Journal of the American Geriatrics Society最新文献

Our Patients Want to Die at Home. Are They Prepared for It? 我们的病人想死在家里。他们准备好了吗？

Journal of the American Geriatrics Society Pub Date : 2025-05-27 DOI: 10.1111/jgs.19549

Inbal Mayan, Ron Sabar, Alexander K Smith, Lauren J Hunt

引用次数: 0

The State of Geriatrics Education at US Medical Schools: A National Survey of Medical Education Deans. 美国医学院老年病学教育状况：一项对医学教育院长的全国调查。

Journal of the American Geriatrics Society Pub Date : 2025-05-24 DOI: 10.1111/jgs.19530

Catherine M P Dawson, Amy M Sullivan, Andrea W Schwartz

{"title":"The State of Geriatrics Education at US Medical Schools: A National Survey of Medical Education Deans.","authors":"Catherine M P Dawson, Amy M Sullivan, Andrea W Schwartz","doi":"10.1111/jgs.19530","DOIUrl":"https://doi.org/10.1111/jgs.19530","url":null,"abstract":"Background: National and international organizations recommend that all clinicians attain core skills in caring for older adults. A key first step in devising a broad physician workforce preparedness strategy is assessing the current state of geriatrics medical education. Medical school curriculum leaders are well positioned to provide insight into geriatrics education for US medical students, but studies from recent decades are lacking.Methods: For this cross-sectional study, we developed a national survey on geriatrics education, which was disseminated to Medical Education Deans at all 191 accredited allopathic and osteopathic US medical schools in 2021. We present descriptive and inferential statistics for closed-ended questions as well as themes derived from qualitative analysis for open-ended questions.Results: The survey response rate was 73% (140/191). The majority of respondents felt that geriatrics education should be incorporated into medical school curricula, such as in preclinical topics (98%) and through clinical exposure (92%). However, 29% of respondents assessed their school's geriatrics curriculum as \"only a little\" or \"not at all\" developed currently. The four strongest motivators for enhancing geriatrics curricula were identified as: a new accrediting body requirement in geriatrics, curricular funding, institutional support, and faculty championing.Conclusions: Leaders in medical student education report substantial gaps between the current and desired state of geriatrics education at the national level. Our findings hold promise in guiding creative, multipronged approaches to ensure the US physician workforce is well equipped to care for older adults in any setting, from rural outpatient clinics to urban tertiary care centers.","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When There Are no Daughters. 当没有女儿时。

Journal of the American Geriatrics Society Pub Date : 2025-05-22 DOI: 10.1111/jgs.19520

Catherine Callister

引用次数: 0

Older Adults Without Family Caregivers Need Better Access to Medicaid Support Services. 没有家庭照顾的老年人需要更好地获得医疗补助支持服务。

Journal of the American Geriatrics Society Pub Date : 2025-05-22 DOI: 10.1111/jgs.19540

Hagar Dickman, Jane Lowers

引用次数: 0

Correction to "Changes in Skilled Nursing and Home Health Admissions Associated With Medicare Payment Reforms and the COVID-19 Pandemic". 更正“与医疗保险支付改革和COVID-19大流行相关的熟练护理和家庭健康入院的变化”。

Journal of the American Geriatrics Society Pub Date : 2025-05-21 DOI: 10.1111/jgs.19531

引用次数: 0

Self-Perceptions of Aging Predict Recovery After a Fall: Prospective Analysis From the English Longitudinal Study of Aging. 衰老的自我认知预测跌倒后的恢复：来自英国老龄化纵向研究的前瞻性分析。

Journal of the American Geriatrics Society Pub Date : 2025-05-21 DOI: 10.1111/jgs.19486

Mathew W Hill, Elmar Kal, Stephen Ronald Lord, Hayley Wright, David Broom, Toby J Ellmers

