Journal of Aging & Social Policy最新文献_第2页

Service Utilization and Consumer-Reported Unmet Needs in Medicaid Home- and Community-Based Services for Older Adults. 老年人家庭和社区医疗补助服务中的服务利用率和消费者报告的未满足需求。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-12-16 DOI: 10.1080/08959420.2024.2422666

Tetyana P Shippee, Taylor I Bucy, Romil R Parikh, Jack M Wolf, Peter Shewmaker, John F Mulcahy, Tricia Skarphol, Stephanie Giordano, Nilufer Isvan, Eric Jutkowitz

{"title":"Service Utilization and Consumer-Reported Unmet Needs in Medicaid Home- and Community-Based Services for Older Adults.","authors":"Tetyana P Shippee, Taylor I Bucy, Romil R Parikh, Jack M Wolf, Peter Shewmaker, John F Mulcahy, Tricia Skarphol, Stephanie Giordano, Nilufer Isvan, Eric Jutkowitz","doi":"10.1080/08959420.2024.2422666","DOIUrl":"https://doi.org/10.1080/08959420.2024.2422666","url":null,"abstract":"Home- and community-based services (HCBS) are increasingly favored over nursing home care by older consumers and by policymakers. Consumer-reported unmet service needs in HCBS are important service quality and person-centeredness indicators. Yet, we know little about consumer-reported unmet needs among HCBS users. Therefore, we evaluated consumer-reported unmet needs (i.e. that the services they receive currently were not meeting their needs and goals) for 9,693 Medicaid HCBS beneficiaries (age ≥65 years) in the National Core Indicators-Aging and Disability survey (2016-2019). Personal care (59.7%) and homemaker (24.4%) services were the most utilized HCBS. Prevalence of unmet needs was highest in transportation (12.2%) and homemaker (11.7%) services. Consumers with poorer self-rated health, dementia, or mental illness; ndividuals living alone; and people of color were more likely to report unmet needs in HCBS such as personal care, caregiver support, adult day, or transportation. Proxy survey respondents were more likely to report unmet needs in caregiver support and personal care services and less likely to report unmet needs in transportation services. Consumer-reported unmet needs might indicate barriers to accessing HCBS. Our findings indicate differences in predictors of unmet needs by service categories, which should inform future targeted policymaking by state agencies and service providers to improve HCBS.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830335","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}

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Correction.

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-12-15 DOI: 10.1080/08959420.2024.2442178

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Correction. 更正。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-27 DOI: 10.1080/08959420.2024.2431425

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Elder Caregiving Frequency, Labor Force Participation, and Work. 老年人护理频率、劳动力参与和工作。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-17 DOI: 10.1080/08959420.2024.2422671

Jessica Forden

引用次数: 0

Conundrums in Implementing Consumer Direction in Home-Based Care: Perspectives of Older Adults and Family Members in China. 在家庭护理中实施消费者导向的难题：中国老年人和家庭成员的视角》。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-14 DOI: 10.1080/08959420.2024.2422665

Jinbao Zhang, Julia Shu-Huah Wang, Wing Kit Chan, Yongen Chen, Danhong Lan

{"title":"Conundrums in Implementing Consumer Direction in Home-Based Care: Perspectives of Older Adults and Family Members in China.","authors":"Jinbao Zhang, Julia Shu-Huah Wang, Wing Kit Chan, Yongen Chen, Danhong Lan","doi":"10.1080/08959420.2024.2422665","DOIUrl":"https://doi.org/10.1080/08959420.2024.2422665","url":null,"abstract":"Consumer-directed care (CDC) for older people enables clients to arrange personalized services and improves their well-being. However, little is known about clients' preferences for policies in collectivist cultures. We investigate the views of older clients and family members about policies that promote consumer direction in a collectivist cultural setting - Guangzhou, China. Using semi-structured interviews, we recruited older persons and their family members (n = 24) in 2021. Inductive thematic analysis was employed. Two themes emerged. The first theme, the need for flexibility in utilizing benefits, includes the need for: 1) flexibility in selecting care workers; 2) autonomy in choosing budget management agents; 3) flexibility in selecting care-related goods; and 4) adequate and equitable benefits. The second theme, the need for professional support, contains the need for: 1) information and support; and 2) individualized training for care workers. Similar to those in individualistic cultures, people in collectivist environments desire autonomy and choice in service arrangements. However, the welfare and preferences of family members, rather than clients, may be prioritized by family members when making care decisions. Adapting CDC to collectivist cultures requires navigating between client preferences and family preferences.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":2.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629807","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 is the Relationship Between Older People's Housing Characteristics and Their Care Needs? 老年人的住房特征与他们的护理需求之间有什么关系？

