Journal of the Economics of Ageing最新文献_第10页

Joint retirement behaviour and pension reform in the Netherlands 荷兰的共同退休行为与养老金改革

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100401

Amparo Nagore García , Arthur van Soest

引用次数: 1

Projections to 2025 of the household sector within the Dutch economy 荷兰经济中家庭部门到2025年的预测

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100422

Jan W. van Tongeren , Arjan Bruil

引用次数: 0

Met or unmet need for long-term care: Formal and informal care in southern Europe 满足或未满足的长期护理需求:南欧的正式和非正式护理

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100409

Paula C. Albuquerque

{"title":"Met or unmet need for long-term care: Formal and informal care in southern Europe","authors":"Paula C. Albuquerque","doi":"10.1016/j.jeoa.2022.100409","DOIUrl":"10.1016/j.jeoa.2022.100409","url":null,"abstract":"<div><p>Southern European countries share many common traits but there are differences among them that can justify different levels of need and of unmet need for social long-term care (LTC). In our study, we quantify met and unmet need for LTC for older people, in the four southern European countries – Portugal, Spain, Italy, and Greece – and we analyse their determinants, using multinomial logits and data from the sixth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE). We analyse the association between several demographic and socio-economic factors and the chances of having needs, and of receiving or not different types of care. Although most of the effects of the explanatory variables are valid in all the countries, some factors are more important in some countries than in others.</p><p>Portugal stands out as the country where people aged fifty or older have more care needs and, as a result, a higher risk of having people with unmet social care needs, compared to the other countries. Also, there is evidence that Portuguese women are especially penalized. In Greece and Portugal, people with the same characteristics have a higher probability of receiving exclusively informal care. Curiously, despite its suboptimal LTC system, the Greek reliance on informal care leads to superior performance in terms of unmet needs of people with ADL limitations. Italy and Spain show similar traits, particularly concerning the probabilities of having care needs and experiencing unmet needs. However, in Spain, receiving exclusively informal care is much less probable.</p><p>Our findings suggest caution in the treatment of southern European countries as a uniform cluster and the need to take the differences into consideration when defining a policy to promote disability-free ageing or to guarantee that support is provided when needed.</p></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"23 ","pages":"Article 100409"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212828X2200041X/pdfft?md5=a37975f148627030a488c0ad9e6e8ce0&pid=1-s2.0-S2212828X2200041X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46782815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Long-term services and supports and disease management among older Chinese adults in different stages of cognitive impairment 不同认知障碍阶段中国老年人的长期服务、支持和疾病管理

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100405

Zhuoer Lin , Xi Chen

{"title":"Long-term services and supports and disease management among older Chinese adults in different stages of cognitive impairment","authors":"Zhuoer Lin , Xi Chen","doi":"10.1016/j.jeoa.2022.100405","DOIUrl":"10.1016/j.jeoa.2022.100405","url":null,"abstract":"<div><p><span>Rapid population aging elevates burden of chronic and non-communicable diseases among older adults. Despite the critical role of self-management in </span>disease prevention and control, effective management of diseases can be cognitively demanding and may require additional supports from family and social services. Using nationally representative data from China, this paper reveals great challenges in disease management and characterizes the differential effects of long-term care services and supports (LTSS) on disease management among older adults in different stages of cognitive impairment (CI). In specific, we use preventive care utilization and hypertension management as key indicators to assess the performance of disease management. We show that while access to LTSS from spouse or home-based services significantly facilitate active disease management behaviors, the effects are only evident among older adults with no CI. By contrast, access to LTSS has very modest effect for cognitively impaired individuals. In addition, older adults in more severe stages of CI perform worse in disease prevention, hypertension awareness and management. These findings reveal the vulnerability of older adults with CI in disease management and point to the importance of promoting targeted interventions to reduce barriers of accessing LTSS, especially among cognitively impaired population.</p></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"23 ","pages":"Article 100405"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47268226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The rise of age-friendly jobs 老年人友好型工作的增加

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100416

Daron Acemoglu , Nicolaj Søndergaard Mühlbach , Andrew J. Scott

{"title":"The rise of age-friendly jobs","authors":"Daron Acemoglu , Nicolaj Søndergaard Mühlbach , Andrew J. Scott","doi":"10.1016/j.jeoa.2022.100416","DOIUrl":"https://doi.org/10.1016/j.jeoa.2022.100416","url":null,"abstract":"<div><p>In 1990, one in five U.S. workers were aged over 50 years whereas today it is one in three. One possible explanation for this is that occupations have become more accommodating to the preferences of older workers. We explore this by constructing an “age-friendliness” index for occupations. We use Natural Language Processing to measure the degree of overlap between textual descriptions of occupations and characteristics which define age-friendliness. Our index provides an approximation to rankings produced by survey participants and has predictive power for the occupational share of older workers. We find that between 1990 and 2020 around three quarters of occupations have seen their age-friendliness increase and employment in above-average age-friendly occupations has risen by 49 million. However, older workers have not benefited disproportionately from this rise, with substantial gains going to younger females and college graduates and with male non-college educated workers losing out the most. These findings point to the need to frame the rise of age-friendly jobs in the context of other labour market trends and imperfections. Purely age-based policies are insufficient given both heterogeneity amongst older workers as well as similarities between groups of older and younger workers. The latter is especially apparent in the overlapping appeal of specific occupational characteristics.</p></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"23 ","pages":"Article 100416"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212828X22000482/pdfft?md5=c6f4ae2af3e91106396311c4ff8f6158&pid=1-s2.0-S2212828X22000482-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71832664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

