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The Journal of Applied Gerontology最新文献

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Clinicians' and Seniors' Views of Reference- Based Pricing: Two Sides of a Coin 临床医生和老年人对参考定价的看法:硬币的两面
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700303
J. Mullett, R. Coughlan
{"title":"Clinicians' and Seniors' Views of Reference- Based Pricing: Two Sides of a Coin","authors":"J. Mullett, R. Coughlan","doi":"10.1177/073346489801700303","DOIUrl":"https://doi.org/10.1177/073346489801700303","url":null,"abstract":"The government of British Columbia instituted a reference-based pricing (RBP) policy on pharmaceutical drugs to limit reimbursement costs. Only less expensive and therapeutically effective drugs and not \"Cadillac\" versions of chemically similar drugs would be reimbursed. The effect of the imminent implementation of this policy on seniors and clinicians (physicians, pharmacists, and various medical specialists) was explored through focus groups. Although the topic was RBP, the overwhelming majority of responses were concerned with various aspects of physician-patient interactions. Most seniors supported the RBP initiative and viewed excessive profits for pharmaceutical corporations as wasteful. Many seniors wished to be more involved in deciding treatment possibilities and to be better informed. In contrast, the clinicians viewed the policy as interference and a restriction of their authority, preferring a more collaborative educative approach to changes in drug prescribing Implications of these divergent views are discussed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121184134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Searches for a Nursing Home: Personal and Situational Factors 搜索养老院:个人和情境因素
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700305
S. Travis, W. McAuley
{"title":"Searches for a Nursing Home: Personal and Situational Factors","authors":"S. Travis, W. McAuley","doi":"10.1177/073346489801700305","DOIUrl":"https://doi.org/10.1177/073346489801700305","url":null,"abstract":"Telephone and follow-up in-depth interviews were used to gather information from 25 sponsors (primary contact people or responsible parties) of nursing home residents to learn more about the nursing home search and selection process. Quantitative analyses revealed that sponsors who engaged in anticipatory action prior to the need for nursing home placement had lower personal competence scores than those sponsors who did not anticipate the need for nursing home care. As might be expected, sponsors who were involved in time-pressured searches had the highest stress scores. In-depth analyses of the qualitative data illuminated the diverse ways in which the situational factors (time-pressured versus non-time-pressured searches and antici patory versus nonanticipatory behavior) affected the personal factors (perceived competence and stress) to create idiosyncratic experiences for the sponsors. The findings show the value of offering professional assistance to individuals who are at the stage of seeking information about nursing homes.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130710386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Book Reviews : Susan Garrett, Miles to Go: Aging in Rural Virginia. Charlottesville, VA: University Press of Virginia, 1998. Cloth, $22.95, 188 pp 书评:苏珊·加勒特，《漫漫长路:弗吉尼亚乡村的老龄化》。夏洛茨维尔，弗吉尼亚州:弗吉尼亚大学出版社，1998。布，22.95美元，188页
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700308
B. J. Mcculloch
{"title":"Book Reviews : Susan Garrett, Miles to Go: Aging in Rural Virginia. Charlottesville, VA: University Press of Virginia, 1998. Cloth, $22.95, 188 pp","authors":"B. J. Mcculloch","doi":"10.1177/073346489801700308","DOIUrl":"https://doi.org/10.1177/073346489801700308","url":null,"abstract":"This specifically focused volume is the fifth in the Aging Studies series, edited by Anne M. Wyatt. Susan Garrett, in her role as observer and volunteer, has provided the reader with a detailed account of the Rural Elder Outreach Project (REOP), a collaborative demonstration project funded by the W. K. Kellogg Foundation. The Schools of Nursing and Medicine at the University of Virginia partnered with two local agencies to model effective ways of providing health care to frail elders living in five rural Virginia counties. The volume is unique among those who have previously examined aging in rural areas because Garrett weaves together research, her own observations while serving as a volunteer for the project, conversations among project staff, diary entries regarding specific case studies, and details regarding the day-to-day operation of this collaboration. The volume contains eight chapters that chronicle the REOP project. A brief","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128143096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Book Reviews : Florence Safford and George I. Krell (Eds.), Gerontology for Health Professionals : A Practice Guide (2nd ed.). Washington, DC: NASW Press, 1997. $24.95 书评:佛罗伦萨萨福德和乔治I.克雷尔(编辑)，老年医学卫生专业人员:实践指南(第二版)。华盛顿特区:NASW出版社，1997。24.95美元
