Paulo Batista, Jan Wolf, Rita Martins, João Lourenço Marques
{"title":"The Location of Home Support Services for Older Adults in the Aveiro Region of Portugal.","authors":"Paulo Batista, Jan Wolf, Rita Martins, João Lourenço Marques","doi":"10.1080/08959420.2024.2384182","DOIUrl":"10.1080/08959420.2024.2384182","url":null,"abstract":"<p><p>Home and community-based services are key to an aging society and the aging in place strategies that are preferred by older adults as well as policymakers. But the provision of these kinds of services is often inadequate in territorial terms, raising the question of how to increase their reach and efficiency. This article analyzes the spatial coverage of home support services in the Aveiro Region of Portugal, considering the distribution of their target population and identifying network configurations which would provide these services more efficiently, through a location analysis that minimizes the distance to potential users of these services. This approach showed that, in the Aveiro Region, the spatial coverage of these services is highly uneven and insufficient, considering that the population with difficulties in performing daily tasks exceeds the population benefiting from these services and that the level of coverage differs greatly between territories. It also showed that significant efficiency and equity gains are possible by optimizing the service providers' location at the supra-municipal scale, decreasing the distances to be covered and reducing territorial inequalities.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"856-874"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120880","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}
{"title":"Publicly Reported Quality Performance for Dual-eligible Special Needs Plans, 2010-2019.","authors":"Laura M Keohane, Srivarun Tummarakota","doi":"10.1080/08959420.2023.2226309","DOIUrl":"10.1080/08959420.2023.2226309","url":null,"abstract":"<p><p>As enrollment increases in Dual-eligible Special Needs Plans (D-SNPs) that exclusively enroll low-income Medicare beneficiaries with Medicaid coverage, better evidence is needed about quality of care in these managed care plans. Using 2010-2019 publicly reported Healthcare Effectiveness Data and Information Set (HEDIS) measures, we found that median HEDIS performance scores were usually slightly worse for D-SNPs than the overall MA program with some reductions in quality performance gaps between 2010 and 2019. D-SNPs had more incomplete performance reporting than MA contracts, especially for measures focused on clinical conditions. Medicare Advantage reporting requirements should require greater transparency about performance in D-SNPs.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"796-816"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10739605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9730450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-Term Care Use Among Older Migrants in the Netherlands: What to Expect in the Next Decade?","authors":"Nina Conkova, Thijs van den Broek","doi":"10.1080/08959420.2024.2384195","DOIUrl":"10.1080/08959420.2024.2384195","url":null,"abstract":"<p><p>The number of older adults in the Netherlands is growing rapidly, and an increasing share of them is foreign-born. This may have implications for long-term care (LTC) demand. This study provides insights into older migrants' current and future use of LTC provisions under the Dutch long-term care act (LTCA). We distinguish three types of LTC and six groups of older migrants and analyze register data of all foreign-born older adults. Descriptive statistics for the 2016-2022 period and logistic regression analyses show considerable heterogeneity regarding the LTC-services used and the origin of care users. Most notably, Moroccan and Turkish older adults are least likely to use residential care and more likely to use personal care budgets. By combining our models' results with population projections, we project that older migrants' use of home-based care and personal budgets will increase rapidly in the next decade. Migrants with western and Surinamese origin will most often use LTC. Although the demand for residential care will rise less markedly, residential care will remain most used by older migrants under the LTCA. The rising demand for home-based care calls for policy efforts accommodating flexibility, room for differences, and grounds for establishing trustworthy relationships between all involved actors.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"875-891"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113363","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}
Tiago D Ribeiro, Helena Carvalho, Élvio Rúbio Gouveia, Marcelo Nascimento, Miguel Peralta, Adilson Marques
{"title":"Frailty and Health-Related Quality of Life Among European Older Adults: The Moderating Effect of Human Development Index.","authors":"Tiago D Ribeiro, Helena Carvalho, Élvio Rúbio Gouveia, Marcelo Nascimento, Miguel Peralta, Adilson Marques","doi":"10.1080/08959420.2024.2384179","DOIUrl":"10.1080/08959420.2024.2384179","url":null,"abstract":"<p><p>The Human Development Index (HDI) is a proxy for the social and economic level of countries, which is related to the health and well-being of older adults. This study aimed to examine the moderating effect of the HDI on the relationship between frailty and health-related quality of life among European older adults. Participants were 23,972 older adults (53.2% female, <i>M</i> = 74.2 years old, <i>SD</i> = 6.75 years old) from 24 European countries, joining wave 8 (2020) of the Survey of Health, Aging, and Retirement in Europe (SHARE). Multilevel modeling was used to analyze nested data. Significant differences in health-related quality of life among the several European Union countries were observed (intraclass correlation coefficient [ICC] = 0.18, LRT (1) = 5568.07, <i>p</i> < .001). The HDI has been shown to moderate the relationship between frailty and health-related quality of life among older adults, buffering the impact of frailty on the health-related quality of life. Since healthy aging is a priority for the European Union, policies mitigating the impact of HDI on the relationship between frailty and health-related quality of life should be implemented.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"640-653"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082130","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}
