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Journal of Aging & Social Policy

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 was gathered using the World Health Organization QoL-Bref questionnaire. Mean QoL scores were compared across demographic, socio-economic and clinical variables using analysis of variance (ANOVA), T-test and regression analysis...
May 23, 2017: Journal of Aging & Social Policy
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 of age. Ghana has a lower life expectancy than middle and high income countries and its current age of retirement is 60 years. This study explores the financial and social implication of continuing to charge premiums to people aged 60-69 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...
May 10, 2017: Journal of Aging & Social Policy
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...
April 17, 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...
April 17, 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...
April 17, 2017: Journal of Aging & Social Policy
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
Matthew C Nattinger, Brian Kaskie
Continued growth in the number of individuals with dementia residing in assisted living (AL) facilities raises concerns about their safety and protection. However, unlike federally regulated nursing facilities, AL facilities are state-regulated and there is a high degree of variation among policies designed to protect persons with dementia. Despite the important role these protection policies have in shaping the quality of life of persons with dementia residing in AL facilities, little is known about their formation...
March 2017: Journal of Aging & Social Policy
Andrea Louise Campbell
No abstract text is available yet for this article.
March 2017: Journal of Aging & Social Policy
Hong Li, Ling Xu, Iris Chi
Guided by Cantor's social care model, this study identified individual, family, and social support factors that influence urban older adults' need for home- and community-based services, including medical and rehabilitation, instrumental care and support, and psychosocial services. The data were extracted from the Sample Survey on Aged Population in Urban/Rural China conducted by the China Research Center on Aging in 2006. Results from multiple logistic regression show that older adults' need for medical and rehabilitation services is significantly related to instrumental activities of daily living, depression, not having filial children, friend support networks, and having a confidant...
March 2017: Journal of Aging & Social Policy
Min Li, Cuntong Wang
The new rural cooperative medical system (NCMS) is the primary form of social insurance in rural China. This study aims to explore how the NCMS influences the health care seeking behaviors of middle-aged and older Chinese, considering the family and community contexts. A series of multi-level (three-level) models using data from the first wave of the China Health and Retirement Longitudinal Study (CHARLS) are used. We find that the presence of NCMS coverage has a statistically significant association with seeking inpatient and outpatient care but not physical checkups among middle-aged and older rural Chinese: Rural residents insured by NCMS were more likely to seek inpatient and outpatient care than people who were not insured...
March 2017: Journal of Aging & Social Policy
Carola Burkert, Daniela Hochfellner
Within the political and academic debate on working longer, post-retirement employment is discussed as an alternative to maintain older workers in the labor market. Our article enhances this discussion by studying determinants of transitions into post-retirement jobs within differing work environments of birth cohorts 1940-1942. We estimate proportional subhazard models accounting for competing risks using unique German social security data linked to pension accounts. Our findings suggest that individuals' preferences to take up post-retirement jobs are not mutually exclusive...
March 2017: Journal of Aging & Social Policy
Karen J Maschke, Michael K Gusmano
We examine a recent dispute regarding the Centers for Medicare and Medicaid Services' (CMS) refusal to unconditionally pay for amyloid positron emission tomography (PET) imaging for Medicare beneficiaries being assessed for Alzheimer's disease. CMS will only pay for amyloid PET imaging when patients are enrolled in clinical trials that meet certain criteria. The dispute reflects CMS's willingness in certain circumstances to require effectiveness evidence that differs from the Food and Drug Administration's standard for pre-market approval of a medical intervention and reveals how stakeholders with differing perspectives about evidentiary standards have played a role in attempting to shape the Medicare program's coverage policies...
March 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 policymakers' success at updating seven major policies to address caregiver needs. It draws on an original dataset 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...
January 13, 2017: Journal of Aging & Social Policy
Lori Gonzalez
For over four decades, the Program of All-Inclusive Care for the Elderly (PACE) has been operated by non-profit organizations. Research has demonstrated that non-profit 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 non-profit PACE with regard to access to care, quality of care and cost-effectiveness...
January 13, 2017: Journal of Aging & Social Policy
Francis G Caro, Edward Alan Miller
No abstract text is available yet for this article.
January 2017: Journal of Aging & Social Policy
Galina Khatutsky, Joshua M Wiener, Angela M Greene, Nga T Thach
Using the 2014 Survey of Long-Term Care Awareness and Planning, this article examines Americans' experiences, knowledge, and concerns about long-term services and supports (LTSS) and actions they are willing to take if they become disabled. The survey included 15,298 non-institutionalized respondents aged 40 to 70 years drawn from a nationally representative sample. Although many reported some experience with LTSS, knowledge of how LTSS worked was low. Respondents reported widespread concerns about becoming disabled...
January 2017: Journal of Aging & Social Policy
Masa Higo, Thomas R Klassen
Faced with an unparalleled rate of population aging, Japan and Korea have been reforming their retirement policies. To date, however, while the age of mandatory retirement has increased, employees continue to face significant decreases in compensation and other working conditions, typically at age 60 in Japan and age 55 in Korea. Three factors have contributed to shaping the path of the policy reforms in both the countries, including (1) the productivist welfare regimes, (2) the structure of the labor market for young workers, and (3) seniority-based wage and compensation systems...
January 2017: Journal of Aging & Social Policy
Julie Bobitt, Andiara Schwingel
While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine the extent to which these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging [AAAs]) and community levels (senior Centers [SCs]). Interviews were conducted with directors of four AAAs and 12 SCs to understand their perspectives on EB program implementation...
January 2017: Journal of Aging & Social Policy
Anu Siren, Sine Grønborg Knudsen
Based on data from a survey (n = 3291) and 14 qualitative interviews among Danish older adults, this study investigated the use of, and attitudes toward, information communications technology (ICT) and the digital delivery of public services. While age, gender, and socioeconomic status were associated with use of ICT, these determinants lost their explanatory power when we controlled for attitudes and experiences. We identified three segments that differed in their use of ICT and attitudes toward digital service delivery...
January 2017: Journal of Aging & Social Policy
Bei Lu, Xiaoting Liu, Mingxu Yang
Long-term care (LTC) policy is at an experimental stage in China, characterized by various regional pilot programs. The public cost of LTC is difficult to estimate due to a lack of clarity about policy detail from the central government. This article analyzes the current disabled status for vulnerable older people without sufficient financial resources and family supports. It focuses on estimating a safety net public subsidy policy for LTC services in China, both for today and into the future, using China Health and Retirement Longitudinal Survey (CHARLS) data, 2011 wave, with the methods of multinomial logistic regression and simulation...
January 2017: Journal of Aging & Social Policy
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