Social Research, Policy, and Practice
Chanee Fabius, PhD, MA (she/her/hers)
Assistant Professor
Health Policy and Management
Johns Hopkins University
Baltimore, Maryland, United States
Katherine Ornstein, PhD
Professor
Nursing
Johns Hopkins University
Baltimore, Maryland, United States
Chanee Fabius, PhD, MA (she/her/hers)
Assistant Professor
Health Policy and Management
Johns Hopkins University
Baltimore, Maryland, United States
Harriet Mather, MD, MSc (she/her/hers)
Assistant Professor
Department of Geriatrics and Palliative Medicine
Icahn School of Medicine at Mount Sinai
Andrew Jopson, MPH (he/him/his)
Doctoral Candidate
Health Policy and Management
Johns Hopkins University
Baltimore, Maryland, United States
Karen Shen, PhD (she/her/hers)
Assistant Professor
Health Policy and Management
Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland, United States
Mary Louise Pomeroy, PhD, MPH (she/her/hers)
Postdoctoral Research Fellow
School of Nursing
Johns Hopkins University
Baltimore, Maryland, United States
In the coming years, there will be more older Americans living in the community with extensive medical and long-term care needs increasing the need for long-term services and supports (LTSS) that assist with routine daily activities (e.g., bathing, dressing, medication management). Increasingly research studies are examining factors associated with receipt of LTSS including care preference, family availability and financial resources. Yet LTSS care experiences are likely a result of factors that extend beyond personal preference or individual factors, such as neighborhood quality. availability of home care workers, and state policy characteristics (e.g., state Medicaid generosity). Little research to date has examined how the LTSS environmental context affects the health and well-being of older adults with disabilities and their caregivers. In order to improve LTSS research we need to expand analyses to consider relevant contextual factors. This symposium will feature five presentations that provide novel insight regarding social and physical contextual factors contributing to LTSS using multiple data sources. We will describe (1) a conceptual framework of LTSS-relevant environmental domains and associations between select LTSS-relevant characteristics and older adult care experiences, (2) the relationship between neighborhood deprivation and place of death, (3) care experiences of older Medicare-Medicaid enrollees living in counties with Medicaid Managed Long-Term Services and Supports, (4) trends in paid home care employment and state public financing, and (5) associations between adverse consequences due to unmet, LTSS use, and social isolation.
Individual Symposium Abstract First Author: Chanee D. Fabius, PhD, MA (she/her/hers) – Johns Hopkins University
Individual Symposium Abstract First Author: Harriet Mather, MD, MSc (she/her/hers) – Icahn School of Medicine at Mount Sinai
Individual Symposium Abstract First Author: Andrew D. Jopson, MPH (he/him/his) – Johns Hopkins University
Individual Symposium Abstract First Author: Karen Shen, PhD (she/her/hers) – Johns Hopkins Bloomberg School of Public Health
Individual Symposium Abstract First Author: Mary Louise Pomeroy, PhD, MPH (she/her/hers) – Johns Hopkins University