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Journal of Aging & Social Policy

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https://www.readbyqxmd.com/read/29064773/can-a-unified-service-delivery-philosophy-be-identified-in-aging-and-disability-organizations-exploring-competing-service-delivery-models-through-the-voices-of-the-workforce-in-these-organizations
#1
Bronwyn Keefe
Services for older adults and younger people with disabilities are increasingly merging, as reflected in the creation of Aging and Disability Resource Centers (ADRCs). Using ADRCs to coordinate services is challenging, primarily because these fields have different service delivery philosophies. Independent Living Centers, which serve people with disabilities, have a philosophy that emphasizes consumer control and peer mentoring. However, the aging service delivery philosophy is based in a case management or medical model in which the role of consumers directing their services is less pronounced...
October 24, 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28885131/applying-a-treatment-effects-model-to-investigate-public-amenity-effect-on-physical-activity-of-the-elderly
#2
Chia-Yu Yeh, Chen-Kang Chang, Feng-An Yang
The increasing elderly population puts significant health, economic, and social burdens on society. Physical activity is one of the most cost-effective ways to maintain the health of the elderly. This study adopts a treatment effects model to investigate the causal relationship between environment attributes and physical activity among the elderly, while taking endogeneity into account. The data were collected from 274 participants by face-to-face interviews in Taichung, Taiwan. Performing physical activity regularly in parks is the most important measure of the amount of physical activity by the elderly...
September 8, 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28937946/end-of-volume-editorial-board
#3
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28786771/engaging-experts-expanding-participation-and-enhancing-research-in-chinese-eldercare-institutions
#4
Rose Keimig
Due to the myriad factors straining China's traditional family-based eldercare system, today unprecedented numbers of older adults are turning to institutions for caregiving needs. As researchers and policy makers organize conferences, analyze trends, and allocate resources, the subjective experiences of elders themselves are often forgotten or ignored. While providers recognize that institutionalized elders are at an increased risk for mental health issues, most cite personnel and resource shortages as insurmountable barriers to provision...
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28768109/reflections-on-international-certified-nursing-assistants
#5
Penelope Ann Shaw
The author, a former university faculty member who taught English to speakers of other languages and now a nursing home resident, shares her observations about how English language proficiency, culture, and religious differences affect her care. She provides examples of communication challenges that can be annoying or cause harm, her coping strategies, and reasons many certified nursing assistants might never be fully fluent in English. She explains how international certified nursing assistants can benefit residents because of skills developed by family-centered care in their countries of origin...
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28622111/caregiving-for-the-elderly-person-discourses-embedded-in-the-brazilian-practical-guide-for-the-caregiver
#6
Meiriele Tavares Araujo, Isabela Cancio Velloso, Christine Ceci, Mary Ellen Purkis
It is estimated that in 2025, Brazil will have the sixth largest elderly population in the world. Beyond the economic consequences of this projection, this changing demographic portends significant changes in the social realm. The aim of this study was to review and consider a range of government documents, developed during the past thirty years and directed toward elderly Brazilian citizens, to explore the ways that caregivers of older persons are positioned in daily care practices through the discourses such documents deploy...
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28414578/the-impact-of-in-home-services-utilization-on-the-institutionalization-of-older-people-in-korea
#7
Jung-Kyu Choi, Minjin Kang, Euasin Joung
As a result of aging populations, institutionalization of older people is creating an increasing financial burden in many countries. The purpose of the present study was to explore the impact of in-home service utilization on institutionalization. The subjects were newly certified as eligible for long-term care insurance between January and February 2009 in Korea. The follow-up period was 40 months, to April 2012. We used logistic regression models to identify factors influencing the transition to institutional service, adjusting for gender, age, living status, income level, activities of daily living, and chronic disease...
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28414576/hcbs-spending-and-nursing-home-admissions-for-1915-c-waiver-enrollees
#8
Micah Segelman, Orna Intrator, Yue Li, Dana Mukamel, Peter Veazie, Helena Temkin-Greener
Medicaid waiver programs for home- and community-based services (HCBS) have grown rapidly and serve a population at high risk for nursing home (NH) admission. This study utilized the Medicaid Analytic Extract Personal Summary File and the NH Minimum Data Set and tested whether higher levels of per-beneficiary HCBS spending were associated with (1) lower risk of long-term (90+ days) NH admission and (2) higher functional/cognitive impairment at admission for new enrollees in 1915(c) aged or aged and disabled waiver programs...
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28085644/informal-caregiving-and-the-politics-of-policy-drift-in-the-united-states
#9
Philip Rocco
Informal caregivers play an increasingly important role in caring for aging Americans. Yet existing social policies that could support informal caregiving have experienced "policy drift," a failure to adapt to social risks that develop after policies are initially enacted. This article examines policy makers' success at updating seven major policies to address caregiver needs. It draws on an original data set of legislation in this area introduced between 1991 and 2006 (n = 96). Findings indicate that drift is more likely when policy updates are costly, lack support from members of majority parties in the House and Senate, and fail to generate bipartisan support...
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28085633/a-focus-on-the-program-of-all-inclusive-care-for-the-elderly-pace
#10
Lori Gonzalez
For over four decades, the Program of All-Inclusive Care for the Elderly (PACE) has been operated by nonprofit organizations. Research has demonstrated that nonprofit PACE provides quality, cost-effective community-based care to older adults who would otherwise require a nursing home level of care. Recently, the U.S. Secretary of the Department of Health and Human Services has authorized for-profit entities to operate PACE, contingent on their ability to demonstrate that they can provide care that is similar to nonprofit PACE with regard to access to care, quality of care, and cost-effectiveness...
