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UCSF INSTITUTE FOR HEALTH & AGING ◊ UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
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| Patrick Fox |
Email: Pat.Fox@ucsf.edu
Telephone: (415) 476-9483
Dr. Fox is Co-Director at the Institute for Health & Aging and Professor of Sociology and Health Policy in the Department of Social and Behavioral Sciences. He received his Master of Social Welfare from the University of California, Berkeley, and his Doctor of Philosophy in Sociology from the University of California, San Francisco where he was also a Pew Health Policy Scholar.
Dr. Fox's interests include the sociology of aging, long-term care, evaluation of social and health interventions, health policy, disease-based social movements, economic costs of illness, and health promotion.
He has written numerous reports and articles on the delivery of community-based long-term care and mental health services to the elderly, evaluation of community-based health promotion interventions for the elderly, Alzheimer's disease, the economic costs of disease, and clinical quality improvement.
Title: Alzheimer's Disease Research Center Data Management and Biostatistics
Core
Project Period: 5/15/04-3/31/09
Funding Agency: NIH/NIA
Description: The
purpose of this project is for Dr. Fox to direct a partnership between
the Institute for Health & Aging and the UCSF Memory and Aging Center
(MAC) in providing high quality data management services and statistical
consulting to the ADRC research projects and cores.
Title: Best Practices in Childhood Asthma
Project Period: 7/1/05-6/30/08
Funding Agency: California Department of Health Services
Description: The goal of this project is to create, lead, and
sustain a community-based interventional program in childhood asthma
prevention and practice management for economically-vulnerable and
underserved disparate populations in California based on use of
continuous quality improvement methodologies and a multidisciplinary
team at the clinic level to include a clinician leader and an asthma
coordinator.
Title: Breast and Cervical Cancer Control Project (BCCCP)
Project Period: 10/1/01-6/30/09
Funding Agency: Centers for Disease Control and
Prevention/California Department of Health Services
Description: The purpose of this project is to maintain a
computerized system to track women screened annually through the Breast
and Cervical Cancer Control Program (BCCCP). This screening program
aims to provide detection of cancer as early as possible, increase
access to services, make available affordable treatment, and reduce
cancer mortality in the targeted populations throughout California.
Title: California Arthritis Partnership Project (CAPP)
Project Period: 4/1/03-6/30/09
Funding Agency: Centers
for Disease Control and Prevention/California Department of Health
Services
Description: The
purpose of this project is to promote awareness of arthritis as a major
cause of disability and to empower persons with risk factors for
arthritis, as well as persons living with arthritis, to take appropriate
actions to maximize their health and well being. This is achieved by
collecting, analyzing, and disseminating epidemiologic and cost
information, and provide technical assistance to local health
departments and community-based organizations in program development,
implementation, and evaluation.
Title: California Center for Physical Activity
http://www.caphysicalactivity.org
Project Period: 7/1/01-6/30/09
Funding Agency: California Department of Health Services
Description: The focus of this project is to facilitate the
creation of enjoyable social and physical environments that enable
Californians to become and stay active, thereby, reaping the benefits of
a physically active lifestyle. Organized with three main objectives:
(1) to increase the proportion of the California population, age 50 and
older, who engage in regular physical activity, (2) increase the
proportion of employers who sponsor, and employees who engage in,
regular physical activity, and (3) increase the proportion of community
and neighborhood policies and environments that encourage and support
walking and biking.
Title: California Diabetes Program
http://www.caldiabetes.org
Project Period: 7/92-3/29/08
Funding Agency: Centers for Disease Control and Prevention/California Department of
Health Services
Description: This project is a cooperative effort with the California Department of
Health Services (DHS) to coordinate with DHS and outside agencies to
develop policies and guidelines to improve public awareness of diabetes
and standards of care for people with diabetes. This project provides
policy and program support to integrate diabetes policy for the DHS
managed care systems, and to ensure monitoring of diabetes-related
outcomes.
Title: California Heart Disease and Stroke Prevention Program (CHDSP)
Project Period : 7/1/01-6/30/09
Funding Agency: California
Department of Health Services
Description: The purpose of this project is to (1) increase
awareness among policy makers and media members of heart disease and
stroke in areas with high rates of cardiovascular disease, (2) expand
collaboration among community-based organizations, health departments
and coalitions, clinics, hospitals, businesses and voluntary agencies,
and (3) develop a CVD information clearinghouse with emphasis on
assisting public health workers and researchers to address CVD
disparities and needs of the multi-ethnic California population.
