1. NIA Research and training relevant to health services John Haaga Deputy Director Division of Behavioral and Social Research National Institute on Aging June 9, 2008 Academy Health, Washington DC

2. Major themes of NIA/BSR research Health Disparities Aging Minds Increasing Health Expectancy Health, Work, and Retirement Interventions and Behavior Change Genetics, Behavior, and the Social Environment The Burden of Illness & the Efficiency of Health Systems

3. NIA niche in Health Services Research? how older people and their families deal with multiple services, often for multiple conditions long-term care system, including financing; hospital-level and regional differences in health expenditures, services, and outcomes for older persons; U.S. and comparative cross-national studies

4. Illustrative current research grants… Program projects –Vincent Mor “Shaping long-term care in America” –Jonathan Skinner “Causes and consequences of health care efficiency” Center grants –Dana Goldman “Roybal Center for Health Policy Simulation”

5. Illustrative current research grants (cont.) R01 research grants –Jalpa Doshi “Life cycle effects of health insurance on elderly health” –Amy Finkelstein “Market failure, public policy, and long-term care insurance” –Terri Fried “Treatment goals at end of life” –Alan Gustman “Integrated models of health and retirement” –John Hsu “Cost-sharing ramifications and prescription drug benefits in Medicare” –Fred Wolinsky “Health and health service use in the HRS/AHEAD”

6. Illustrative current research grants (cont.) R03, R21 small; exploratory research grants –Mary Carter “Spatial analysis of nursing home deficiency citations” –David Meltzer “Effects of hospitalists in Medicare data” –Sebastian Schneeweis “Evaluating drug benefit policy changes in the elderly” –Jennifer Wolff “In-home caregiving and use of medical services”

7. Fellowships & career development awards F31 Adaeze Akamigbo “Health services and outcomes in elderly black women” K01 David Grabowski “Disparities in nursing home care by race and payer status” K08 Amber Barnato “Hospital-level variation in treatment intensity” K23 Julie Bynum “Improving the quality of health systems for the very old” PAR-08-033 (K01) Promoting Careers in Aging and Health Disparities Research

8. Selected Training Grants Charles Boult, Johns Hopkins Gerontological health services research Eileen Crimmins, USC Multidisciplinary research training in gerontology James Goodwin, U-Texas Medical Branch Health of older minorities David Meltzer, Chicago MD/PhD program in medicine, social sciences, & aging Vincent Mor, Brown Aging, health and health services research Thomas Prohaska, U-Illinois at Chicago Gerontological public health David Wise, NBER Economics of aging Julie Zissimopoulos, RANDPostdoctoral training in the study of aging

9. Major investments in data infrastructure Health and Retirement Study National Long-Term Care Survey (to be succeeded by National Study of Disability Trends and Dynamics) Panel Study of Income Dynamics National Study of Social Life, Health and Aging American Life Panel (Internet) National Longitudinal Mortality Study Longitudinal Employment and Household Dynamics Numerous longitudinal data sets Linkages to Medicare claims and sometimes Social Security earnings records, under various agreements

10. For more information, please contact… John Haaga (Health Services)HaagaJ@mail.nih.gov John Phillips (Health Economics)PhillipJ@mail.nih.gov Sid Stahl (Behavioral Medicine) StahlS@mail.nih.gov Lisbeth Nielsen (End-of-life) NielsenLi@mail.nih.gov For more clinical projects… Winnie Rossi, Deputy Director, RossiW@mail.nih.gov NIA Geriatrics and Clinical Gerontology