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-13 DOI: 10.1080/08959420.2024.2422664

Nicola Brimblecombe, Madeleine Stevens, Jayeeta Rajagopalan, Bo Hu, Javiera Cartagena Farias, Daisy Pharoah

{"title":"What is the Relationship Between Older People's Housing Characteristics and Their Care Needs?","authors":"Nicola Brimblecombe, Madeleine Stevens, Jayeeta Rajagopalan, Bo Hu, Javiera Cartagena Farias, Daisy Pharoah","doi":"10.1080/08959420.2024.2422664","DOIUrl":"https://doi.org/10.1080/08959420.2024.2422664","url":null,"abstract":"Housing conditions and quality are well-established structural or social determinants of health. Poor quality housing also has the potential to affect care needs, but there is much less research on the topic, particularly on nonspecialist housing. Based on analysis of in-depth interviews with 44 people aged 65 and older living in England, their unpaid carers (N = 22), or as a carer-care recipient dyad (N = 6), (total N = 72), this study sought to explore the perceived relationship between people's housing conditions and characteristics and their care needs. Findings indicate three key themes within this relationship: condition of home (cold and damp; state of repair; cleanliness and clutter); space and design (space, access); and legal relationship with the home (ability to carry out remedial work; precarity). There was variation in how and whether housing affected care needs by housing tenure, financial resources, and the type and level of care need. Care needs can increase requirement for warmer, less damp homes and be a barrier to improving homes. In turn, housing has a role to play in preventing the occurrence or worsening of care needs. Improving housing through policy and practice actions could reduce care needs and improve the lives of older people now and in the future.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629809","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

Inequalities in Unmet Needs for Healthcare Services Among Middle-Aged and Older Adults in China. 中国中老年人医疗保健服务需求未得到满足的不平等现象。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-10 DOI: 10.1080/08959420.2024.2422674

Yanshang Wang, Xinfeng Wang, Xin Ye

{"title":"Inequalities in Unmet Needs for Healthcare Services Among Middle-Aged and Older Adults in China.","authors":"Yanshang Wang, Xinfeng Wang, Xin Ye","doi":"10.1080/08959420.2024.2422674","DOIUrl":"https://doi.org/10.1080/08959420.2024.2422674","url":null,"abstract":"Unmet needs for healthcare services are widely recognized as an indicator of inequalities in healthcare access and utilization. This study estimated inequalities in unmet needs for healthcare services as well as their contributing factors and reasons among middle-aged and older adults in China. Results indicated that 30.47% and 5.69% of the middle-aged and older population in China reported unmet needs for outpatient and inpatient services, respectively. Mostly pro-poor inequalities concerned unmet needs for both rural and urban residents. The coverage of public health insurance and individuals' health status contributed most to the inequalities in the unmet needs identified. The most prevalent reason for unmet needs was affordability, especially for poor or rural respondents. Despite the rapid development of universal healthcare, unmet needs for healthcare services still existed and remained high among people living in rural areas and with low incomes in China. Policy interventions should focus on improving the public health insurance system and targeting financial barriers to obtaining care, particularly vulnerable populations in China.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629821","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

Whether Pension Program Stimulates the Consumption of Addictive Products: Evidence from China's New Rural Pension Scheme. 养老金计划是否刺激了成瘾性产品的消费？中国新型农村养老金计划的证据。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-09 DOI: 10.1080/08959420.2024.2425507