Title: California Obesity Control Project
Project Period: 7/1/01-6/30/08
Funding Agency: California Department of Health Service
Description: The goals of this project are to
(1) conduct strategic planning activities
to assist the California Obesity Prevention Initiative (COPI) to develop
a plan for obesity prevention in California, (2) develop pilot
intervention projects, (3) provide training and technical assistance to
state and local staff and collaborative partners, and (4) evaluate
progress and impact of the California Obesity Prevention Plan and the
pilot interventions.
Title: Continuing Professional Education Training Program
Project Period: 7/1/92-6/30/09
Funding Agency: California Department
of Health Services
Description: The specific aim of this project is to enable the
Department of Health Services and local health departments to achieve
the goal of providing continuing education to health professionals in
the State, including the coordination and enhancement of programs
related to continuing and emerging public health issues.
Title: Evaluation
of Alzheimer's Disease Research Centers of California (ARCCs)
Project Period: 9/1/85-Ongoing
Funding Agency: California Department of Health Services
Description: This project provides an evaluation of the ARCCs
and includes development and refinement of a Minimum Uniform Data Set
(MUDS), which has been used to investigate health and social service
utilization patterns of people with Alzheimer's disease, predictors of
survival for people with Alzheimer's disease, and correlates of
depression among people with Alzheimer's disease.
Title: Frontotemporal Dementia: Genes, Images, and Emotions
Project Period: 9/1/02-8/31/07
Funding Agency: NIH/NIA
Description: The goal of this project is to determine the genetic
causes, neuroimaging hallmarks, emotional sequelae and clinical features
of frontotemporal lobar degeneration, compared to Alzheimer's disease,
healthy aging, and progressive supranuclear palsy.
Title: Maternal Child and Adolescent Health: Public Health Research Model
Project Period: 12/1/05-11/30/10
Funding Agency:
California Department of Health Services
Description: The
overall goals of this study are to (1) improve maternal child health
program planning and evaluation through use of evidence-based research,
and (2) organize and direct epidemiological surveillance and evaluation
research activities in the Maternal and Child Health Branch at the
California Department of Health Services.
Title: Maternal Child and Adolescence Health Program Development
Project Period: 3/1/05-2/28/10
Funding Agency: California Department of Health Services
Description: The overall goals of this project are to (1) Develop maternal, child and
adolescent health (MCAH)-specific public health research models, and (2)
provide training and guidance to MCAH scientists on their implementation
and use of the public health research models.
Title: Preventive
Health Care for the Aging Project (PHCA)
Project Period: 7/92-6/30/09
Funding Agency: California Department of Health Services
Description: The goals of the PHCA program are to assist California's older population in
preventing and/or controlling ill health and promoting improved health.
This project provides technical assistance and evaluation resources to
the California Department of Health Services (DHS) for the project which
is a program of public health nursing services that include
comprehensive health appraisals, individual health counseling, referral
and follow-up of suspected health problems to other health
professionals, group and community education, and community advocacy
activities. This project has evaluated the effectiveness of the program
in sustaining health behavior changes among the client population
measured in terms of compliance to health plan recommendations developed
mutually between public health nurses and the older adults served by the
program. The project has also investigated major risk factors for
cardiovascular disease among older Californians served by the program.
Title: School Health Connections (SHC)
Project Period: 1/1/05-10/31/07
Funding Agency: California Department of Health Services
Description: The goal of this project is to ensure that children
are health and ready to learn by taking advantage of the pivotal
position of school in reaching children and families by combining health
education, health promotion and disease prevention, and access to
health-related services in an integrated and systematic manner.
Title: Stem Cell Research Unit
Project Period: 7/1/07-6/30/12
Funding Agency: California Department of Health Services
Description: The goal of this project is to distribute and revise
comprehensive statewide guidelines and reporting requirements to be used
by the Stem Cell Research Oversight Committee (SCRO), reviewing research
projects involving the derivation or use of human stem cells,
Institutional Review Boards (IRB's) reviewing oocyte donation/use in
research projects, and human stem cell research projects in California.
