Journal of Aging & Social Policy最新文献

A Perspective on Making "Invisible" Care Visible Through Time Use Data. 通过时间使用数据将“看不见的”护理变为可见。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-24 DOI: 10.1080/08959420.2025.2528587

Sarah E Patterson, Emily M Agree, Kira Birditt, Yulya Truskinovsky, Vicki A Freedman

引用次数: 0

Responding to the Needs of Dementia Care Partners: Recommendations for Policy Change at the State and Federal Levels. 响应痴呆症护理伙伴的需求：在州和联邦层面的政策变化建议。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-20 DOI: 10.1080/08959420.2025.2523137

Walter D Dawson, Jenn Reed, Allison Lindauer, Sherril B Gelmon

{"title":"Responding to the Needs of Dementia Care Partners: Recommendations for Policy Change at the State and Federal Levels.","authors":"Walter D Dawson, Jenn Reed, Allison Lindauer, Sherril B Gelmon","doi":"10.1080/08959420.2025.2523137","DOIUrl":"https://doi.org/10.1080/08959420.2025.2523137","url":null,"abstract":"The need to optimize supports of Alzheimer's disease and related dementias (ADRD) care partners through policy innovation is high. This study sought to frame the care and support needs of multiple historically underrepresented populations who may be underserved and/or have difficulty accessing culturally specific services and determine specific policies that may reduce ADRD care partner burden and improve wellbeing. Qualitative data were gathered through interviews (N = 24) with leaders of organizations that support people living with ADRD and focus groups (N = 5) with dementia care partners from four communities historically underserved in the United States (Asian, Black, Indigenous, and Latinx). Organizational leaders also participated in a modified Delphi process to identify priorities for supporting care partners. Multiple themes were identified including: information resources; navigation and coordination within and across systems; access to clinicians, care teams, health/personal records; legal and financial issues; in-home and respite care; psychological and physical health support for care partners; and flexibility of schedules. Policy-related priorities for supporting care partners informed development of specific policy recommendations related to financing, supports, and respite. State and national policies can be enhanced to address these priorities across populations in ADRD care partner supports, especially for historically underserved groups.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":2.0,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668683","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

"It is Important for Some People to Continue Being Somebody": Highly Educated Women's Identity and Work Motivations After Retirement Age. “对一些人来说，继续做自己很重要”：高学历女性退休后的身份和工作动机。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-17 DOI: 10.1080/08959420.2025.2528583

Keren Semyonov-Tal, Lilach Lurie, Haya Stier, Alisa C Lewin

引用次数: 0

To Opt-In or Opt-Out? The Choice Behind Financial Alignment for Dual-Eligible Beneficiaries in Ohio. 选择加入还是选择退出？俄亥俄州双重合格受益人的财务调整背后的选择。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-14 DOI: 10.1080/08959420.2025.2528582

Athena Koumoutzis, Jennifer Heston-Mullins, Heather R Reece, Katherine M Abbott, John R Bowblis, Robert Applebaum

{"title":"To Opt-In or Opt-Out? The Choice Behind Financial Alignment for Dual-Eligible Beneficiaries in Ohio.","authors":"Athena Koumoutzis, Jennifer Heston-Mullins, Heather R Reece, Katherine M Abbott, John R Bowblis, Robert Applebaum","doi":"10.1080/08959420.2025.2528582","DOIUrl":"https://doi.org/10.1080/08959420.2025.2528582","url":null,"abstract":"Eleven states implemented the Financial Alignment Initiative (FAI) to better align and care for beneficiaries eligible for Medicare and Medicaid. However, dually eligible beneficiaries could opt-out of the Medicare portion of the demonstration, potentially reducing the initiative's effectiveness. This study describes the extent and effects of opting-in/opting-out in Ohio during the demonstration. Data from the Ohio Department of Medicaid (November 2021) were analyzed, alongside interviews from 36 organizations providing long-term services and supports or acute care services. Of the 42% who opted out, 46% were aged 65 years and older, 43% were aged 45 to 64 years, and 29% were under 45 years. Opt-out rates were 39% for community well members, 44% for those receiving community-based long-term care, and 51% for long-stay nursing facility residents. Care managers and service providers reported challenges with those who opted out, including lack of access to care, poor communication, and insufficient information during care transitions. These issues created barriers to accessing coordinated care for dually eligible beneficiaries, particularly those with complex chronic conditions, limiting the success of the initiative in improving care quality and cost-effectiveness.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638332","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

