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FALL RELATED INJURIES AMONG OLDER ADULTS
IN THE LOS ANGELES REGION
by
Caroline Cicero
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(GERONTOLOGY)
December 2010
Copyright 2010 Caroline Cicero
Object Description
| Title | Fall related injuries among older adults in the Los Angeles region |
| Author | Cicero, Caroline |
| Author email | cicero@usc.edu; carolinecicero@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Gerontology |
| School | Leonard Davis School of Gerontology |
| Date submitted | 2010 |
| Restricted until | Unrestricted |
| Date published | 2010-09-07 |
| Advisor (committee chair) | Pynoos, Jon |
| Advisor (committee member) |
Enguidanos, Susan Myers, Dowell |
| Abstract | This study is a comparative analysis of community dwelling older adults who were hospitalized after falling in five Los Angeles Region counties: Los Angeles, Orange, Riverside, San Bernardino, and Ventura. It provides a current demographic assessment, future public health projections, and a planning response for local governments. Nearly 30,000 of the Los Angeles Region’s 1.8 million older adults were hospitalized for falls in 2006. Aging Baby Boomers will cause the Region’s older population to swell to over 5 million by the year 2050. The Region’s hospitalizations for fall-induced injuries cost Medicare and Medi-Cal over $1.3 billion in 2006. However, according to projections, the costs will increase dramatically by 2020, when over 40,000 older adults will be hospitalized for falls each year. By the year 2035, hospitalizations for falls will reach 60,000 per year, increasing through 2050. The older population of the Region is more diverse than the national population of older adults. Analysis of fallers’ billed charges, sources of pay, and discharge disposition in the Los Angeles Region found that White fallers are most costly to the federal Medicare system and non-White fallers have lower rates of Medicare utilization. Higher billed charges and high Medi-Cal utilization for falls among Latino, Asian, African-American, and Other race fallers are costly to the State of California. The majority of fallers are discharged to a Skilled Nursing Facility (SNF), and those with SNF discharge were older, had longer lengths of stay, and higher billed charges. They were more often White. Patients discharged to their homes were younger, had shorter hospital stays, and had lower billed charges. Asian and Latino fallers had high home discharge rates.; While the primary public economic impact of falls is on federal and state programs, it is in local jurisdictions where falls occur, where rehabilitation and long term care after hospital discharge must be provided, and where repeat falls and injuries can be prevented through targeted programming and urban planning policy that supports aging in place. Fall prevention initiatives for local governments are presented. |
| Keyword | fall injuries; fall prevention; Los Angeles region; local government; baby boomers; public health; older adults; urban planning |
| Geographic subject (county) | Los Angeles; Orange; Riverside; San Bernardino; Ventura |
| Geographic subject (state) | California |
| Coverage date | 2000/2006 |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m3425 |
| Rights | Cicero, Caroline |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Cicero-3927 |
| Archival file | uscthesesreloadpub_Volume29/etd-Cicero-3927.pdf |
Description
| Title | Page 1 |
| Full text | FALL RELATED INJURIES AMONG OLDER ADULTS IN THE LOS ANGELES REGION by Caroline Cicero A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (GERONTOLOGY) December 2010 Copyright 2010 Caroline Cicero |
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