Title: Technical Assistance - Refugee Health Section
Project Period: 7/1/05-6/30/08
Funding Agency: California Department of Health Services
Description: The goals of this project are to assist the Refugee
Health Section at the California Department of Health Services (1) in
maintaining, refining and adding report-generating capability to the
Refugee Health Electronic Information Systems (RHEIS) and provide data
reporting and other technical assistance to RHS management; (2) by
performing planning, development, implementation and oversight
activities related to the Refugee Health Assessment Program (RHAP), and
(3) in maintaining and upgrading the California Nutrition Network
Geographic Information Systems (CNN-GIS) and perform statistical and
spatial data analysis for the CPNS evaluation unit.
Title: Tobacco Control Evaluation Project
Project Period: 7/1/01-6/30/11
Funding Agency: California Department of Health Services
Description: In collaboration with the
Tobacco Control Section, California Department of Health Services,
this project aims to (1) develop advertising and public relations
campaigns, (2) measure and assess their outcomes, (3) develop an
accounting/auditing system to track media contractor expenditures and
performance of contractors, and (4) insure the accurate collection and
submission of evaluation-related data.
Fox, P., Porter, P., Lob, S., Holloman, Rocha, D. and Adelson, J. “Improving Asthma-Related Health Outcomes Among Low-Income, Multi-Ethnic School-Aged Children: Results of a Demonstration Project Combining Continuopus Quality Improvement and Community Health Worker Strategies,” Pediatrics, in press.
Scharlach, A., Kellam, R., Ong, N., Baskin, A., Goldstein, C. and Fox, P. “Cultural Attitudes and Caregiver Service Use: Lessons from Focus Groups with Racially and Ethnically Diverse Family Caregivers.” Journal of Gerontological Social Work, Vol. 47, No. 1/2: 133-156, 2006.
Dal Santo, T., Scharlach, A., Nielsen, J. and Fox, P. “A Stress Process Model of Family Caregiver Service Utilization: Factors Associated with Respite and Counseling Service Use.” Journal of Gerontological Social Work, Vol. 49, No. 4: 29-49, 2007.
Arnsberger, P., Fox, P., Ryder, P., Nussey, B., Zhang, X. and Otero-Sabogal, R. “Timely Follow-up Among Multi-cultural Women with Abnormal Mammograms.” American Journal of Health Behavior, Vol. 30, No. 1: 51-61, 2004.
Otero-Sabogal, R., Owens, D., Canchola, J., Golding, J., Tabnak, F., and Fox, P. “Mammography Rescreening Among Women of Diverse Ethnicities: Patient, Provider, and Health Care System Factors.” Journal of Health Care for the Poor and Underserved, Vol. 15, No. 3: 390-412, 2004.
Kohatsu, N., Gould, D., Ross, L. and Fox, P. “Characteristics Associated with Physician Discipline: A Case-Control Study,” Annals of Internal Medicine, Vol. 164: 653-58, 2004.
Fox, P. Arnsberger, P., Owens, D., Nussey, B., Zhang, X., Golding, J. Tabnak, F., and Otero-Sabogal, R. “Patient and Clinical Site Factors Associated With Re-Screening Behavior Among Older Multi-Ethnic, Low-Income Women.” The Gerontologist, Vol. 44, No. 1: 76-84, 2004.
Covinsky, K., Newcomer, R., Fox, P., Wood, J., Sands, L., Dane, K. and Yaffe, K. “Patient and Caregiver Characteristics Associated With Depression in Caregivers of Patients With Dementia,” Journal of General Internal Medicine, Vol. 18: 1006-1014, 2004.
Otero-Sabogal, R., Owens, D., Canchola, J., Golding, J., Tabnak, F., and Fox, P. “Mammography Rescreening Among Women of Diverse Ethnicities: Patient, Provider, and Health Care System Factors.” Journal of Health Care for the Poor and Underserved, Vol. 15, No. 3: 390-412, 2004.
Arnsberger, P., Nussey, B., Fox, P. and Breuer, W. “Cervical Intraepithelial Lesions and Cervical Cancer Among Asian Pacific Islander Women in a Cervical Cancer Screening Program.” Health Care for Women International, Vol. 23, No. 5: 450-59, 2002.
Yaffe, K., Fox, P., Newcomer, R., Sands, L., Lindquist, K., Dane, K., and Covinsky, K. “Predictors of Nursing Home Placement in Patients with Dementia: Importance of both Patient and Caregiver Characteristics.” Journal of the American Medical Association, Vol. 287., No. 16: 2090-97, 2002.