Xinrong Li, Yu Wang, Zhichong Xuan, Qiran Zhao

{"title":"Whether Pension Program Stimulates the Consumption of Addictive Products: Evidence from China's New Rural Pension Scheme.","authors":"Xinrong Li, Yu Wang, Zhichong Xuan, Qiran Zhao","doi":"10.1080/08959420.2024.2425507","DOIUrl":"https://doi.org/10.1080/08959420.2024.2425507","url":null,"abstract":"Much attention has been paid to evaluating the policy effects of pension programs, but few studies have focused on possible inefficiencies stemming from their implementation. Drawing on a quasi-natural experiment associated with the adoption of China's New Rural Pension Scheme (NRPS), this study explores the impact of the NRPS on food consumption among rural residents. A difference-in-differences (DID) analysis is performed using panel data from the 2009 and 2013 National Rural Fixed Observation survey. Results show that participation in the NRPS improves residents' dietary quality by increasing the consumption of recommended foods and decreasing the consumption of non-recommended foods. However, the results also show that the NRPS is associated with increased consumption of addictive and unhealthy products, especially in households with lower average levels of education, poorer self-reported health, and older adults over age 60. Findings suggest that when examining the possible health effects of new pension policies, it is essential to account for potential increases in the intake of unhealthy and addictive products, such as cigarettes and alcohol.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629811","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 Well? Exploring Self-Reported Quality of Life in the Older Austrian Population Based on Repeated Cross-Sectional Data. 老有所养？基于重复横截面数据，探索奥地利老年人口中自我描述的生活质量。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-06 DOI: 10.1080/08959420.2024.2423102

Richard Felsinger, Susanne Mayer, Gerald Haidinger, Judit Simon

{"title":"Aging Well? Exploring Self-Reported Quality of Life in the Older Austrian Population Based on Repeated Cross-Sectional Data.","authors":"Richard Felsinger, Susanne Mayer, Gerald Haidinger, Judit Simon","doi":"10.1080/08959420.2024.2423102","DOIUrl":"https://doi.org/10.1080/08959420.2024.2423102","url":null,"abstract":"Increase in life expectancy around the world puts aging societies with all their challenges on the Global Public Health agenda. In Austria, additional years of life gained are not spent in good health, as healthy life expectancy is far below the European average. Using repeated cross-sectional data from three waves of the Austrian Health Interview Survey (2006, 2014 and 2019), including a total of 10,056 participants aged 65 years and above, this study examined the change in self-reported quality-of-life (QoL) over time and explored associated factors. QoL, estimated by domain scores of the WHOQOL-BREF questionnaire, increased over time but decreased with age in all survey waves. Observed mean scores were significantly higher in males than in females in all QoL domains except the social domain but sex differences disappeared in most domains in the multivariable regression analyses. Instead, factors associated with significantly higher QoL scores included younger age, higher socioeconomic status, living in Western Austria and having no chronic conditions. Statistically significant observed sex differences in QoL in the older-aged Austrian population disappeared when adjusting for income and education. Strategies and measures to increase financial capabilities may have a significant impact on QoL and well-being in this age group.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591743","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 Different Aspects of the Housing Quality of Older Adults: Which Criteria Should Be Prioritized? 老年人住房质量的不同方面：哪些标准应优先考虑？

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2024-11-04 DOI: 10.1080/08959420.2024.2422668

Richard Sendi, Maša Filipovič Hrast, Ajda Šeme, Boštjan Kerbler

{"title":"The Different Aspects of the Housing Quality of Older Adults: Which Criteria Should Be Prioritized?","authors":"Richard Sendi, Maša Filipovič Hrast, Ajda Šeme, Boštjan Kerbler","doi":"10.1080/08959420.2024.2422668","DOIUrl":"https://doi.org/10.1080/08959420.2024.2422668","url":null,"abstract":"Various studies have identified that older adults' assessment of their housing quality differs from that deemed as good-quality housing by housing professionals. This has prompted the need to advance academic discourse beyond simply reporting high levels of satisfaction in older adult's housing surveys. This study attempts to achieve this by using empirical data gathered through a mixed quantitative and qualitative research approach conducted with older adults in Slovenia. While the quantitative survey revealed generally high levels of satisfaction, the qualitative face-to-face interviews revealed numerous deficiencies, irrespective of whether older adults tended to express satisfaction with their dwellings. Therefore, our findings suggest that attributes such as ownership, period of residence, and neighborhood relations are far more important in determining housing satisfaction. Thus, we conclude that policies and programs for modifying housing for older adults must be based on a deeper understanding of their specific needs. During the policy formulation process and the implementation of specific housing improvement programs, emphasis should be placed on the social-historical aspects related to the lifestyle of each specific older adult.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569995","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