Journal of Aging & Social Policy最新文献

Developing an Operationalized Framework for Comparing Consumer-Directed Care for Older Adults: Evidence from Expert Survey and Cross-National Comparison. 为比较消费者指导的老年人护理制定操作性框架：来自专家调查和跨国比较的证据。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2023-12-27 DOI: 10.1080/08959420.2023.2297594

Jinbao Zhang, Yu-Chih Chen, Cheng Shi, Julia Shu-Huah Wang

{"title":"Developing an Operationalized Framework for Comparing Consumer-Directed Care for Older Adults: Evidence from Expert Survey and Cross-National Comparison.","authors":"Jinbao Zhang, Yu-Chih Chen, Cheng Shi, Julia Shu-Huah Wang","doi":"10.1080/08959420.2023.2297594","DOIUrl":"10.1080/08959420.2023.2297594","url":null,"abstract":"Consumer-directed care (CDC) programs for older people aim to optimize health outcomes by offering clients control and flexibility regarding service arrangements. However, policy design features may differ due to heterogenous sociostructural systems. By operationalizing a framework with three dimensions of CDC, i.e. control and direct services, variety of service options, and information and support, we analyzed how countries vary in their policy designs to achieve consumer direction. Using an expert survey (n = 20) and cross-national document analysis, we analyzed 12 CDC programs from seven selected countries: the United States, the United Kingdom, Germany, the Netherlands, China, Australia, and Spain. Among the three dimensions, CDC programs placed more emphasis on and displayed more homogenous performance of policy designs that achieve consumer direction in the dimension of control and direct services, while less emphasis was placed on and more heterogenous performance displayed in the dimensions of variety of service options and information and support. We offer a systematically operationalized framework to investigate CDC policy designs. Findings advance our understanding of CDC policy features from a cross-national perspective. Policymakers could incorporate these findings to empower older people in their respective societies.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"71-91"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk of Hospitalization Associated with Use of Consumer-Directed Attendant Care. 与使用消费者指导型护理相关的住院风险。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2024-05-08 DOI: 10.1080/08959420.2024.2348426

Ray Van Cleve, Evan Cole, Coleman Drake, Grant Martsolf, Howard Degenholtz

{"title":"Risk of Hospitalization Associated with Use of Consumer-Directed Attendant Care.","authors":"Ray Van Cleve, Evan Cole, Coleman Drake, Grant Martsolf, Howard Degenholtz","doi":"10.1080/08959420.2024.2348426","DOIUrl":"10.1080/08959420.2024.2348426","url":null,"abstract":"Older people with disabilities living independently often use attendant care, also known as Personal Assistive Services (PAS). The aides providing care can come from a home health agency contracted by the state Medicaid authority, known as agency-directed PAS, or the Medicaid recipient can receive a monthly budget and arrange their own care, known as consumer-directed care. Consumer-directed care is hypothesized to have some possible benefits but could also potentially lead to health hazards. This study examined whether people receiving consumer-directed PAS versus people receiving agency-directed PAS faced a higher risk of hospitalization. The data for this study came from Pennsylvania Medicaid claims, enrollment files, standardized assessments, and hospitalization claims from Medicare and Medicaid. The analysis used two-stage least square regression, with the percentage of people in a county using consumer-directed care as an instrument for the type of PAS. People using consumer-directed care did not have a statistically significant difference in risk for hospitalization compared to people using agency-directed PAS (p = .976). Risk of hospitalization was not different for people using consumer-directed care compared to people using agency-directed care.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"92-104"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ambiguities in Preventing Infections in Nursing Homes: Care Workers Experiences and Implications for Future Policies. 预防养老院感染的模糊之处：护理人员的经验和对未来政策的影响》。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2024-02-23 DOI: 10.1080/08959420.2024.2320049

Carolina Falcão Duarte, Jaap Daalhuizen, Nete Schwennesen

{"title":"Ambiguities in Preventing Infections in Nursing Homes: Care Workers Experiences and Implications for Future Policies.","authors":"Carolina Falcão Duarte, Jaap Daalhuizen, Nete Schwennesen","doi":"10.1080/08959420.2024.2320049","DOIUrl":"10.1080/08959420.2024.2320049","url":null,"abstract":"Preventing infections in nursing homes is highly challenging, given the ambiguous nature of nursing homes as care institutions and places to live. Yet, little is known about how care workers experience preventing infections in this context. Understanding the ambiguities experienced by care workers in nursing homes when enacting infection prevention is crucial to preparing for future health crises. This study investigates and identifies the ambiguities care workers faced and experienced when preventing infections during the COVID-19 pandemic. Interviews and observations were combined to capture narratives and behaviors related to infection prevention and care work. By using thematic analysis, three types of ambiguity were identified: (a) an Ambiguous sense of purpose, (b) Environmental ambiguity, and (c) Information ambiguity. The findings provide a nuanced understanding of the ambiguities care workers face and experience in nursing homes when preventing infections and indicate that such ambiguities impact their behaviors and attitudes. From this study, it is possible to conclude that policymakers must consider nursing homes' ambiguous characteristics in infection prevention programs.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"105-126"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139940927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Long-Term Care Services by Older Persons with Limited English Proficiency. 英语水平有限的老年人使用长期护理服务的情况。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2024-05-27 DOI: 10.1080/08959420.2024.2347807

