chronic condition spending, 3, 16, 4243

cost of geriatric training, 171

economic value of informal caregiving, 18, 247248

efficiency of care and, 56

financial assistance for informal caregivers, 261263

financing mechanisms for new models of care, 98101

future challenges, 2425

hospice care, 48

IMPACT model of care for depression, 104

implications for health care system reform, 28

in last years of life, 44

long-term care spending, 48, 62

outcomes of Medicare demonstration projects, 88

per beneficiary, 24, 65

projected Medicare spending, 58

Council for Adult and Experiential Learning, 224

Council on Social Work Education, 149, 150

Crossing the Quality Chasm, 2, 29, 48, 76, 256

Cultural sensitivity

principles of delivery system reform, 77

training for work with special populations, 155157

D

Deficit Reduction Act, 86

Definitions, 27

Delirium

definition, 105

HELP model of care, 105106

prevalence, 105

Dementia

physical health and, 45

prevalence, 44

See also Alzheimer’s disease

Dentists and oral-health care workers

aging of population of, 168

board certification, 145

emerging supply problems, 19, 20

geographic distribution, 126127

supply and demand projections, 144

training, 144146, 154

Department of Health and Human Services, recommendations for, 14, 246

Department of Labor, recommendations, 14, 246

Depression

physical health and, 45

prevalence, 45

treatment models, 7980, 103104

Diabetes, 4546, 55

Diet and nutrition

feeding assistants, 225

geriatric content of medical training, 157, 158

provider training in health promotion, 157

Dietary supplements, 49

Dietetics, 152, 158

Direct-care worker recruitment and retention

causes of turnover, 209210

challenges, 11, 209210, 232

current turnover, 209

financial factors, 210211, 220222

labor pool expansion, 227229

model programs for, 229232

quality of care and, 213214

recommendations for, 11

reform of roles and responsibilities, 226

strategies for improving, 214215, 233

work environment factors, 211213, 222

Direct-care workers, 32

career lattices, 224

compensation, 11, 200, 210211, 220222

employment settings, 201



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