{"title":"Self-Perceptions of Aging Predict Recovery After a Fall: Prospective Analysis From the English Longitudinal Study of Aging.","authors":"Mathew W Hill, Elmar Kal, Stephen Ronald Lord, Hayley Wright, David Broom, Toby J Ellmers","doi":"10.1111/jgs.19486","DOIUrl":"https://doi.org/10.1111/jgs.19486","url":null,"abstract":"Objective: To investigate how mindsets around aging at baseline affect physical recovery following a subsequent fall.Design: Longitudinal observational study.Setting: English Longitudinal Study of Aging (ELSA).Participants: We analyzed data for 694 individuals who had not fallen in the 2 years prior to baseline (Wave 4) but experienced a fall during follow-up (between Waves 4 and 5).Measurements: Self-perceptions of aging at baseline (Wave 4) and gait speed, activities of daily living (ADL) dependence, and physical (in)activity after a fall at a 2-year follow-up (Wave 5). Multivariable logistic regression analyses were used to determine to what extent aging-related mindset variables as measured at baseline predicted outcome measures at follow-up.Results: In a fully-adjusted model controlling for confounding baseline factors (including baseline gait speed, ADL dependence and physical inactivity), individuals with positive self-perceptions of aging at baseline had significantly lower odds of slow gait speed (OR = 0.729; 95% CI = 0.627-0.849), ADL dependence (OR = 0.667; 95% CI = 0.561-0.792) and physical inactivity (OR = 0.795; 95% CI = 0.700-0.904) following a fall at a 2-year follow-up.Conclusions: These findings identify self-perceptions of aging as a strong predictor of physical recovery and disability following a fall, independent of other important factors such as age, gender, and pre-fall physical function. These novel observations advance our understanding of the psychological factors impacting physical recovery from a fall. Future work should explore if targeting such perceptions can directly improve physical recovery and outcomes following a fall.","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Low Social Engagement and Risk of Death in Older Adults. 老年人社会参与度低与死亡风险

Journal of the American Geriatrics Society Pub Date : 2025-05-21 DOI: 10.1111/jgs.19511

Ashraf Abugroun, Sachin J Shah, Kenneth Covinsky, Colin Hubbard, John C Newman, Margaret C Fang

{"title":"Low Social Engagement and Risk of Death in Older Adults.","authors":"Ashraf Abugroun, Sachin J Shah, Kenneth Covinsky, Colin Hubbard, John C Newman, Margaret C Fang","doi":"10.1111/jgs.19511","DOIUrl":"https://doi.org/10.1111/jgs.19511","url":null,"abstract":"Background: Social engagement contributes to healthy aging, yet the mechanisms linking social engagement to mortality risk remain poorly understood. This study investigated the biological, behavioral, and psychological pathways mediating this relationship.Methods: We conducted a prospective cohort study using Health and Retirement Study (HRS) data on participants aged 60 and older who completed the Psychosocial and Lifestyle Questionnaires and provided blood samples in 2016. Social engagement was assessed using nine items from the HRS Social Participation questionnaire, with responses categorized as low, moderate, or high. Biological age was calculated using the Klemera-Doubal method and compared to chronological age to identify decelerated aging. We explored mediating pathways between social engagement and 4-year mortality risk using counterfactual mediation analyses.Results: In total, 2268 participants were included. Higher social engagement was associated with lower all-cause mortality rates over 4 years of follow-up. The high social engagement group participants had a lower median biological age, healthier behaviors, and lower prevalence of depressive symptoms than those in the low and moderate engagement groups. High social engagement was associated with lower mortality risk than low engagement (a-HR: 0.58 [95% CI: 0.39, 0.86; p = 0.009]). This effect was partially mediated by regular physical activity (16%) and decelerated biological age (15%). Other factors such as high depressive symptoms, excess alcohol use, and tobacco use showed no significant mediating effects.Conclusions: Higher social engagement in older adults is associated with reduced mortality risk possibly due to decreased biological aging and increased physical activity levels.","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alice in Wonderland's "Father William": Advice for Healthy Aging and a Pushback Against Ageism. 《爱丽丝梦游仙境》中的“威廉父亲”：对健康老龄化的建议和对年龄歧视的抵制。

Journal of the American Geriatrics Society Pub Date : 2025-05-21 DOI: 10.1111/jgs.19519

A Mark Clarfield

引用次数: 0

Reevaluating Functional Recovery Post-COVID-19: A Call for Broader Considerations. 重新评估covid -19后的功能恢复：呼吁更广泛的考虑。

Journal of the American Geriatrics Society Pub Date : 2025-05-20 DOI: 10.1111/jgs.19533

Brijesh Sathian, Hanadi Al Hamad, Javed Iqbal

引用次数: 0

Reply to: Reevaluating Functional Recovery Post-COVID-19: A Call for Broader Considerations. 回复：重新评估covid -19后的功能恢复：呼吁更广泛的考虑。

Journal of the American Geriatrics Society Pub Date : 2025-05-20 DOI: 10.1111/jgs.19534

Jim Q Ho, Gail J McAvay, Terrence E Murphy, Denise Acampora, Katy Araujo, Mary Geda, Thomas M Gill, Alexandra M Hajduk, Andrew B Cohen, Lauren E Ferrante

引用次数: 0