Allen Glicksman, Misha Rodriguez, Lauren Ring, Philip Lai, Michael Liebman

引用次数: 0

Utilization of Long-Term Care Services and the Role of Institutional Trust in South Korea. 韩国长期护理服务的利用和机构信托的作用。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2023-10-11 DOI: 10.1080/08959420.2023.2265776

Joelle H Fong

{"title":"Utilization of Long-Term Care Services and the Role of Institutional Trust in South Korea.","authors":"Joelle H Fong","doi":"10.1080/08959420.2023.2265776","DOIUrl":"10.1080/08959420.2023.2265776","url":null,"abstract":"With population aging, governments have become increasingly involved in the administration, funding, and regulation of formal long-term care (LTC) systems. We examine the association between institutional trust and formal LTC service utilization among older adults aged ≥60 years with care needs in South Korea's public LTC scheme. Using data from the Korean Longitudinal Study of Aging and hierarchical logistic regressions, we evaluate the respective roles of trust in government and trust in the LTC program on service utilization. Results show that trust in the LTC scheme is significantly associated with service utilization: a unit increase in the level of trust is associated with a 29% increase in the odds of service use on average, controlling for need-related factors (e.g., chronic conditions) and other covariates. Furthermore, the positive relationship between trust and LTC utilization increases in magnitude with age. Older adults who are aged 80 and above, unmarried, with more ADL limitations, with psychiatric disease, or with arthritis are more likely to utilize formal LTC services. Our findings are robust to variations in sample inclusion criteria. Policymakers and health administrators should pay attention to building and maintaining institutional trust in public LTC schemes through good governance and other relevant strategies.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"146-166"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trajectories of Disability and Long-Term Care Utilization After Acute Health Events. 急性健康事件后残疾和长期护理利用的轨迹。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2023-10-09 DOI: 10.1080/08959420.2023.2267399

Judite Gonçalves, Luís Filipe, Courtney H Van Houtven

{"title":"Trajectories of Disability and Long-Term Care Utilization After Acute Health Events.","authors":"Judite Gonçalves, Luís Filipe, Courtney H Van Houtven","doi":"10.1080/08959420.2023.2267399","DOIUrl":"10.1080/08959420.2023.2267399","url":null,"abstract":"Hip fractures, strokes, and heart attacks are common acute health events that can lead to long-term disability, care utilization, and unmet needs. However, such impacts, especially in the long term, are not fully understood. Using data from the Health and Retirement Study, 1992-2018, this study examines the long-term trajectories of individuals suffering such health shocks, comparing with individuals not experiencing health shocks. Hip fracture, stroke, and heart attack are confirmed to have severe implications for disability. In most cases of stroke and heart attack, informal caregivers provide the daily support needed by survivors, whereas following hip fracture, nursing home care is more relevant. These health shocks put individuals on worse trajectories of disability, care utilization, and unmet needs. There is no long-term recovery or convergence with individuals who do not suffer shocks. Unmet need is prevalent, even pre-shock and among individuals who do not experience health shocks, emphasizing the importance of preventative care measures. These findings support policy action to ensure hospitalized individuals, especially those aged 50 and above, receive rehabilitative services and other post-acute care. Furthermore, hospitalization is an event that requires the detection and addressing of unmet care needs beyond the short run.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"47-70"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complements or Substitutes? Young Germans' Experience and Expectations with Financing Sources for Long-Term Care. 补充还是替代？德国年轻人对长期护理资金来源的经验和期望。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2024-02-29 DOI: 10.1080/08959420.2024.2319532

