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Aging in Place in America Survey

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A national survey shows a stark gap between the desire to age in place in America and the ability to do so..

Aging in Place refers to the ability of an adult to live in their existing home or community regardless of age, income, or physical mobility.Ìý

Through a national survey of 2,750 U.S. adults, we uncovered three main factors that influence individuals' ability to age in place: social determinants of health (SDOH) like access to transportation and technology, presence and availability of loved ones who can provide care, and the patients' perceptions regarding the quality of care that they are receiving and expecting to receive.

Why Aging in Place?

With the U.S. population living longer than ever before and evidence signaling adults want to stay in their homes and communities, it is critical to better understand the needs of the country's aging population. Additionally, a looming shortage of caregivers has helped spark increased U.S. government attention on home dialysis, teleheath, and chronic care management - all factors that demand industry attention.

According to the Centers for Disease Control, conditions in the places where people live, learn, work, and play affect a wide range of health risks and outcomes.Ìý

These conditions are known as social determinants of health (SDOH).Ìý

Food insecurity, health literacy, and housing security are factors thatÌýdecrease the likelihoodÌýto age in place by 7%.

Social determinants of healthÌýneed to be addressed immediatelyÌýto help older adults achieve their goal of aging in place

1 in 2 people experienceÌýfood insecurity

Only half of people identify asÌýhealth literate

Nearly half of people suffer fromÌýhousing insecurity or instability

Source: Aging in Place in America Survey, Ä¢¹½´«Ã½ North America, 2019

Adults with chronic kidney disease (CKD) face more SDOH challenges

Individuals living with CKD report aÌýstrong desireÌýto age in place

³Û±ð³Ù,Ìýfewer than halfÌýof those living with CKD actuallyÌýbelieve they canÌýachieve this goal

Half of those living with CKD experienceÌýsix or more of the identified challenges related to social determinants of health

Source: Aging in Place in America Survey, Ä¢¹½´«Ã½ North America, 2019

A strong caregiver network is key to aging in place

More than 1 in 3 caregiversÌýmanageÌýcommon chronic conditions

CKD caregiversÌýare much more likely to see aging in place as a goal for the adult they care for

41% of U.S. caregivers areÌýÌý³¾¾±±ô±ô±ð²Ô¾±²¹±ô²õÌý(aged 23-38)

In the past five years, overÌý40 million family caregiversÌýprovidedÌý37 billion hours of careÌýfor loved ones.Ìý

The value of care isÌýestimated at $470 billion.

Ìý

Source: aginginplace.org, 2020

Source: Aging in Place in America Survey, Ä¢¹½´«Ã½ North America, 2019

CKD dialysis patients do not fully understand home care options

Recent research confirmsÌýbetter outcomesÌýandÌýincreased flexibilityÌýwith home therapies

1 in 2Ìýpeople think the quality of care would be better in a clinic or hospital setting

More than halfÌýwould prefer home dialysisÌýif perceivedÌýasÌýan equal quality of care

Source: Aging in Place in America Survey, Ä¢¹½´«Ã½ North America, 2019

It is critical for the healthcare community to commit to a future where older adults can age on their own terms and remain in control of their circumstances to the best of their ability. Our organization is moving beyond the status quo of providing care in a clinical setting and supporting societal shifts that allow individuals to thrive in the settings where they feel most comfortable.

BILL VALLE, CHIEF EXECUTIVE OFFICER, FRESENIUS MEDICAL CARE NORTH AMERICA
Nurse Making Notes During Home Visit With Senior Couple Smiling

Ä¢¹½´«Ã½ North America is dedicating resources to combat social determinants of health. Our solutions include:Ìý

  • Patient education
  • Home therapies
  • Social worker access
  • Caregiver support
  • Connected health technologies

Ä¢¹½´«Ã½ North America continuously interacts with patients and caregivers, making the company well-positioned to investigate and better understand the realities and barriers one faces during aging.

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