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700307
A. Wiglesworth
{"title":"Book Reviews : Florence Safford and George I. Krell (Eds.), Gerontology for Health Professionals : A Practice Guide (2nd ed.). Washington, DC: NASW Press, 1997. $24.95","authors":"A. Wiglesworth","doi":"10.1177/073346489801700307","DOIUrl":"https://doi.org/10.1177/073346489801700307","url":null,"abstract":"in full chapters, and the choice of topics reflects the editors’ profound understanding of the problems of older Americans and those who serve them. Among the themes are the causes of and approaches to incontinence; the differential diagnosis of dementia, delirium, and depression; and medication of older patients-all presented clearly and concisely and with a minimum of medical jargon. A new chapter on HIV/AIDS and the elderly is particularly compelling in its discussion of the biased treatment of those with the double stigmas of age and HIV Health professionals who limit their understanding to the stereotypical health problems of older people are at risk of neglecting this serious and growing problem. A chapter on working with traditional and nontraditional families is appropriate in addressing eclectic lifestyles of elderly Amencans, but the chapter on diverse cultural groups unfortunately covers only African Americans and Cuban, Puerto Rican, and Mexican Hispanics in America. Within its scope, this chapter does an excellent job of challenging stereotypes, but health practitioners in American cities encounter far greater diversity, and a more","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"293 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117346550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges to Minority Aging Research in the Next Century 下个世纪少数民族老龄化研究面临的挑战
The Journal of Applied Gerontology Pub Date : 1998-06-01 DOI: 10.1177/073346489801700204
K. Markides
{"title":"Challenges to Minority Aging Research in the Next Century","authors":"K. Markides","doi":"10.1177/073346489801700204","DOIUrl":"https://doi.org/10.1177/073346489801700204","url":null,"abstract":"In my many years of research in the field of minority aging, perhaps my most difficult challenge was giving advice to practitioners regarding their work with their patients, clients, or their families. Scientific generalizations, by definition are attempts to summarize and simplify reality and may thus give stereotypical information to the practitioner working with older people from a certain group. Yet, as Murphy and Longino (1997) in their editorial in this journal argued, the gap between theory and research on the one hand and","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123569327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Editor's Introduction 编辑器的介绍
The Journal of Applied Gerontology Pub Date : 1998-06-01 DOI: 10.1177/073346489801700201
G. Rowles
{"title":"Editor's Introduction","authors":"G. Rowles","doi":"10.1177/073346489801700201","DOIUrl":"https://doi.org/10.1177/073346489801700201","url":null,"abstract":"an upwelling of concern with minority issues, against the backdrop of the broader development of the field. The stimulus for the editorials was a Lisa Groger public presentation, in which she shared an &dquo;existential crisis&dquo; with respect to the meaning and value of her research on a population of African American elders. The essence of Dr. Groger’s concern was that a focus on minorities &dquo;objectifies&dquo; such populations in a process of &dquo;othering&dquo; that","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115180178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acceptability Ratings of Psychotherapeutic Treatments for Elderly Individuals 老年人心理治疗的可接受度评定
The Journal of Applied Gerontology Pub Date : 1998-06-01 DOI: 10.1177/073346489801700207
J. Sinnott, L. Burgio, D. A. Lakein, K. Pappas, Lisa DeLeonardo, Francesca Spencer
{"title":"Acceptability Ratings of Psychotherapeutic Treatments for Elderly Individuals","authors":"J. Sinnott, L. Burgio, D. A. Lakein, K. Pappas, Lisa DeLeonardo, Francesca Spencer","doi":"10.1177/073346489801700207","DOIUrl":"https://doi.org/10.1177/073346489801700207","url":null,"abstract":"Adults age 60 and older were presented with written scenarios depicting a 75-year-old woman with a behavioral problem The client in the case varied by cognitive capacity (impaired or intact), behavior problem (physical aggression, verbal disruption, or noncompliance), and living situation (nursing home or family home) Participants rated six types of psychotherapy treat ments with Kazdin's Treatment Evaluation Inventory: person-centered therapy, strategic family therapy, transactional analysis, play reading, group therapy, and purposeful activity. All treat ments were considered acceptable by these older respondents; however, person-centered therapy was rated the most acceptable. These treatments were also rated as slightly more acceptable for cognitively intact case clients than for impaired ones. Treatment ratings varied according to the case client's living situation (i.e., nursing home or family home).","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116582270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