Fox, P. “Long-Term Care in the United States (Part 2).” China Social Welfare, Vol. 10: 55-59, 2002.
Fox, P., Kohatsu, N., Max, W. and Arnsberger, P. “Estimating the Costs of Caring for People with Alzheimer's Disease in California: 2000-2040.” Journal of Public Health Policy, Vol. 22, No. 1: 88-97, Spring 2001.
Fox, P., Newcomer, R., Yordi, C. and P. Arnsberger. “Lessons Learned from the Medicare Alzheimer's Disease Demonstration.” Alzheimer's Disease and Associated Disorders: An International Journal, Vol. 14, No. 2: 87-93, 2000.
Max, W., Webber, P. and P. Fox. "Alzheimer's Disease: The Unpaid Burden of Caring." Dementia Review Series, Vol. 4: 14-15, 2000.
Chow, T., Ross, L., Fox, P. Cummings, J. and Lin, K. “Utilization of Alzheimer's Disease Community Resources by Asian-Americans in California.” International Journal of Geriatric Psychiatry, Vol. 15, No. 9: 838-847, 2000.
Yordi, C., DuNah, R., Bostrom, A., Fox, P. Wilkinson, A. and R. Newcomer. “Caregiver Supports: Outcomes from the Medicare Alzheimer's Disease Demonstration.” Dementia Review Series, Vol. 4: 12-13, 2000.
Arnsberger, P., Fox, P., Zhang, X. and Gui, S. “Global Aging of the Population and the Need for Long Term Care: A Comparison of the United States and the People's Republic of China.” Journal of Cross-Cultural Gerontology, Vol. 1, No. 21: 1-21, 2000.
Fox, P. “Service Use and Cost Outcomes for Persons with Alzheimer's Disease.” Dementia Review Series, Vol. 4: 8-9, 2000.
Newcomer, R., Yordi, C., DuNah, R., Fox, P., and A. Wilkinson. “The Effects of the Medicare Alzheimer's Disease Demonstration on Caregiver Burden and Depression.” Health Services Research, August, Vol. 34, No. 3: 669-89, 1999.
Miller, B., Newcomer, R., and P. Fox. “Effects of the Medicare Alzheimer's Disease Demonstration on Nursing Home Entry.” Health Services Research, August, Vol. 34, No. 3: 691-714, 1999.
Douglass, C. and P. Fox. “Health Care Utilization Among Clients with Alzheimer's Disease: Public Policy Implications from the California Alzheimer's Disease Diagnostic and Treatment Center Program.” Journal of Applied Gerontology, Vol. 18, No. 1: 99-121, 1999.
Newcomer, R., Miller, R.., Clay, T. and P. Fox, P. “Effects of the Medicare Alzheimer's Disease Demonstration on Medicare Expenditures.” Health Care Financing Review, Summer, Vol. 20, No. 4: 45-65, 1999.
Newcomer, R., Yordi, C., Fox, P., and M. Spitalny. “Effects of the Medicare Alzheimer's Disease Demonstration on the Use of Community-Based Services.” Health Services Research, August, Vol. 34, No. 3: 645-67, 1999.
Fox, P., Kelly, S. and S. Tobin. “Defining Dementia: Social and Historical Background of Alzheimer's Disease.” Genetic Testing, Vol. 3, No. 1: 13-19, 1999.
Arnsberger, P., Fox, P., Zhang, X. Newcomer, R., and A. Wilkinson. “ Case Manager-Defined Roles in the Medicare Alzheimer's Disease Demonstration: Relationship to Client Outcomes. Care Management Journals, Vol. 1, No. 1: 29-37, 1999.
Fox, P., Maslow, K., and X. Zhang. “Who's in Who's Out: Long-Term Care Benefit Eligibility Criteria for Persons with Alzheimer's Disease and Related Disorders.” Health Care Financing Review, Summer, Vol. 20, No. 4: 67-85, 1999.
Otero-Sabogal, R., Arnsberger, P., Nussey, B., Brown, B. and Fox, P. “Factors Associated with Low-Income Latina's Adherence to Breast Cancer Rescreening.” Women & Cancer, Vol. 1, No. 5: 35-41, 1999.
