Journal of Aging & Social Policy最新文献_第8页

Effects of Copayment Reduction in Long-Term Care Insurance on Medical Utilization in South Korea. 长期护理保险共付额减少对韩国医疗利用的影响。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2025-02-12 DOI: 10.1080/08959420.2025.2461942

Sujin Kim, Jaeeon Yoo

引用次数: 0

Factors Affecting Managers' Technology Adoption Decisions in Long-Term Care Homes: A Canadian Exploratory Study Post-COVID-19 Pandemic. 影响长期护理院管理人员采用技术决策的因素：加拿大 COVID-19 大流行后的探索性研究》。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2024-11-04 DOI: 10.1080/08959420.2024.2415172

Danielle Cruise, Mirou Jaana, Danielle Sinden, Linda Garcia

{"title":"Factors Affecting Managers' Technology Adoption Decisions in Long-Term Care Homes: A Canadian Exploratory Study Post-COVID-19 Pandemic.","authors":"Danielle Cruise, Mirou Jaana, Danielle Sinden, Linda Garcia","doi":"10.1080/08959420.2024.2415172","DOIUrl":"10.1080/08959420.2024.2415172","url":null,"abstract":"Health information technologies (HIT) provide opportunities to support staff as well as residents and their families in long-term care (LTC) homes. Yet, LTC homes lag behind other healthcare organizations in HIT adoption, and little is known about the factors that inform and shape LTC home managers' decisions. We conducted an exploratory Delphi study with a panel of 19 Canadian LTC managers who were surveyed through three iterative rounds (brainstorming, narrowing down, and ranking) to solicit their input on the key factors that influence HIT adoption decisions. An authoritative list of 25 factors, described and ranked in importance, was produced. The top five identified factors were (in order of importance): availability of funding, impact on workload and efficiency, value proposition, ease of use, and impact on residents' outcomes. The findings of this research may inform policies and interventions that provide training and workshop opportunities for managers in LTC and increase the awareness of the advocacy and leadership role that managers can play in advancing technology adoption in support of older adults' care. The results can also be used to support funding from LTC home governing bodies, which is tied to the technology adoption portfolio, to institutionalize the commitment to technological transformation in LTC.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"832-855"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569942","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

Correction. 更正。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2024-11-27 DOI: 10.1080/08959420.2024.2431425

引用次数: 0

Mass Media Exposure Moderates the Association of Education and Wealth with Enrollment in Health Insurance Among Older Adults Aged 60 Years and Older in India. 大众媒体接触调节印度 60 岁及以上老年人的教育和财富与医疗保险参保率之间的关系。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2024-10-07 DOI: 10.1080/08959420.2024.2401713

Papai Barman, Ranjan Karmakar, Alok Roy, Manoj Dakua

{"title":"Mass Media Exposure Moderates the Association of Education and Wealth with Enrollment in Health Insurance Among Older Adults Aged 60 Years and Older in India.","authors":"Papai Barman, Ranjan Karmakar, Alok Roy, Manoj Dakua","doi":"10.1080/08959420.2024.2401713","DOIUrl":"10.1080/08959420.2024.2401713","url":null,"abstract":"Mass media exposure (MME) plays an important role in changing health-related behavior or decision-making. This study aimed to examine the association of MME with enrollment in health insurance and its moderating effect on the associations of education and wealth with enrollment in health insurance among older adults in India. The data of 29,935 older adults aged 60 years and older from the first wave (baseline) of the Longitudinal Ageing Study in India (LASI-2017/18) were utilized. Descriptive statistics, bivariate analysis, multivariable logistic regression models, and Fairlie decomposition were used. The findings revealed that 18.3% of older adults had MME and enrollment in health insurance in India. Older adults with MME were 1.42 times more likely to be enrolled in health insurance than those with no MME, and years of schooling increased the probability of enrolling in health insurance compared to those who did not have formal schooling. With increasing monthly per capita expenditure (MPCE), the probability of enrolling in health insurance is lower than the poorest. Further, MME moderates the effects of education and MPCE on enrollment in health insurance and increases the likelihood of enrollment in health insurance. The study's findings imply strategic communication plans to encourage health insurance enrollment in India should take into account the usage of these communication channels.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"451-475"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394205","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

