Journal of Aging & Social Policy最新文献

Effects of Copayment Reduction in Long-Term Care Insurance on Medical Utilization in South Korea.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-02-12 DOI: 10.1080/08959420.2025.2461942

Sujin Kim, Jaeeon Yoo

引用次数: 0

The Impact of Social Welfare on Hypertension Among Community-Dwelling Older Adult in India.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-02-11 DOI: 10.1080/08959420.2025.2461946

Sayani Das

{"title":"The Impact of Social Welfare on Hypertension Among Community-Dwelling Older Adult in India.","authors":"Sayani Das","doi":"10.1080/08959420.2025.2461946","DOIUrl":"https://doi.org/10.1080/08959420.2025.2461946","url":null,"abstract":"Hypertension, a prevalent health issue among older adults in India, poses a significant public health challenge in the country. This study examines the impact of the Indira Gandhi National Old Age Pension Scheme (IGNOAPS) on hypertension among older adults, shedding light on the potential influence of social welfare programs on health in this population. The data were derived from 28,855 participants aged 60 years and older in the Longitudinal Ageing Study in India (LASI), Wave 1. Hypertension was evaluated following the JNC-VIII guidelines, and their enrollment in social welfare programs was determined to identify IGNOAPS beneficiaries. The overall prevalence of hypertension was found to be 56.8%. Notably, 25.6% of the participants were beneficiaries of IGNOAPS. Non-beneficiaries were found to be more likely to have hypertension compared to beneficiaries (Adjusted Odds Ratio: 1.31, 95% Confidence Interval: 1.24-1.39), even after adjusting for all confounding variables. These findings emphasize the importance of social security measures and economic empowerment in improving the health and quality of life of older adults. Policymakers and stakeholders should consider implementing interventions that enhance the well-being of older adults by focusing on social welfare programs and economic independence.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391877","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

Making People Live or Letting Them Die? Biopolitics and Palliative Care for Older Persons Living in Slums in Brazil.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-02-10 DOI: 10.1080/08959420.2025.2462325

Matheus Rodrigues Martins, Isabela Silva Cancio Velloso, Bruno Cupertino de Almeida, Alexandre Ernesto Silva

{"title":"Making People Live or Letting Them Die? Biopolitics and Palliative Care for Older Persons Living in Slums in Brazil.","authors":"Matheus Rodrigues Martins, Isabela Silva Cancio Velloso, Bruno Cupertino de Almeida, Alexandre Ernesto Silva","doi":"10.1080/08959420.2025.2462325","DOIUrl":"https://doi.org/10.1080/08959420.2025.2462325","url":null,"abstract":"In Brazilian favelas, the delivery of palliative care for older adults is significantly influenced by the interplay between public policy shortcomings and the socio-cultural dynamics of these communities. The objective of this study was to understand the configuration of palliative care practices offered to older adults, in the context of the home, within vulnerable slum communities. This descriptive, exploratory study used a qualitative approach and was conducted in the homes of palliative care patients assisted by the outreach university project Compassionate Community, in the favelas of Rocinha and Vidigal, Rio de Janeiro, Brazil. Participants included volunteer health professionals and local volunteers. Data were collected through observation and semi-structured interviews and analyzed using Foucauldian-inspired Discourse Analysis. Results indicate that palliative care practices for older adults are shaped by the limited development of public policies aimed at alleviating human suffering in life-threatening conditions in Brazil, combined with the historical, social, and cultural context of favela territories. Consequently, palliative care provision emerges through micro-political arrangements informed by local knowledge and power dynamics, shaping the discourses and practices of those involved.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":2.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383566","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

Does Social Health Insurance Influence Cognitive Impairments Among Older People? Evidence from Longitudinal Surveys in South Korea and China.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-02-07 DOI: 10.1080/08959420.2025.2461943

Chengxu Long, Wei Yang, Karen Glaser

{"title":"Does Social Health Insurance Influence Cognitive Impairments Among Older People? Evidence from Longitudinal Surveys in South Korea and China.","authors":"Chengxu Long, Wei Yang, Karen Glaser","doi":"10.1080/08959420.2025.2461943","DOIUrl":"https://doi.org/10.1080/08959420.2025.2461943","url":null,"abstract":"Significant differences exist in the coverage and target population of social health insurance between South Korea and China. This study investigated the effects of different types of social health insurance on cognition trajectories and survival of older people with cognitive impairments. Data were drawn from the Korean Longitudinal Study of Aging (N = 1812) and the Chinese Longitudinal Healthy Longevity Survey (N = 1168) from 2008 to 2018. Growth mixture models were built to identify cognition trajectories. Logistic regression and Cox proportional hazards models were performed to identify risk factors. Results indicate that although social health insurance improved overall health outcomes among older people with cognitive impairments, there were significant socioeconomic inequalities in its protective influence. Results suggest that South Korea's Medical Aid and China's Basic Medical Health Scheme showed positive influences on cognition trajectories among illiterate older people. In contrast, results indicate that, in China, older adults with cognitive impairments from higher socioeconomic backgrounds benefited more from social health insurance in terms of cognition trajectories and survival. This study urges governments to consider expanding healthcare provision to protect the most vulnerable older people with cognitive impairments in general and those from low socioeconomic backgrounds in particular.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374753","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

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