Data-Driven Decision-Making in Adult Protective Services: Insights from the Identification, Services, and Outcomes (ISO) Matrix Implementation. 成人保护服务中的数据驱动决策：来自识别、服务和结果（ISO）矩阵实施的见解。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-10 DOI: 10.1080/08959420.2025.2528585

Jarmin Yeh, Rebecca Parks, Pi-Ju Liu

{"title":"Data-Driven Decision-Making in Adult Protective Services: Insights from the Identification, Services, and Outcomes (ISO) Matrix Implementation.","authors":"Jarmin Yeh, Rebecca Parks, Pi-Ju Liu","doi":"10.1080/08959420.2025.2528585","DOIUrl":"https://doi.org/10.1080/08959420.2025.2528585","url":null,"abstract":"Elder abuse and neglect affect approximately 10% of Americans over age 60, with incidences rising as the population ages. Outcomes depend on frontline Adult Protective Services (APS) professionals' interpretation and implementation of policies and protocols, with historical reliance on subjective judgment causing variation in case handling. APS faces growing challenges including increasing case volumes, insufficient funding, and inconsistent practices. Recent improvement efforts have focused on structured decision-making tools and data analytics like the Identification, Services, and Outcomes (ISO) Matrix, designed to integrate empirical data collection with practice. This qualitative study examined ISO Matrix implementation in two APS programs in a West Coast state, analyzing APS professionals' experiences through focus groups. The analysis revealed tensions during the transition to standardized, data-driven decision-making, including optimism about using data to secure funding, challenges balancing standardized practices with complex case realities, staff-developed workarounds, and technological pitfalls. Findings highlight the need for greater flexibility in standardized tools to accommodate nuanced decision-making and emphasize humanizing approaches to technological innovation. By incorporating insights from frontline APS professionals, informatics systems can simultaneously serve institutional objectives by balancing administrative burdens with client needs while preserving professional discretion and enhancing accountability in safeguarding vulnerable older adults from abuse.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601886","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

How Do the Market Shares of For-Profit and New Home Care Services Affect the Quality of Long-Term Care for Older Adults? Insights from the Korean Experience. 营利性和新居家护理服务的市场份额如何影响老年人长期护理的质量？韩国经验的启示。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-07 DOI: 10.1080/08959420.2025.2528586

Hyun-Jung Kwon, Hwa-Ok Hannah Park

{"title":"How Do the Market Shares of For-Profit and New Home Care Services Affect the Quality of Long-Term Care for Older Adults? Insights from the Korean Experience.","authors":"Hyun-Jung Kwon, Hwa-Ok Hannah Park","doi":"10.1080/08959420.2025.2528586","DOIUrl":"https://doi.org/10.1080/08959420.2025.2528586","url":null,"abstract":"As the long-term care needs of older adults have increased, the marketization of care providers has become a commonly adopted policy in many countries; however, empirical research on its impact on service quality remains scarce. This study examines how the market shares of for-profit entities and new agencies affect the quality of long-term care in Korea. Administrative data from the Korean National Health Insurance Service and the Korean National Statistical Office were analyzed across 245 districts. Data were merged in 2016-2017 for service quality evaluation, and multiple imputation analysis was conducted to address observation variations and missing values. Findings indicate that higher market shares of for-profit providers and newly opened agencies are associated with lower service quality. Governments and local authorities should strengthen quality assurance in-home care by overseeing for-profit providers, seeking an optimal level of market shares among different care provider entities, and regulating the entry of newly established agencies into the already saturated care services market.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585261","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

Aging Cities, Aging Lives: A Comparative Study of Older Citizen Policy Preferences in Kolkata and Chennai, India. 老龄化城市，老龄化生活：印度加尔各答和金奈老年公民政策偏好的比较研究。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-06 DOI: 10.1080/08959420.2025.2528581

Debashis Mitra

引用次数: 0

Implications of the Growth of Defined Contribution Retirement Plans for Safety Net Eligibility: The Case of Dual Eligibility for Medicare and Medicaid. 固定缴款退休计划增长对安全网资格的影响：医疗保险和医疗补助双重资格的案例。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-04 DOI: 10.1080/08959420.2025.2523126

