Journal of Aging & Social Policy最新文献_第3页

Revisiting the Implementation and Effectiveness of Age-Friendly Neighborhood Initiatives in Hong Kong: A Strengths-Based Perspective. 检讨香港“长者友善社区”计划的推行及成效：以优势为本

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. 未满足的需求在老年成人非正式照顾者和照顾接受者在新加坡：一项定性研究。

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

Making People Live or Letting Them Die? Biopolitics and Palliative Care for Older Persons Living in Slums in Brazil. 让人活还是让人死？巴西贫民窟老年人的生命政治和姑息治疗。

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

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