Ross, L., Arnsberger, P. and P. Fox. “The Relationship Between Cognitive Functioning and Disease Severity with Depression in Dementia of the Alzheimer's Type.” Aging and Health, Vol. 2, No. 4: 319-27, 1998.
Kohatsu, N., Lob, S., Chapman, R. and P. Fox. “Integrating Medical Care and Public Health to Improve the Health of Seniors.” New Medicine, Vol. 2: 337-342, 1998.
Fox, P., Arnsberger, P. and X. Zhang. “Case Management: Development of Best Practice Models in the Medicare Alzheimer's Disease Demonstration.” Proceedings of the International Conference on Aging into the 21st Century. Shanghai, PRC: Shanghai Science and Technology Archives Press, pp. 134-149, 1998.
Arnsberger, P., Zhang, X. and P. Fox. “Variations in Approaches to Case Management in the Medicare Alzheimer's Disease Demonstration: Developing a Best Practice Model.” Hong Kong Journal of Gerontology, Vol. 12, No. 1 (June): 8-17, 1998.
Fox, P., Webber, P. and X. Zhang. "An Examination of Differential Follow-up Rates in Cervical Cancer Screening." Journal of Community Health, Vol. 22, No. 2: 199-209, 1997.
Ginther, S., Fox, P. and L. Miller. “Service Selection: Concordance Between Alzheimer's Disease Diagnostic and Treatment Center Clients' Choices and Program Staff Recommendations.” Journal of Applied Gerontology, Vol. 16, No. 3, September: 285-97, 1997.
Fox, P., Breuer, W., and J. Wright. “The Effects of a Health Promotion Program on Sustaining Health Behaviors in Older Adults.” American Journal of Preventive Medicine, Vol. 14, No. 4: 257-64, 1997.
Moritz, D., Fox, P., Luscombe, F., and H. Kraemer. “Neurological and Psychiatric Predictors of Mortality in Patients with Alzheimer's Disease in California.” Archives of Neurology, Vol. 54: 878-85, 1997.
Fox, P. “Service Use and Cost Outcomes for Persons with Alzheimer's Disease.” Alzheimer's Disease and Associated Disorders: An International Journal, Vol. 11, Suppl. 6: 125-134, 1997.
Smyth, K., Ferris, S., Fox, P., Heyman, A., Holmes, D., Morris, J., Phillips, C., Schulz, R., Teresi, J., and P. Whitehouse. “Measurement Choices in Multi-Site Studies of Outcomes in Dementia.” Alzheimer's Disease and Associated Disorders: An International Journal, Vol. 11, Suppl. 6: 30-44, 1997.
Yordi, C., DuNah, R., Bostrom, A., Fox, P. Wilkinson, A. and R. Newcomer. “Caregiver Supports: Outcomes from the Medicare Alzheimer's Disease Demonstration.” Health Care Financing Review, Winter, Vol. 19, No. 2: 97-117, 1997.
Webber, P., Fox, P., Pond, M. and X. Zhang. "An Examination of Differential Follow-up Rates in Breast Cancer Screening." Journal of Community Health, Vol. 21, No. 2: 123-132, 1996.
Fox, P., Gazzaniga, J. Karter, A. and W. Max. “The Economic Costs of Cardiovascular Disease Mortality in California, 1991: Implications for Public Health Policy.” Journal of Public Health Policy, Vol. 17., No. 4: 442-459, 1996.
Swan, J. H., Black, L., Benjamin, A. E. and P. Fox. "Use of Covered Services in Medicare Home Health Care." Home Health Services Quarterly, Vol. 15, No. 4: 1-18, 1995.
Max, W., Webber, P. and P. Fox. "Alzheimer's Disease: The Unpaid Burden of Caring." Journal of Aging and Health, Vol. 7, No. 2: 179-199, 1995.
Arnsberger Webber, P., Fox, P. and D. Burnette. "Living Alone with Alzheimer's Disease: Effects on Health and Social Service Utilization Patterns." The Gerontologist, Vol. 34, No. 1: 8-14, 1994.
Ginther, S. G., Webber, P., Fox, P. and L. Miller. "A Preliminary Study of Medical Services for Persons with Alzheimer's Disease." Journal of Gerontological Social Work, Vol. 21, No. 3/4: 27-49, 1994.
Bohnstedt, M., Fox, P. and N. Kohatsu. "Correlates of Mini-Mental Status Examination Scores Among Elderly Demented Patients: The Influence of Race/Ethnicity." Journal of Clinical Epidemiology, Vol. 47, No. 12: 1381-1387, 1994.
