ArticleThe Milbank quarterly2014
Disability and care needs among older Americans.
Article in The Milbank quarterly, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 163 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
163 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Social isolation and loneliness effects on medication adherence in older adults: perspectives from a systematic review.BMC public health · 2026Pooled it
- Pooled it
- The Effects of Home Care Provider Mix on the Care Recipient: An International, Systematic Review of Articles from 2000 to 2020.Annual review of public health · 2021Pooled it
- Health Services Use Among Jailed Women with Alcohol Use Disorders.The journal of behavioral health services & research · 2019Trial
- Cohabitation and unmet care needs in later life.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Behavioral Interventions to Increase Physical Activity Among Dementia Caregivers: A Narrative Review of Behavior Theory, Behavior Change Techniques, and Mechanisms of Behavior Change.Geriatrics (Basel, Switzerland) · 2026Review
- African American Attitudes Toward Supporting Older Adults: Differences by Lifecourse Stage.Sociological focus · 2026Article
- Trends In Care Needs Among Older US Adults Diverged By Age, 2011-22.Health affairs (Project Hope) · 2026Article
- The disability and care squeeze: the effects of children's disability and special healthcare needs on parents' employment in Australia.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Proteome-wide association study of cortical proteins that may provide resilience for late-life disability.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Closing the gap of older adult recruitment to cancer clinical trials: a scoping review.BMC cancer · 2026Article
- Unmet needs of activities of daily living among older adults living in their own homes: a community-based cross-sectional study.BMC geriatrics · 2026Article
- Associations between caregiver-provider communication quality and unmet care needs among older adults.BMC geriatrics · 2026Article
- Physical frailty, self-rated health, and all-cause mortality: implications for understanding resilience in aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Protocol for a single-arm, multi-component behavior change technique (BCT) intervention to develop a walking habit among caregivers for persons with Alzheimer disease and related dementias (ADRD).Contemporary clinical trials · 2026Article
- Caregivers serving as confidants: relationship correlates and well-being by care-recipients' dementia status.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Racial and Ethnic Differences in Caregiving Networks and Unmet Care Needs Among People Living With Cognitive Impairment.Research on aging · 2026Article
- The Future Availability of Family Caregivers: Implications for Late-Life Care Gaps.Population research and policy review · 2026Article
- The cost of non-drug interventions that improve function and reduce dementia-related behaviors.BMC geriatrics · 2025Article
- Associations between Caregiver-Provider Communication Quality and Unmet Care Needs Among Older Adults.Research square · 2025Article
103 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
contextThe cost of late-life dependency is projected to grow rapidly as the number of older adults in the United States increases in the coming decades. To provide a context for framing relevant policy discussions, we investigated activity limitations and assistance, care resources, and unmet need for a national sample of older adults.
methodsWe analyzed the 2011 National Health and Aging Trends Study, a new national panel study of more than 8,000 Medicare enrollees.
findingsNearly one-half of older adults, or 18 million people, had difficulty or received help in the last month with daily activities. Altogether, 1 in 4 older adults receiving help lived in either a supportive care (15%) or a nursing home (10%) setting. Nearly 3 million received assistance with 3 or more self-care or mobility activities in settings other than nursing homes, and a disproportionate share of persons at this level had low incomes. Nearly all older adults in settings other than nursing homes had at least 1 potential informal care network member (family or household member or close friend), and the average number of network members was 4. Levels of informal assistance, primarily from family caregivers, were substantial for older adults receiving help in the community (164 hours/month) and living in supportive care settings (50 hours/month). Nearly all of those getting help received informal care, and about 3 in 10 received paid care. Of those who had difficulty or received help in settings other than nursing homes, 32% had an adverse consequence in the last month related to an unmet need; for community residents with a paid caregiver, the figure was nearly 60%.
conclusionsThe older population-especially those with few economic resources-has substantial late-life care needs. Policies to improve long-term services and supports and reduce unmet need could benefit both older adults and those who care for them.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.