The effects of an increase in the retirement age on health — Evidence from administrative data 提高退休年龄对健康的影响——来自行政数据的证据

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100403

Mara Barschkett , Johannes Geyer , Peter Haan , Anna Hammerschmid

引用次数: 0

Private health insurance, healthcare spending and utilization among older adults: Results from the Brazilian Longitudinal Study of Aging 私人健康保险，医疗保健支出和老年人的利用:来自巴西老龄化纵向研究的结果

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100397

James Macinko , Brayan V. Seixas , Cesar de Oliveira , Maria Fernanda Lima-Costa

{"title":"Private health insurance, healthcare spending and utilization among older adults: Results from the Brazilian Longitudinal Study of Aging","authors":"James Macinko , Brayan V. Seixas , Cesar de Oliveira , Maria Fernanda Lima-Costa","doi":"10.1016/j.jeoa.2022.100397","DOIUrl":"10.1016/j.jeoa.2022.100397","url":null,"abstract":"<div><p>Brazil has a universal national health service that exists alongside a supplementary private sector used by about 30% of the population. Older adults are generally more likely than younger ones to have a private health plan in Brazil, despite having lower income on average. In this study, we investigate the effects of having a private health plan on health expenditures, utilization and quality of care among Brazilian adults aged 50 and over who participate in the Brazilian Longitudinal Study<span> of Aging (ELSI-Brazil). Results show that healthcare expenditures are overwhelmingly concentrated among the upper two deciles of consumption, but ratios of out-of-pocket expenditures to household consumption are similar among those with public (9.4%) and private (10.4%) coverage. Healthcare utilization (doctor visits) is slightly higher among those with private health plans and is associated with healthcare expenditures that are more than four times per doctor visit higher than those incurred by older adults who use the public sector. Greater utilization among private health plan users is attenuated and no longer statistically significant once the endogeneity of private health plan coverage is accounted for using an instrumental variable approach. While there is no discernable difference in the technical quality of care (proxied by the presence of undiagnosed hypertension), a measure of the quality of provision of healthcare that focuses on timeliness and other organizational features of healthcare delivery is consistently higher among those with private health plans. This perceived convenience comes at a significantly higher cost to individuals, and to society through reimbursement of private health plan premiums through tax credits.</span></p></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"23 ","pages":"Article 100397"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44232223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical progress and life cycle choices 医学进展和生命周期选择

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100415

Holger Strulik

引用次数: 2

Next to kin: How children influence the residential mobility decisions of older adults 近亲:子女如何影响老年人的居住流动决定

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100394

Jaclene Begley , Sewin Chan

引用次数: 0

Optimal demand for medical and long-term care 医疗和长期护理的最佳需求

IF 2.2 3区经济学

Journal of the Economics of Ageing Pub Date : 2022-10-01 DOI: 10.1016/j.jeoa.2022.100400

Johannes Schünemann , Holger Strulik , Timo Trimborn

{"title":"Optimal demand for medical and long-term care","authors":"Johannes Schünemann , Holger Strulik , Timo Trimborn","doi":"10.1016/j.jeoa.2022.100400","DOIUrl":"10.1016/j.jeoa.2022.100400","url":null,"abstract":"<div><p>For the population over 65, long-term care (LTC) expenditure constitutes a considerable share in health care expenditures. In this paper, we decompose health care into medical care, intended to improve one’s state of health, and personal care required for daily routine. Personal care can be either carried out autonomously or by a third party. In the course of aging, autonomous personal care is gradually substituted by LTC. We set up a life-cycle model in which individuals are subject to physiological aging, calibrate it with data from gerontology, and analyze the interplay between medical care and LTC. In comparative dynamic analyses, our theory-based approach allows us to causally investigate the impact of better health and rising life expectancy, triggered by higher income and better medical technology, on the expected expenditures for LTC in the future. We predict that a one percentage increase in life expectancy is associated with a 1.75-percentage increase in expected LTC expenditure. In terms of present value at age 20, this elasticity declines to about 1.0 percent. Even when considering different magnitudes and compositions of shocks in medical technology and income, we find that these elasticities remain remarkably stable.</p></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"23 ","pages":"Article 100400"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212828X22000329/pdfft?md5=245c65efb4b3f9187acc040b5b1f22d8&pid=1-s2.0-S2212828X22000329-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42845407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12