与他们的健康和生活的变化 健康。将检查健康状况的各种衡量标准，包括 自我报告的日常生活活动、工具性活动 日常生活、一般健康、慢性病、认知以及 临床信息。此外，这项研究还将治疗家庭 援助是多层面的，采取共享住房的形式， 直接资金转移，并为各种活动提供援助。 该研究项目还将确定社会福利等项目是否 担保和补充担保收入影响 家庭成员向老年人提供帮助。尽管这些 建立了政府援助计划，以加强水井- 作为老年人，他们可能会产生意想不到的劝阻效果 家庭成员不会提供他们愿意提供的同等程度的支持 在没有节目的情况下。 健康测量和建模方面的知识将使我能够 我对两国关系的具体中期研究议程 健康状况和家庭支持之间的关系，如研究中所述 求婚。此外，我的培训计划的好处之一是 它将在穆的整个职业生涯中继续收获红利。几乎所有的 老年人的行为决定，无论是提供 家庭救助、劳动力市场参与，都必须考虑健康。 因此，我将在我的一生中进行的任何关于衰老的分析 我在这次SERCA期间培养的技能将使我的职业生涯得到提升。这个 培训将在洛杉矶的加州大学兰德分校进行 洛杉矶大学和南加州大学。这其中的每一个 机构进行世界知名的健康和老龄化研究，以及 我将利用每个组织提供的独特资源。