Melissa McInerney, Jennifer M Mellor, Carolyn Pelnik, Lindsay M Sabik

{"title":"Implications of the Growth of Defined Contribution Retirement Plans for Safety Net Eligibility: The Case of Dual Eligibility for Medicare and Medicaid.","authors":"Melissa McInerney, Jennifer M Mellor, Carolyn Pelnik, Lindsay M Sabik","doi":"10.1080/08959420.2025.2523126","DOIUrl":"https://doi.org/10.1080/08959420.2025.2523126","url":null,"abstract":"Small balances from tax-preferred retiremet accounts such as 401(k)s and IRAs can render some older adults ineligible for Medicaid, an important supplement to Medicare for older and disabled Americans who have low income and assets. The purpose of this study is to understand whether older low-income adults have assets in these tax-preferred accounts, hereafter defined contribution (DC) wealth, and whether DC wealth has implications for Medicaid eligibility. Using 2015-19 Medicare Current Beneficiary Survey (MCBS) data, the study finds half of all older adults with low income have either DC wealth or income from defined benefit (DB) pension plans and DC wealth is becoming more prevalent among younger cohorts of older adults, who are more likely to have DC wealth than DB income. Older adults with DC wealth are 5.5 percentage points less likely to be eligible for Medicaid than similar peers with DB income. In an exercise where DC wealth is hypothetically converted to an annuity, this eligibility gap falls by one-third to nearly one half. A possible policy solution would be to exclude DC wealth from the asset test, which would target the least advantaged beneficiaries and mimic the current eligibility criteria of the Supplemental Nutrition Assistance Program (SNAP).","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561492","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

The Role of Social Determinants of Health in Shaping Racial and Disability Disparities Among Older Adults in the United States. 健康的社会决定因素在美国老年人中形成种族和残疾差异的作用。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-07-02 DOI: 10.1080/08959420.2025.2528584

Sunkanmi Folorunsho

{"title":"The Role of Social Determinants of Health in Shaping Racial and Disability Disparities Among Older Adults in the United States.","authors":"Sunkanmi Folorunsho","doi":"10.1080/08959420.2025.2528584","DOIUrl":"https://doi.org/10.1080/08959420.2025.2528584","url":null,"abstract":"Despite extensive research on social determinants of health, gaps remain in understanding how race and disability intersect to shape health disparities among older adults. This essay examines how structural inequities, including limited access to healthcare, inadequate housing, and economic instability, contribute to poorer health outcomes for racialized older adults with disabilities. Early-life disadvantages, such as growing up in underserved neighborhoods and experiencing systemic discrimination, accumulate over the life course, increasing the risk of chronic health conditions and financial insecurity in later life. Black and Hispanic older adults with disabilities experience disproportionately higher rates of hypertension and diabetes than their White counterparts, reflecting both historical and structural inequities. This essay emphasizes the need for longitudinal research to capture the cumulative effects of social determinants of health on marginalized populations, including Black, Hispanic, Indigenous, and Asian older adults with disabilities. It calls for culturally and disability-competent healthcare systems that incorporate bilingual navigation programs, tailored interventions, and specialized training for healthcare providers. Policy recommendations include strengthening anti-discrimination laws, increasing funding for community-based services, and improving access to telemedicine with a focus on digital equity. Addressing these barriers is essential to advancing health equity and ensuring that all older adults, regardless of race or disability, can age with dignity and well-being.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555318","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

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-06-29 DOI: 10.1080/08959420.2025.2523134

Xinyi Huang, Xingtong Pei, Weiyan Jian, Mingming Xu

{"title":"Disability-Related Loss in Lifespan and Specific Social Determinants of Health Among Middle-Aged and Older Adults with Disabilities: Evidence from China's Aging Population.","authors":"Xinyi Huang, Xingtong Pei, Weiyan Jian, Mingming Xu","doi":"10.1080/08959420.2025.2523134","DOIUrl":"https://doi.org/10.1080/08959420.2025.2523134","url":null,"abstract":"To fulfill the World Health Organization's (WHO) goal of active aging, it is essential to concentrate on the health of individuals with disabilities. However, there is a significant gap in research regarding the impact of disability on lifespan in low- and middle-income countries (LMICs). Additionally, the specific social determinants of health for middle-aged and older adults with disabilities are not well understood in LMICs. Our study aims to address these gaps by focusing on China's aging population. We utilized a Weibull regression model to predict individual lifespans and employed linear regression models to identify health determinants for people with disabilities. Our findings revealed that, compared to those without disability, the life expectancy of individuals with mild, moderate, and severe disabilities was reduced by 18%, 37%, and 53%, respectively, with even larger disparities in Quality-Adjusted Life Years (QALYs) at 19%, 39%, and 55%. Key determinants of health for middle-aged and older adults with disabilities included social contact, living areas, and labor market status. Consequently, we recommend three policy interventions: 1) improving access to social contact opportunities within communities; 2) reinforcing the pension system for both urban and rural residents; 3) expanding the elder care industry and enhancing fiscal transfers in rural regions.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":2.0,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530347","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