Extending life, enhancing life : a national research agenda on aging / Committee on a National Research Agenda on Aging, Division of Health Promotion and Disease Prevention, Institute of Medicine ; Edmund T. Lonergan, editor.

Format:

Book

Author/Creator:

Institute of Medicine (U.S.). Committee on a National Research Agenda on Aging.

Contributor:

Lonergan, Edmund T.

Language:

English

Subjects (All):

Aging--Research.

Aging.

Aging--Research--Government policy--United States.

Physical Description:

1 online resource (164 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1991.

Language Note:

English

Summary:

Americans are living longer than ever before. For many, though, these extra years have become a bitter gift, marred by dementia, disability, and loss of independence. Extending Life, Enhancing Life sets the course toward practical solutions to these problems by specifiying 15 research priorities in five key areas of investigation: Basic biomedicine--To understand the fundamental processes of aging. Clinical--To intervene against common disabilities and maladies of older persons. Behavioral and social--To build on past successes with behavioral and social interventions. Health services delivery--To seek answers to the troubling issues of insufficient delivery of health care in the face of increasing health care costs. Biomedical ethics--To clarify underlying ethical guidelines about life and death decisions. Most important, the volume firmly establishes the connection between research and its beneficial results for the quality of life for older persons.

Contents:

Extending Life, Enhancing Life

Copyright

Preface

Contents

Executive Summary and Recommendations for Funding

BACKGROUND

Support for Training and Research in Geriatrics and Gerontology

The Aging Society: Current Costs for Health Care of Older Persons

The Potential of Research on Aging

A NATIONAL RESEARCH AGENDA ON AGING

Basic Biomedical Research

Priority Research Recommendations

Additional Research Opportunities

Resource Recommendations

Clinical Research

Behavioral and Social Research

Health Services Delivery Research

Research in Biomedical Ethics

CROSSCUTTING ISSUES

RECOMMENDATIONS FOR FUNDING THE RESEARCH AGENDA ON AGING

Derivation of Recommendations for Funding

Funds for Research Projects

Funds for Training in Age-Related Studies

Funds for Centers

Funds for Infrastructure

Funds for Construction

IMPLICATIONS FOR FUNDING AGENCIES

CONCLUDING COMMENTS

REFERENCES

1 Introduction

2 Basic Biomedical Research

RESEARCH PRIORITIES

ADDITIONAL RESEARCH OPPORTUNITIES

RESOURCE RECOMMENDATIONS

Funding of Research Proposals

Materials

Animal Models

Cell Line and Tissue Samples

Further Development of Existing Longitudinal Studies

3 Clinical Research

RESEARCH PRIORITIES.

Health Promotion and Disease Prevention in Old Age

Studies of Geriatric Syndromes

Failure to Thrive (Inanition)

Impaired Postural Stability, Strength, and Mobility

Mismanagement of Medications

Urinary Incontinence

Delirium

Cardiovascular Disease

Dementia, Pseudodementia, and Psychiatric Disorders

Musculoskeletal Disorders

Infectious Disease and Immunosenescence

Neoplasia

Disorders of Metabolism and Homeostasis

4 Behavioral and Social Sciences

JUSTIFICATION AND MAJOR THEMES

The Dynamic Interaction of Individuals and Sociocultural Contexts

Differentiation

Modifiability

METHODOLOGICAL NEEDS

Tests and Instruments

Coordination of Large-Scale Research

Field Intervention Studies

CROSS-DISCIPLINARY AND CROSSCUTTING ISSUES

Gender

Race and Ethnicity, Socioeconomic Status, and Other Cultural Factors

Population Dynamics

Brain, Environment, Society, and Behavior

5 Health Services Delivery Research

LONG-TERM CARE AND CONTINUITY OF CARE FOR OLDER PERSONS

Characteristics of Older Persons Requiring Long-Term Care

Informal Providers of Long-Term Care

Formal Long-Term Care

Supply of Personnel for Long-Term Care

Locus of Long-Term Care

Quality Assurance

Technologies

FINANCING OF HEALTH CARE FOR OLDER PERSONS

DRUG USE

Inappropriate Prescribing

Noncompliance

Drug Costs and Older Persons

MENTAL HEALTH SERVICES

DISABILITY/DISEASE PREVENTION AND HEALTH PROMOTION SERVICES

RESOURCES REQUIRED

6 Research in Biomedical Ethics.

RESEARCH PRIORITIES

Life-Sustaining Treatment in Older Persons

Improving Discussions About Life-Sustaining Treatment

Improving Decision Making for Incompetent Patients Who Have Not Given Clear Advance Directives

Defining the Role of Institutional Ethics Committees, Particularly Within Nursing Homes

Establishing Medical Futility

Resolving Disagreements Between Health Care Professionals and Patients (or Patients' Families)

Issues of Equity and Access

Identification of Criteria for Appropriate Practice Standards

Age as a Criterion for Allocating Health Care Resources

Allocation of Resources for Patient Care and for Research

Ethical Issues in Aging Research

Innovative Approaches to Informed Consent

Proxy Consent for Incompetent Patients

Attitudes Toward Participation in Research

Research Review in Long-Term Care

CONCLUSIONS AND RESOURCE RECOMMENDATIONS

7 Review of Resources Committed to Research on Aging

FUNDING SUPPORT FOR RESEARCH ON AGING

The Federal Government

National Institutes of Health

Department of Veterans Affairs

Alcohol, Drug Abuse, and Mental Health Administration

Health Care Financing Administration

Agency for Health Care Policy and Research

Other Federal Departments and Agencies

Industry and Foundations

Industry

Foundations

INSTITUTIONS ENGAGED IN RESEARCH ON AGING

Centers for Research on Aging Supported by the NIA

Centers for the Study of Alzheimer's Disease

Centers of Excellence in Research and Teaching in Geriatrics and Gerontology (Claude Pepper Centers)

Geriatric Research, Education, and Clinical Centers of the Department of Veterans Affairs

Teaching and Research Nursing Homes

Other Institutional Supports for the Study of Aging

PUBLICATIONS ON RESEARCH IN AGING.

PERSONNEL ENGAGED IN THE STUDY OF AGING

Appendixes

A Acknowledgments

Liaison Teams

Behavioral and Social Sciences

Behavioral Sciences

Social Sciences

Biomedical Ethics

Experts Providing Information to the Committee

Directors, Dva Geriatric Research, Education, and Clinical Centers

Directors, Pharmaceutical Company Research

B Background Documents

Index.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

ISBN:

9786610211722

9781280211720

1280211725

9780309595100

030959510X

9780585148960

0585148961

OCLC:

632537971