Preparing The Health Care Workforce To Care For Adults With Alzheimer’s Disease And Related Dementias
Abstract
In the United States, one in nine people ages sixty-five and older and one-third of people ages eighty-five and older have Alzheimer's disease. The number of cases of Alzheimer's disease is projected to triple by 2050, from 5.0 million in 2013 to 13.8 million. This will challenge the health care workforce, which is already inadequate in both size and training. We assessed what is likely to be an increasing shortage of physicians, nurses, and social workers with specialized training in geriatrics and, more specifically, in the care of people with dementia. We highlight the limited training of health care professionals in best practices of dementia care and chronic disease management. To address these shortfalls, we recommend the dissemination of team-based models of care that integrate health and social services; expansion of education loan forgiveness and faculty development programs to attract students into clinician-educator careers focusing on Alzheimer's disease; inclusion of curricula specific to the disease in all health professions training; expansion of federal programs to train existing workers; and increased compensation for the direct care workforce.
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The shortage of geriatricians and other relevant specialists has been attributed to a combination of factors, including growth in demand due to population aging; a smaller percentage of working aged adults; substantively lower pay for geriatricians and neurologists compared with many other specialist physicians; an inadequate number of clinician educators with relevant specialties on the faculties
“The shortage of geriatricians and other relevant specialists has been attributed to a combination of factors, including growth in demand due to population aging; a smaller percentage of working aged adults; substantively lower pay for geriatricians and neurologists compared with many other specialist physicians; an inadequate number of clinician educators with relevant specialties on the faculties”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [732]
Cites
McKhann, G. M., Knopman, D. S., Chertkow, H., Hyman, B. T., Jack, C. R., Kawas, C. H., Klunk, W. E., Koroshetz, W. J., Manly, J. J., Mayeux, R., et al. (2011) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2011.03.005 · Cited by 18,657 · see citing works
Predicting nursing home admission in the U.S: a meta-analysis
Gaugler, J. E., Duval, S., Anderson, K. A., & Kane, R. L. (2007) · BMC Geriatrics · doi:10.1186/1471-2318-7-13 · Cited by 883 · see citing works
Projecting US Primary Care Physician Workforce Needs: 2010-2025
Petterson, S. M., Liaw, W. R., Phillips, R. L., Rabin, D. L., Meyers, D. S., & Bazemore, A. (2012) · The Annals of Family Medicine · doi:10.1370/afm.1431 · Cited by 545 · see citing works
Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?
Bodenheimer, T., Chen, E., & Bennett, H. D. (2009) · Health Affairs · doi:10.1377/hlthaff.28.1.64 · Cited by 544 · see citing works
Geriatric Care Management for Low-Income Seniors
Counsell, S. R., Callahan, C. M., Clark, D. O., Tu, W., Buttar, A. B., Stump, T. E., & Ricketts, G. D. (2007) · JAMA · doi:10.1001/jama.298.22.2623 · Cited by 521 · see citing works
Eng, C., Pedulla, J., Eleazer, G. P., McCann, R. M., & Fox, N. D. (1997) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1997.tb04513.x · Cited by 373 · see citing works
A National Study of the Location of Death for Older Persons with Dementia
Mitchell, S. L., Teno, J. M., Miller, S. C., & Mor, V. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53118.x · Cited by 371 · see citing works
Adverse Outcomes After Hospitalization and Delirium in Persons With Alzheimer Disease
Fong, T. G., Jones, R. N., Marcantonio, E. R., Tommet, D., Gross, A. L., Habtemariam, D. A., Schmitt, E. M., Yap, L., & Inouye, S. K. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-156-12-201206190-00005 · Cited by 224 · see citing works
Improving The Long-Term Care Workforce Serving Older Adults
Stone, R., & Harahan, M. F. (2010) · Health Affairs · doi:10.1377/hlthaff.2009.0554 · Cited by 173 · see citing works
Lethality of Alzheimer Disease and Its Impact on Nursing Home Placement
Arrighi, H. M., Neumann, P. J., Lieberburg, I. M., & Townsend, R. J. (2010) · Alzheimer Disease & Associated Disorders · doi:10.1097/wad.0b013e31819fe7d1 · Cited by 126 · see citing works
The Workforce Task Force Report
Freeman, W. D., Vatz, K. A., Griggs, R. C., & Pedley, T. A. (2013) · Neurology · doi:10.1212/wnl.0b013e31829d8783 · Cited by 101 · see citing works
Caregiving and Chronic Care: The Guided Care Program for Families and Friends
Wolff, J. L., Rand‐Giovannetti, E., Palmer, S., Wegener, S. T., Reider, L. M., Frey, K. P., Scharfstein, D. O., & Boult, C. (2009) · The Journals of Gerontology Series A · doi:10.1093/gerona/glp030 · Cited by 86 · see citing works
Graduate Medical Education, 2012-2013
