Journal of Aging & Social Policy最新文献

Modernizing Care for Older Adults: Long-Term Care Policy Evolution and Challenges in China.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-03-28 DOI: 10.1080/08959420.2025.2482299

Qingwei Wang, Yu Ma, Jiayu Chen, Zhanlian Feng

{"title":"Modernizing Care for Older Adults: Long-Term Care Policy Evolution and Challenges in China.","authors":"Qingwei Wang, Yu Ma, Jiayu Chen, Zhanlian Feng","doi":"10.1080/08959420.2025.2482299","DOIUrl":"https://doi.org/10.1080/08959420.2025.2482299","url":null,"abstract":"The evolution of long-term care policy in China is a complex response to the nation's demographic shift and socioeconomic changes. Despite extensive policy development, discrepancies between policy intentions and real-world demands of older adults persist. This commentary dissects the dynamics that have shaped China's aging policies from the 1950s to the present, identifying gaps between policy formulations and market response and the challenges of navigating a fragmented regulatory landscape. A misalignment has emerged between an undersupply of home and community-based services and overstocked institutional care capacity, resulting in resource underutilization and diverging from intended policy outcomes. This commentary further explores the regulatory fragmentation within China's long-term care sector, finding that fragmented supervision is a significant barrier to achieving cohesive governance and effective policy implementation. It illustrates the critical need for adaptive policy mechanisms that better align with demographic realities and consumer expectations. This commentary contributes to the discourses on long-term care policy by offering insights into the effectiveness of China's strategic initiatives in recent years and suggesting directions for future policy refinement.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732306","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

Impact of an Outpatient Coverage Scheme on Health-care Utilization Among Middle-Aged and Older Adults: Evidence from the Outpatient Mutual-Aid Security Policy in China.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-03-26 DOI: 10.1080/08959420.2025.2482300

Xinfeng Wang, Xin Ye

{"title":"Impact of an Outpatient Coverage Scheme on Health-care Utilization Among Middle-Aged and Older Adults: Evidence from the Outpatient Mutual-Aid Security Policy in China.","authors":"Xinfeng Wang, Xin Ye","doi":"10.1080/08959420.2025.2482300","DOIUrl":"https://doi.org/10.1080/08959420.2025.2482300","url":null,"abstract":"China's social medical insurance system has long focused on reducing the risk of catastrophic health expenditures from serious illnesses, overlooking the economic burden of common diseases brought by population aging. To address this problem, China implemented the outpatient mutual-aid security (OMAS) policy for covering outpatient services under its basic medical insurance system for the employed. Using panel data from the China Health and Retirement Longitudinal Study between 2011 and 2018, this study aimed to investigate whether the OMAS policy changed the middle-aged and older adults' utilization pattern of health services by utilizing the difference-in-differences (DID) approach. The results indicated that the implementation of the OMAS policy increased the number of outpatient visits (Coefficient = 0.240, p < .05) and reduced the number of inpatient visits (Coefficient = -0.117, p < .05) without increasing financial risk among middle-aged and older adults. The OMAS policy was also found to be associated with improvements in self-rated health (Coefficient = 0.234, p < .05) and a reduction in the number of ADL limitations (Coefficient = -0.103, p < .05) over the course of its extended implementation. Our study demonstrated that the OMAS policy has led to changes in health-care utilization patterns and enhancements in health outcomes in the long term.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711589","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

What Makes a Rural Community Age-Friendly? Insights into Aging in Place in Small Iowa Towns.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-03-26 DOI: 10.1080/08959420.2025.2478341

Ilona Matysiak

{"title":"What Makes a Rural Community Age-Friendly? Insights into Aging in Place in Small Iowa Towns.","authors":"Ilona Matysiak","doi":"10.1080/08959420.2025.2478341","DOIUrl":"https://doi.org/10.1080/08959420.2025.2478341","url":null,"abstract":"Rural populations in the U.S. and many other countries are aging rapidly, which creates challenges for policymakers and local leadership. Therefore, this study explored what makes rural communities a good place for older adults to live in and why. Data were primarily derived from in-depth interviews with 25 older adults living in four small rural towns in Iowa, and information provided by local stakeholders. All these communities are aging but differ in perceptions about the quality of age-based services. The findings show that such services are important but not a necessary condition for a rural community to be perceived as age-friendly. A strong and supportive social environment appears to offer some compensation when local services are lacking and local infrastructure is underdeveloped. Both older adults and local stakeholders' perceptions of an age-friendly community are mostly related to social networks, informal support, and a local \"culture of caring.\" Recognizing and strengthening these aspects of community life is within reach of rural communities and their leaders, without the need for large-scale interventions or infrastructure investments.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711590","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

Prevalence of Chronic Diseases and Patterns of Multimorbidity Among Older Adults in Zhejiang, China: A Cross-Sectional Analysis Utilizing Electronic Health Records.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-03-24 DOI: 10.1080/08959420.2025.2475267

Yanrong Zhao, Tianxiang Lin, Xuewen Jiang, Qing Yang, Wei Wang, Le Xu, Xinyi Wang, Yinwei Qiu