{"title":"Migration Decisions in the Fourth Age: The Case of East Asian Retirees in Thailand.","authors":"Kanokwan Tangchitnusorn, Patcharawalai Wongboonsin","doi":"10.1080/08959420.2023.2267398","DOIUrl":"10.1080/08959420.2023.2267398","url":null,"abstract":"<p><p>Previous studies have not amply explored the next move of older adults currently spending their retirement abroad. This paper examined the future migration decisions of East Asian retirees in the last stage of life marked by frailty, dependency, and abjection (i.e. the fourth age). A survey of Chinese and Japanese retirees in Thailand (<i>n</i> = 204) was conducted during 2019-2021. Binary logistic regression analysis indicated that age, income, religion, residence, Thai spouse/partner, and property at origin were significantly associated with future migration decisions (<i>p</i> < .05). Future research and policymaking should enhance Thailand's capacity to facilitate fourth age living.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"671-683"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215830","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}
{"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":"10.1080/08959420.2025.2461943","url":null,"abstract":"<p><p>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 (<i>N</i> = 1812) and the Chinese Longitudinal Healthy Longevity Survey (<i>N</i> = 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.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"395-410"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","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}
{"title":"Correction.","authors":"","doi":"10.1080/08959420.2024.2403173","DOIUrl":"10.1080/08959420.2024.2403173","url":null,"abstract":"","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"i-ii"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298536","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}
{"title":"Elder Caregiving Frequency, Labor Force Participation, and Work.","authors":"Jessica Forden","doi":"10.1080/08959420.2024.2422671","DOIUrl":"10.1080/08959420.2024.2422671","url":null,"abstract":"<p><p>Unpaid eldercare provided by family comes with costs to caregivers, including the limitations eldercare responsibilities may place on labor force participation and work hours. This study examines the relationship between the frequency of unpaid eldercare and work behavior for previously full-time workers using multivariate regression and 2011-2018 American Time Use Survey data. High-frequency eldercare provision is associated with a decreased probability of being in the labor force for both men and women, and 5.5 fewer weekly hours worked for men ages 25-49, conditional on working full time 2-5 months prior. Policymakers should consider the relationship between work and unpaid caregiving for high-frequency caregivers in addressing growing care demand.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"740-755"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649289","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}
{"title":"Demographic, Health, and Social Predictors of Place of Death in England, 2004-2013: Identifying barriers to dying in the community.","authors":"Diana Teggi, Jeremy Dixon, Matt Dickson","doi":"10.1080/08959420.2025.2482298","DOIUrl":"10.1080/08959420.2025.2482298","url":null,"abstract":"<p><p>The reduction of hospital deaths is a policy priority in most developed countries. However, health and social care systems experience difficulties in delivering this outcome. Moreover, studies of place of death fail to identify barriers to dying in the community. To address this gap, this study estimates the unique effects of disease diagnosis and care provider type on the probability that ill adults aged 50 and older die in a private home, care home, hospital, or hospice. It does so by applying multinomial logistic regression analysis to data from the English Longitudinal Study of Ageing. Crucially, the analysis controls for sociodemographic factors, disability, and prognostic uncertainty by accounting for whether relatives anticipated the death. Cancer predicts hospice death, while non-cancer diagnosis and care provision by a partner predict hospital death. Dementia is a barrier to dying in a private home, while it is associated with a care home death. This suggests that community palliative care referral pathways cater to cancer diagnoses, while private home-based palliative care services struggle to support adults with dementia to die at home, regardless of prognostic accuracy. Including cancer-free adults in community palliative care referral pathways, and supporting their partners in care provision, would likely reduce hospital deaths.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"972-995"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754988","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}
{"title":"Effects of Copayment Reduction in Long-Term Care Insurance on Medical Utilization in South Korea.","authors":"Sujin Kim, Jaeeon Yoo","doi":"10.1080/08959420.2025.2461942","DOIUrl":"10.1080/08959420.2025.2461942","url":null,"abstract":"<p><p>This study assessed the impact of reducing South Korean long-term care insurance copayment in 2018 on hospital admissions, avoidable hospitalizations, and outpatient care. Using coarsened exact matching and a triple-difference approach, the analysis was conducted on the 2017-2019 older adult cohort from the National Health Insurance Service database. Results showed decreased avoidable hospitalizations and nursing hospital stays for the low-income class. For the middle-income class, long-term hospitalizations and nursing hospital admissions decreased, while outpatient care use increased. Affordable long-term care services could enhance resource allocation and older adult beneficiaries' health conditions.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"411-431"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400357","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}