Thomas Klie, Christian E Weller

{"title":"Complements or Substitutes? Young Germans' Experience and Expectations with Financing Sources for Long-Term Care.","authors":"Thomas Klie, Christian E Weller","doi":"10.1080/08959420.2024.2319532","DOIUrl":"10.1080/08959420.2024.2319532","url":null,"abstract":"Financing long-term care is a growing challenge in aging societies. To address this challenge, Germany created public long-term care insurance (DPV) more than 25 years ago. Germans still need to prepare for their own care throughout their life course to supplement public insurance. This study presents descriptive statistics and multivariate regression analysis to examine young Germans' experiences and expectations of the relationship between the DPV and private financing sources. We base our analysis on a proprietary data set of young Germans (16-39 years old) that oversamples those with caregiving experience and East Germans. We find that public long-term care insurance is a substitute for rather than a complement to other financing sources. Specifically, many young Germans do not count on public long-term care insurance to finance care. Instead, they see private funding sources as substitutes for long-term care insurance. Those who count on private long-term care insurance are between 48 and 70% less likely to count on DPV benefits. Experience with care increases the likelihood of young Germans expecting future public benefits by factor of six or 18, depending on the specific care familiarity. Young Germans are also more likely to count on future generations to support their own care than they expect themselves to support the care of their parents through the DPV. Given that the DPV provides basic universal insurance that requires some complementary private income sources, our findings suggest that young Germans, who will need to build some of these income sources throughout their careers, are underestimating the value of the DPV and overestimating their own ability to pay for long-term care. Policymakers will need to reduce the political risks to the DPV and increase young Germans' savings over the life-course to address this imbalance.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-25"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of the Pilot Project for Community Care Among Older Adults in South Korea. 韩国老年人社区护理试点项目的结果。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2023-11-26 DOI: 10.1080/08959420.2023.2284571

Jae Woo Choi, Ae Jung Yoo

{"title":"Outcomes of the Pilot Project for Community Care Among Older Adults in South Korea.","authors":"Jae Woo Choi, Ae Jung Yoo","doi":"10.1080/08959420.2023.2284571","DOIUrl":"10.1080/08959420.2023.2284571","url":null,"abstract":"The Korean government implemented the pilot project for community care for older adults in June 2019. This study investigated the outcomes of the pilot project among Korean older adults by linking survey data from the pilot project with data of Korean National Health Insurance Service. The final sample included 17,801 pilot project participants and 68,145 in a matched comparison group. Pilot program participants experienced an increase of 4.8 days for length of home stay and a reduction of $956 (US) per participant relative to the matched comparison group. Pilot program participants with long-term care insurance who used home care services experienced an increase of 8.9 days for length of home stay and a reduction in $1,177 (US) in total costs, along with a reduction in the admission to long-term care facilities, compared to the matched comparison group. Patients discharged from hospitals indicated an increase of 35.2 days for length of home stay and a reduction of $6,947 (US) in total costs, but a 3.53 times increase in hospital readmissions relative to the matched comparison group. The pilot project for community care resulted in increased length of home stay and reduced total costs among older adults in Korea.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"167-185"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

General and Substantive Accountability in Nursing Home Services: Assessing Messages from the Demand Side and the Supply Side. 养老院服务的一般和实质性责任：评估来自需求方和供应方的信息。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-02 Epub Date: 2024-05-12 DOI: 10.1080/08959420.2024.2348964

Ixchel Pérez-Durán, Alfredo Hernández-Sánchez

{"title":"General and Substantive Accountability in Nursing Home Services: Assessing Messages from the Demand Side and the Supply Side.","authors":"Ixchel Pérez-Durán, Alfredo Hernández-Sánchez","doi":"10.1080/08959420.2024.2348964","DOIUrl":"10.1080/08959420.2024.2348964","url":null,"abstract":"This study examines the extent to which general and substantive accountability is integrated into the language used by key actors involved in nursing home services. Particularly, we investigate the messages used by the supply side, which includes public and private organizations involved in residential care for older adults, and the demand side, which comprises organizations representing service beneficiaries. Moreover, we explore the alignment between the messages used by both sides of the accountability relationship. In the context of Spanish nursing homes, we analyzed a corpus of tweets by organizations from both sides of the accountability relationship, from one year before the outbreak of COVID-19 restrictions to after their implementation. Using text analysis techniques, we found that messages related to general and substantive accountability had a low priority before and after the outbreak. Public organizations were slightly more likely to employ general accountability terms than private organizations. This is particularly in non-crisis situations, although less frequently than organizations representing beneficiaries. Our analysis demonstrates a lack of convergence between the messaging on the supply and demand sides, indicating a communication breakdown between the two sides in the accountability relationship.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"26-46"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-Stop Parenting and Generational Reciprocity Gap: Exploring Elderly Poverty in South Korea Through an Intergenerational Sustainability Lens.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-12-27 DOI: 10.1080/08959420.2024.2447222

Hong-Jae Park, Jeongmi Lim

引用次数: 0