Fox, P. and P. Arnsberger Webber. "The Differential Impact of Alzheimer's Disease on Aged Women." Journal of Women & Aging, Vol. 5, No. 2: 31-47, 1993.
Benjamin, A. E., Fox, P. and J. Swan. "The Posthospital Experience of Elderly Medicare Home Health Users." Home Health Services Quarterly, Vol. 14 (2/3): 19-35, 1993.
Ginther, S., Webber, P., Fox, P. and L. Miller. "Predictors of Case Management for Persons with Alzheimer's Disease." The Journal of Applied Gerontology, (June) Vol.12, No. 2: 139-154, 1993.
Ginther, S., Webber, P., Fox, P. and L. Miller. "Professional Allocations of Counseling Services to Persons with Alzheimer's Disease: An Exploration." Social Work in Health Care, Vol. 19, No. 2: 99-114, 1993.
Rice, D., Fox, P., Max, W., Webber, P., Lindeman, D., Hauck, W. and E. Segura. "The Economic Burden of Caring for People with Alzheimer's Disease." Health Affairs (Summer), Vol. 12, No. 2: 164-176, 1993.
Ginther, S., Humphers, S., Fox, P. and L. Miller. "Why Home Health Services are Provided to Alzheimer's Disease Patients in California's Alzheimer's Disease Program." Home Health Services Quarterly, Vol. 14, No. 2/3: 111-125, 1993.
Rice, D. P., Fox, P. J., Hauck, W. W., Lindeman, D. A. Max, W., Segura, T. and P. Webber. "The Burden of Caring for Alzheimer's Disease Patients." Proceedings of the 1991 Public Health Conference on Records and Statistics, U. S. Department of Health and Human Services, Public Health Service: 119-24, 1991.
Fox, P. J. "From Senility to Alzheimer's Disease: The Rise of the Alzheimer's Disease Movement." Milbank Quarterly, Vol. 67, No. 1: 58-102, 1989.
Swan, J. H., Fox, P. J. and C. L. Estes. "Geriatric Services: Community Mental Health Center Boon or Bane?" Community Mental Health Journal, Vol. 25, No. 4: 327-329, 1989.
Fox, P. J. Response to article "Origin of the Distinction Between Alzheimer's Disease and Senile Dementia: How History can Clarify Nosology (letter)." Neurology, August, Vol. 37:1435-1436, 1987.
Fox, P. J. "Alzheimer's Disease: An Historical Overview" The American Journal of Alzheimer's Care, December: 18-24, 1986.
Fox, P. J., Swan, J. H. and C. L. Estes. "Trends in Community Mental Health Center Services to Elderly Populations." Hospital and Community Psychiatry, September, Vol. 37, No.9: 937-939, 1986.
Swan, J. H., P. J. Fox and C. L. Estes. "Community Mental Health Services and the Elderly: Retrenchment or Expansion?” Community Mental Health Journal, Vol. 22, No.4, Winter: 275-85, 1986.
Fox, P., Maslow, K. and Zhang, X. “Long-Term Care Eligibility Criteria for People with Alzheimer's Disease and Related Dementias” in Family and Professional Cares: Findings Lead to Action. Paris, France: Serdi Publisher, 2002, pp. 108-113.
Fox, P. “The Role of the Concept of Alzheimer's Disease in the Development of the Alzheimer's Association in the United States” in P. Whitehouse, K. Maurer and J. Ballenger (eds.), The Concept of Alzheimer's Disease: Biological, Clinical, and Cultural Perspectives. Baltimore: The Johns Hopkins University Press, pp. 209-233, 2000.
Katzman, R. and P. Fox. “The World-Wide Impact of Dementia: Projections of Prevalence and Costs” in R. Mayeux and Y. Christian (eds.), Epidemiology of Alzheimer's: From Gene to Prevention. New York: Springer-Verlag, pp. 1-17, 2000.
Goldberg, S., McKetty, C., Swan, J., Wood, J., Ingman, S. Villanueva, A. and P. Fox. "Access in Peril" in C. Estes, J. Swan and Associates, The Long Term Care Crisis: Elders Trapped in the No-Care Zone. Beverly Hills, CA: Sage Publications, 1992.
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Last revised: July, 2007; Apr. 2008
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