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Journal of Aging & Social Policy

Anek Belbase, Geoffrey T Sanzenbacher, Sara Ellen King
Social Security's Representative Payee Program faces a difficult balance with respect to dementia: many dementia sufferers can conduct their finances without a payee if they have help from informal caregivers, but those without help are at risk. To date, it has been unclear what share of retirees with dementia use a payee, what share have help potentially available from another source, and what share have no observed means of assistance. This study finds that while fewer than 10% of retirees with dementia use a payee, only about 8% have no observed means of help...
February 22, 2018: Journal of Aging & Social Policy
Katarina Andersson, Anders Hanberger, Lennart Nygren
This article explores how local politicians and care unit managers in Swedish eldercare experience and respond to state supervision. Twelve politicians and 12 managers in 15 previously inspected municipalities were interviewed about their experiences of and reactions to state supervision (SSV) in relation to their views of care quality and routines in eldercare practice. The findings indicate that local managers and political chairs perceived SSV in eldercare positively at a superficial level, but were critical of and disappointed with specific aspects of it: in terms of a) governance-chairs and managers said SSV strengthened implementation of national policies via local actors, but were critical of SSV's narrow focus on control and flaws in eldercare practice; b) accountability-SSV was seen as limited to accountability for finances and systemic performance; and c) organizational development-SSV was seen as limited to improving routines and compliance with legislation, while local definitions of quality are broader than that...
February 22, 2018: Journal of Aging & Social Policy
Edward Alan Miller, Orna Intrator, Emily Gadbois, Stefanie Gidmark, James L Rudolph
This study identifies factors VA staff perceived to promote or impede home and community-based services (HCBS) placement post-hospital discharge among Veterans cared for within the U.S. Department of Veterans Affairs (VA). Data derive from 35 semi-structured interviews with staff from 12 VA Medical Centers from around the country. VA staff reported that Veterans' care needs and social and financial resources influence HCBS placement. They also reported prerequisites for successful placement, including housing, unpaid informal care, and non-VA services funded privately and by public programs such as Medicaid and the Older Americans Act...
February 22, 2018: Journal of Aging & Social Policy
Maria João Bárrios, Ana Alexandre Fernandes, António Manuel Fonseca
The aging population has an impact on health, social and economic issues in regards to individuals, communities and organizations. The challenge for local policies in response to aging is to create sufficient resources to meet the population's needs, wishes and rights as people age. Active aging constitutes one of the guiding perspectives on policies. Taking into account the local governance perspective, the instrument MALPA was created in order to convert the active aging paradigm into a practical approach, as a technique to evaluate and analyze local aging policies...
February 20, 2018: Journal of Aging & Social Policy
Komatra Chuengsatiansup, Kanisorn Tengrang, Tipicha Posayanonda, Siranee Sihapark
Health care policies for the elderly are complex, multi-dimensional and contextually circumscribed. While engagement of health experts, economists, healthcare administrators and political leaders is generally viewed as instrumental to the success and sustainability of elder care programs, the elders themselves are often viewed as passive recipients of care and not included in the policy processes. Experiences and expectations from users' perspectives can be invaluable information for policy formulation and systems design...
February 16, 2018: Journal of Aging & Social Policy
Tine Buffel, Chris Phillipson
Developing 'Age-Friendly Cities and Communities (AFCC)' has become a key part of policies aimed at improving the quality of life of older people in urban areas. The World Health Organization has been especially important in driving the 'Age-Friendly' agenda, notably through its Global Network of AFCC. Despite the expansion and achievements of the Network, challenges remain in responding to the growth of inequality and the impact of economic austerity on aging policies. Against the background of these limitations, this paper sets out a 'Manifesto for the age-friendly movement' aimed at raising the aspirations of what is now a world-wide movement...
January 24, 2018: Journal of Aging & Social Policy
Carrie Henning-Smith, Katy B Kozhimannil, Michelle M Casey, Shailendra Prasad
We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around non-medical barriers to rural nursing home placement with particular salience in rural areas: financial issues; transportation; nursing home availability and infrastructure; and timeliness. We also identified policy and programmatic interventions across four themes: loosen bureaucratic requirements; improve communication between facilities; increase rural long-term care capacity; and address underlying social determinants of health...
January 19, 2018: Journal of Aging & Social Policy
Hui-Peng Liew
No abstract text is available yet for this article.
January 10, 2018: Journal of Aging & Social Policy
Kali S Thomas, Danielle Cote, Rajesh Makineni, Orna Intrator, Bruce Kinosian, Ciaran S Phibbs, Susan M Allen
The United States Department of Veterans Affairs (VA) is facing pressures to rebalance its long-term care system. Using VA administrative data from 2004-2011, we describe changes in the VA's nursing homes (called Community Living Centers [CLCs]) following enactment of directives intended to shift CLCs' focus from providing long-term custodial care to short-term rehabilitative and post-acute care, with safe and timely discharge to the community. However, a concurrent VA hospice and palliative care expansion resulted in an increase in hospice stays, the most notable change in type of stay during this time period...
January 8, 2018: Journal of Aging & Social Policy
Andrew J Potter
Informal caregivers may face barriers accessing services like respite care, training, and support groups. Using multinomial logistic regression, I modeled caregivers' probability of using all services sought ("all services used") and nonuse of any services sought ("any unused services") as a function of caregiver and care-recipient characteristics. Care-recipient health and function, especially dementia and need for medical task assistance, were associated with all services used and any unused services, and any unused services were more likely among adult children caring for their parents, caregivers of Black and Hispanic older adults, caregivers providing intensive care, caregivers living in metropolitan areas, and residents of states that spend more on increasing access to caregiver services under the National Family Caregiver Support Program...
January 2, 2018: Journal of Aging & Social Policy
Colleen Moore Delaney, Lisa Rafalson, Roger C Fiedler, Joanne I Hernick
Despite the passage of OBRA'87 for nursing home reform, concerns about care in facilities continue. The Centers for Medicare and Medicaid developed new regulations and the Traditional Survey (TS) process for annual nursing home survey. The survey is conducted by state regional offices to determine facility compliance with federal regulations. Despite the regulations and new survey process, the TS inconsistently identified problems. A computerized process called the Quality Indicator Survey (QIS) was subsequently developed...
December 26, 2017: Journal of Aging & Social Policy
Jennifer Beideman, Jessica A Kulak, Celia A Watt
Legislation banning smoking in public places is a key component of comprehensive tobacco control programs, yet residential facilities for aging adults are often exempt from such legislation. In Ontario, Canada, provincial legislation does not comprehensively safeguard retirement homes' residents and staff from tobacco-related health and safety concerns. This study provides a descriptive analysis of municipal-level bylaws in order to begin understanding the regulatory context of tobacco use in retirement homes in the Province...
December 18, 2017: Journal of Aging & Social Policy
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
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Journal of Aging & Social Policy
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
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
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
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
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
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
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