Brotherton, S. E., & Etzel, S. I. (2013) · JAMA · doi:10.1001/jama.2013.278364 · Cited by 75 · see citing works
Quality improvement in neurology
Odenheimer, G. L., Soo Borson, B., Sanders, A. E., Swain‐Eng, R. J., Kyomen, H. H., Tierney, S., Gitlin, L. N., Forciea, M. A., Absher, J. R., Shega, J. W., et al. (2013) · Neurology · doi:10.1212/wnl.0b013e3182a956bf · Cited by 56 · see citing works
Liu, L. M., GUARINO, A. J., & Lopez, R. P. (2011) · Clinical Nursing Research · doi:10.1177/1054773811431883 · Cited by 39 · see citing works
Reuben, D. B., Bachrach, P. S., McCreath, H. E., et al. (2009) · Academic Medicine · doi:10.1097/acm.0b013e31819fb89d · Cited by 33 · see citing works
Reliable and Sustainable Comprehensive Care for Frail Elderly People
Lynn, J. (2013) · JAMA · doi:10.1001/jama.2013.281923 · Cited by 26 · see citing works
The Donald W. Reynolds Consortium for Faculty Development to Advance Geriatrics Education (FD~AGE)
Heflin, M. T., Bragg, E. J., Fernandez, H. M., et al. (2012) · Academic Medicine · doi:10.1097/acm.0b013e31824d5251 · Cited by 17 · see citing works
Self-citationThe Evercare Story: Reshaping the Health Care Model, Revolutionizing Long-Term Care
Kappas-Larson, P. (2008) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2007.12.014 · Cited by 9 · see citing works
A Short Look at Long-term Care for Seniors
Kaiser Family Foundation, Rousseau, D., Firth, J., et al. (2013) · JAMA · doi:10.1001/jama.2013.17676 · Cited by 8 · see citing works
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Cited by
Sorted by citations
Dementia prevention, intervention, and care
Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., Ballard, C., Banerjee, S., Burns, A., Cohen-Mansfield, J., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31363-6 · Cited by 6,072 · see citing works
2023 Alzheimer's disease facts and figures
(2023) · Alzheimer's & Dementia · doi:10.1002/alz.13016 · Cited by 3,212 · see citing works
2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536 · see citing works
2019 Alzheimer’s disease facts and figures.
Alzheimer's Association (2019) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2019.01.010 · Cited by 2,461 · see citing works
2020 Alzheimer's disease facts and figures
(2020) · Alzheimer's & Dementia · doi:10.1002/alz.12068 · Cited by 2,353 · see citing works
2018 Alzheimer's disease facts and figures
Alzheimer's Association (2018) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2018.02.001 · Cited by 1,912 · see citing works
Sheehan, O. C., Haley, W. E., Howard, V. J., Huang, J., Rhodes, J. D., & Roth, D. L. (2021) · The Gerontologist · doi:10.1093/geront/gnaa108 · Cited by 146 · see citing works
Who Is Providing the Predominant Care for Older Adults With Dementia?
Yang, M., Chang, C.-H., Carmichael, D., Oh, E. S., & Bynum, J. P. W. (2016) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2016.04.026 · Cited by 36 · see citing works
Poghosyan, L., Brooks, J. M., Hovsepian, V., Pollifrone, M., Schlak, A. E., & Sadak, T. (2021) · The American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2021.01.135 · Cited by 24 · see citing works
Breen, R., Savundranayagam, M. Y., Orange, J. B., & Kothari, A. (2022) · Health & Social Care in the Community · doi:10.1111/hsc.13692 · Cited by 21 · see citing works
Davis-Ajami, M. L., Lu, Z. K., & Wu, J. (2022) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2021.104536 · Cited by 20 · see citing works
de Krom, F. J. W., Sivananthan, S., Alkhotany, F., Celen, M., Hol, I. E., Houben, K. J. G., Sivananthan, P., Koekebakker, H., & Deckers, K. (2021) · Journal of Public Health Research · doi:10.4081/jphr.2021.1961 · Cited by 16 · see citing works
Vellani, S., Puts, M., Iaboni, A., Degan, C., & McGilton, K. S. (2022) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980821000349 · Cited by 17 · see citing works
Auvelity as a Potential Treatment for Alzheimer’s Disease
Lepkowsky, C. M. (2022) · Medical Research Archives · doi:10.18103/mra.v10i10.3206 · Cited by 2 · see citing works
- Authors
- Warshaw, G. A., & Bragg, E. J.
- Affiliations
- University of Cincinnati (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2014-04
- Volume
- 33
- Issue
- 4
- Pages
- 633-641
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2141582518
- Cited by
- 75
- References
- 20
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3 · 2023: 8 · 2022: 13 · 2021: 11 · 2020: 5 · 2019: 10 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 1
- FWCI
- 6.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- Alzheimer's disease, dementia care, healthcare workforce, workforce shortage, geriatric training, team-based care, health professions education, faculty development, chronic disease management, employee training programs
- MeSH terms
- Aged, Alzheimer Disease, Delivery of Health Care, Dementia, Health Workforce, Health Personnel, Humans, Long-Term Care, Nurses, Nursing Homes, Social Work, United States, Disease Progression, Physicians, Primary Care
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