{"title":"Prevalence of Chronic Diseases and Patterns of Multimorbidity Among Older Adults in Zhejiang, China: A Cross-Sectional Analysis Utilizing Electronic Health Records.","authors":"Yanrong Zhao, Tianxiang Lin, Xuewen Jiang, Qing Yang, Wei Wang, Le Xu, Xinyi Wang, Yinwei Qiu","doi":"10.1080/08959420.2025.2475267","DOIUrl":"https://doi.org/10.1080/08959420.2025.2475267","url":null,"abstract":"China has implemented national essential public health services (NEPHS) to strengthen its primary health care system. These services are continuously adjusted in accordance with factors such as public health service requirements. Previous research has indicated significant variability in the prevalence and patterns of multimorbidity. This study utilizes the Electronic Health Records in 2021 (N = 4,045,684) to describe the prevalence of major chronic diseases and explore common patterns of multimorbidity among older adults in Zhejiang, China. Results show that the prevalence of multimorbidity was 36.04%, with the most common pattern of multimorbidity being hypertension and dyslipidemia (12.66%), followed by hypertension and diabetes (5.46%), and hypertension, dyslipidemia, and diabetes (3.95%). The NEPHS should consider embracing the strategic management framework of the Guided Care Model, shifting the focus from a purely disease-oriented to a more holistic patient-oriented model.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693964","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

Revisiting the Implementation and Effectiveness of Age-Friendly Neighborhood Initiatives in Hong Kong: A Strengths-Based Perspective.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-03-15 DOI: 10.1080/08959420.2025.2476762

Kar Him Mo, Esther Ng, Jean Woo, Yi Izzy Jian, Weixuan Chen

{"title":"Revisiting the Implementation and Effectiveness of Age-Friendly Neighborhood Initiatives in Hong Kong: A Strengths-Based Perspective.","authors":"Kar Him Mo, Esther Ng, Jean Woo, Yi Izzy Jian, Weixuan Chen","doi":"10.1080/08959420.2025.2476762","DOIUrl":"https://doi.org/10.1080/08959420.2025.2476762","url":null,"abstract":"In an era where urban environments increasingly grapple with the challenges of an aging population, the necessity for age-friendly neighborhoods (AFNs) has never been more acute. This study investigates the implementation and effectiveness of AFN initiatives in Hong Kong, examining the alignment between policy intentions and their actual impact on the ground. Utilizing a strengths-based perspective, documentary and thematic analysis for gray literature, semi-structured interviews, and focus groups are employed to bridge existing research gaps by highlighting the subjective agency of older adults. The findings reveal that while policies are robustly designed, their execution often fails to align with older adults' actual demands and expectations. Although public policies are generally well-intentioned, they often lack specificity and fail to accommodate the unique needs of the older population fully. Serving as active agents, older adults have the potential to contribute significantly to the making of AFNs, challenging the traditional view of them as mere beneficiaries.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-22"},"PeriodicalIF":2.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634862","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

Unmet Needs Among Older Adult Informal Caregivers and Care Recipients in Singapore: A Qualitative Study.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-03-15 DOI: 10.1080/08959420.2025.2475265

Siang Joo Seah, Dhiya Mahirah, Clement Ho Zhong Hao, Cheryl Tan Yan Fang, Lu Si Yinn, Xu Yi, Charissa Koh Wan Cheen, Ng Yong Ling, Tan Chao Min, Low Lian Leng

{"title":"Unmet Needs Among Older Adult Informal Caregivers and Care Recipients in Singapore: A Qualitative Study.","authors":"Siang Joo Seah, Dhiya Mahirah, Clement Ho Zhong Hao, Cheryl Tan Yan Fang, Lu Si Yinn, Xu Yi, Charissa Koh Wan Cheen, Ng Yong Ling, Tan Chao Min, Low Lian Leng","doi":"10.1080/08959420.2025.2475265","DOIUrl":"https://doi.org/10.1080/08959420.2025.2475265","url":null,"abstract":"With the global population aging, it is imperative to have a thorough understanding of the unmet needs experienced by older adults who require caregiving or are informal caregivers. It is also important to understand how the perspectives of caregivers and care recipients might differ and interact to mutually shape experiences during the care journey. The primary aim of this study was to provide an in-depth and holistic understanding of the unmet needs and challenges experienced by older informal caregivers and care recipients. In-depth interviews were conducted in Singapore with 43 participants aged 60 years and above (35 caregivers and eight care recipients). Five main themes emerged from the analysis of the data: i) unmet needs due to informational gaps, ii) fear of burdening family members, iii) caregivers' de-prioritization of self-care due to care recipients' needs, iv) differing views between caregivers and care recipients, and v) concerns about the future. These findings highlight challenges that are especially pertinent to older informal caregivers and care recipients and suggest the need to improve support for them, including having more frequent check-ins, recalibrating policies and programs for more flexible and person-centered support, and facilitating more conversations between care recipients and caregivers about future caregiving arrangements. (198 words).","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":2.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634865","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

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