October 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28820671/david-lain-reconstructing-retirement-work-and-welfare-in-the-uk-and-usa-chicago-il-university-of-chicago-press-178-pages
#11
Philip Taylor
No abstract text is available yet for this article.
August 18, 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28820666/sirvan-karimi-2017-beyond-the-welfare-state-postwar-social-settlement-and-public-pension-policy-in-canada-and-australia-toronto-on-canada-university-of-toronto-press-340-pages
#12
https://www.readbyqxmd.com/read/28812440/old-voters-on-new-dimensions-why-do-voters-vote-for-pensioners-parties-the-case-of-the-netherlands
#13
Simon Otjes, André Krouwel
This article analyses the electoral support of the Dutch pensioners' party 50Plus. Due to its open electoral system and aging population, the Netherlands is a key case to study pensioners' parties (Hanley, 2011). Our study shows that this pensioners' party appeals to voters that are characterized by their age and their dependence on the welfare state, as well as their policy positions on new lines of political conflict. In particular their position on the new economic dimension (which concerns welfare state reform) and the new cultural dimension (which concerns immigration and EU integration) is distinct...
August 16, 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28768107/primary-care-providers-perspectives-on-screening-older-adult-patients-for-food-insecurity
#14
Jennifer A Pooler, Vanessa A Hoffman, Fata J Karva
Food insecurity has been associated with poor health and health outcomes among older adults, yet food assistance resources are available and underutilized. Routine screening and referral for food insecurity in primary care is one avenue to connect food insecure older adults with available resources. This qualitative study aims to better understand primary care providers' (PCPs) beliefs about food security screening and referrals in a primary care setting and perceived barriers to implementation. PCPs (n = 16) who have older adult patients but do not routinely screen for food insecurity were interviewed by phone...
August 2, 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28535113/quality-of-life-of-the-elderly-receiving-old-age-pension-in-lesotho
#15
Eltony Mugomeri, Peter Chatanga, Ts'ele Khetheng, Jotham Dhemba
The southern African country of Lesotho introduced an old age pension scheme in 2004 with the aim of enhancing the quality of life (QoL) of the nation's elderly population. This study is the first to assess the physical, psychological, social, and environmental aspects of the health-related QoL of the elderly in Lesotho since the pension scheme was adopted. Data for this study were gathered using the World Health Organization QoL-BREF questionnaire. Mean QoL scores were compared across demographic, socioeconomic, and clinical variables using analysis of variance, t test, and regression analysis...
July 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28489986/live-to-70-years-and-older-or-suffer-in-silence-understanding-health-insurance-status-among-the-elderly-under-the-nhis-in-ghana
#16
Ama P Fenny
Ghana has introduced a National Health Insurance Scheme (NHIS). Embedded in the NHIS is a policy to exempt poor and vulnerable groups from premiums and user fees. There has been some debate as to why the start-off age for exemption among the elderly is 70 years. Ghana has a shorter life expectancy than middle- and high-income countries and its current age of retirement is 60 years. This study explores the financial and social implications of continuing to charge premiums to people aged 60 to 69 years. Based on the analysis of data from a representative household survey, it is recommended that the exemption policy should be expanded to include all vulnerable elderly persons, regardless of age...
July 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28414585/race-language-or-length-of-residency-explaining-unequal-uptake-of-government-pensions-in-canada
#17
Josh Curtis, Weizhen Dong, Naomi Lightman, Matthew Parbst
Canada's old age security (OAS), a flat-benefit public pension, is internationally lauded as an accessible and effective safety net for seniors. This paper explores discrepancies in OAS uptake using Canadian Census data from 1996 to 2011. Our findings demonstrate disparities in OAS uptake based on immigration status, language proficiency, and visible minority status, disputing claims of "universal" OAS provision. Multivariate analyses confirm a strong "immigrant effect," with being in Canada for 20 years or less leading to lower rates of OAS utilization...
July 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/27976984/retirement-planning-among-hispanics-in-god-s-hands
#18
Luisa R Blanco, Emma Aguila, Arturo Gongora, O Kenrik Duru
We conducted a qualitative study on retirement preparedness among middle-aged and older low-income Hispanics in Los Angeles. Data were derived from four focus groups conducted in the greater Los Angeles area. Findings demonstrate how behavioral and cultural factors-family experiences, religiosity, and denial of retirement-explain the lack of savings and preparedness for retirement. Findings also indicate that the majority of participants want to be economically independent and to keep working until they are unable to do so...
July 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/27880087/ethnic-disparities-in-medicare-part-d-satisfaction-and-intention-to-switch-plans
#19
Kai You, Robert L Strawderman, Yue Li
Medicare Part D has been successful in providing affordable prescription drug coverage with relatively high levels of beneficiary reported satisfaction. We use nationally representative survey data to examine whether racial/ethnic disparities exist in reported Part D satisfaction and plan evaluations. Compared to non-Hispanic White Medicare beneficiaries, Hispanic beneficiaries are considerably more likely to report to switch to a new plan in the next year and, among beneficiaries auto-enrolled in a Part D plan, are less likely to be very satisfied with the currently enrolled plan...
July 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28362228/the-role-of-philanthropic-funding-in-building-research-evidence-to-support-an-aging-population-a-case-study-from-ireland
#20
Andy Cochrane, Sinéad McGilloway
This case study examines the role of philanthropic funding in building capacity for aging research in Ireland, and how this investment has addressed the lack of evidence to support planning for an aging population. The funding has supported a range of initiatives including the national longitudinal study on aging (TILDA), the creation of three professorships/chairs, and the establishment of four new research centers. Important potential outcomes are emerging across other domains including research-informed policy development and the generation of health benefits...
March 31, 2017: Journal of Aging & Social Policy
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