No Target, No Practice 没有目标，就没有练习
The Journal of Applied Gerontology Pub Date : 1998-06-01 DOI: 10.1177/073346489801700202
Lisa Groger
{"title":"No Target, No Practice","authors":"Lisa Groger","doi":"10.1177/073346489801700202","DOIUrl":"https://doi.org/10.1177/073346489801700202","url":null,"abstract":"Murphy and Longino’s depiction (1997, p.151) of applied gerontology as marginal, yet moving &dquo;comfortably between the worlds of scientific research and practice, understanding and appreciating both,&dquo; has great intellectual and aesthetic appeal. However, judging from my own experience, I feel that this movement may not always be as easy or as comfortable as the authors have us believe. How else can I explain my being stuck in a kind of existential","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122252870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Book Review : Jay Sokolovsky (Ed.), The Cultural Context of Aging: Worldwide Perspectives (2nd ed.). Westport, CT: Bergin & Garvey, 1997. $79.50 (cloth), $29.95 (paper 书评:杰伊·索科洛夫斯基(编)，老龄化的文化背景:全球视角(第二版)。Westport, CT: Bergin & Garvey, 1997。布79.50美元，纸29.95美元
The Journal of Applied Gerontology Pub Date : 1998-06-01 DOI: 10.1177/073346489801700212
L. S. Mitteness
{"title":"Book Review : Jay Sokolovsky (Ed.), The Cultural Context of Aging: Worldwide Perspectives (2nd ed.). Westport, CT: Bergin & Garvey, 1997. $79.50 (cloth), $29.95 (paper","authors":"L. S. Mitteness","doi":"10.1177/073346489801700212","DOIUrl":"https://doi.org/10.1177/073346489801700212","url":null,"abstract":"The first edition of The Cultural Context of Aging, published in 1990, was widely used in teaching settings, and this second edition is most welcome. The development of anthropological contributions to the study of aging worldwide is well-reflected in the 13 chapters that have been revised from the first edition and the 13 new chapters, as well as the much expanded and thoughtful section introductions written by Jay Sokolovsky. A welcome addition to this edition is the chapter by Kinsella on the demography of aging around the world. This provides an important base for the ethnographic analyses that follow. This new edition recently received the Kalish Award from the Gerontological Society of America, a much deserved recognition of outstanding quality. The volume is appropriate for upper-division undergraduate teaching or for graduate teaching in multidisciplinary gerontology programs. The extraordinary emphasis the editor has placed on providing useful resources for teaching is obvious in the linkage of this edited volume with a second edition of Shenk and Sokolovsky’s Teaching About Aging : Interdisciplinary and Cross-Cultural Perspectives (forthcoming), the didactic section introductions, and the &dquo;Key Resources&dquo; sections at the end of every section introduction. These Key Resources include lists of organizations, Internet Web sites, funding agencies, and print resources. As Sokolovsky points out","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133891189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bereavement Events Among Elderly Men: The Effects of Stress and Health 老年男性的丧亲事件:压力与健康的影响
The Journal of Applied Gerontology Pub Date : 1998-06-01 DOI: 10.1177/073346489801700209
T. Fitzpatrick
{"title":"Bereavement Events Among Elderly Men: The Effects of Stress and Health","authors":"T. Fitzpatrick","doi":"10.1177/073346489801700209","DOIUrl":"https://doi.org/10.1177/073346489801700209","url":null,"abstract":"Previous bereavement studies have focused on the loss of a spouse and have been limited to surviving women. Studies of the effect of the death of a friend or of male survivors remain sparse. This article reviews the literature on bereavement events as they relate to elderly men who have experienced the loss of a spouse, adult child, parent, sibling, or friends. Several psychoanalytic, cognitive and sociobiological theories are examined along with stress and health-related factors that are said to influence grief and mourning. The review of the literature indicates that health is particularly affected by stressful life events such as the loss of a spouse, child, parent, sibling, or friend, and that elderly men are at a disadvantage as evidenced by higher rates of psycho logical and physical disorders The necessity to extend research beyond present theories and to consider specific social supports as they buffer the impact of stress on the health of bereaved elderly men is discussed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129145570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
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