Can ChatGPT Provide Useful Guidance to Assess the Current State of and Future Priorities for Aging Research in the Social Sciences? ChatGPT 能否为评估社会科学领域老龄化研究的现状和未来重点提供有用的指导？

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2024-11-04 DOI: 10.1080/08959420.2024.2422669

Maud Wieczorek, Matthias Kliegel, John Beard, Francis Guillemin, Mauricio Avendano, Jürgen Maurer

{"title":"Can ChatGPT Provide Useful Guidance to Assess the Current State of and Future Priorities for Aging Research in the Social Sciences?","authors":"Maud Wieczorek, Matthias Kliegel, John Beard, Francis Guillemin, Mauricio Avendano, Jürgen Maurer","doi":"10.1080/08959420.2024.2422669","DOIUrl":"10.1080/08959420.2024.2422669","url":null,"abstract":"The multifaceted implications of global population aging require regular assessments of the current state of aging-related social science research and the identification of potential future research priorities in this important area. Given the multi-, inter-, and transdisciplinary nature of this field, such assessments typically require the involvement of experts from diverse backgrounds to ensure a comprehensive picture and to synthesize understudied and newly emerging topics into a future research agenda. We explored to what extent ChatGPT (version GPT-4, OpenAI) might be a useful tool for synthesizing the current state of research and identifying promising future research areas, which could feed into expert panel discussions for priority setting. ChatGPT proposed a long list of topics and specific research questions that are useful in summarizing current views on research priorities across diverse sources. To illustrate, the top five priorities for future aging research identified by ChatGPT were digital integration, climate change and older populations, mental health and aging, aging in diverse contexts, and post-pandemic aging. In conclusion, ChatGPT may be a useful tool for identifying research agenda priorities across organizations present in the web, but the lack of transparency requires that experts critically evaluate the values and views underlying selected priorities.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"531-546"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569922","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

Factors Promoting a Sense of Home Among Older Adults in Residential Care Facilities in Italy. 促进意大利养老院中老年人家的感觉的因素。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2024-08-27 DOI: 10.1080/08959420.2024.2384323

Gabriella Facchinetti, Marzia Lommi, Giorgia Petrucci, Maria Matarese, Maria Grazia De Marinis, Michela Piredda

{"title":"Factors Promoting a Sense of Home Among Older Adults in Residential Care Facilities in Italy.","authors":"Gabriella Facchinetti, Marzia Lommi, Giorgia Petrucci, Maria Matarese, Maria Grazia De Marinis, Michela Piredda","doi":"10.1080/08959420.2024.2384323","DOIUrl":"10.1080/08959420.2024.2384323","url":null,"abstract":"Understanding the housing needs of older adults is crucial for policy makers, service providers, and professional carers. Evidence about the factors that contribute to older adults' \"sense of home\" and their practical and policies implications are lacking. Semi-structured interviews were conducted with 78 community-dwelling older adults to investigate which structural and organizational requirements and relational-affective environments could contribute to their experiencing a sense of home. Through inductive content analysis 119 subcategories were derived and grouped into eight main categories: being considered as a person; a safe, quiet, welcoming, and personalizable environment; meaningful relationships; optional and stimulating activities; active involvement in the organization within the facility; competent care personnel; preserving life memories; facility open and integrated with the community. Findings suggest that multiple factors might influence \"feeling at home,\" and many strategies can be adopted to facilitate older adults' successful adaptation. It is important that healthcare organizations consider these factors from a person-centered care perspective, and that care staff are trained in this type of care to enhance staff decision-making and older adults' wellbeing.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"892-913"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082129","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 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub 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":"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":"756-774"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","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

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 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub 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":"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":"817-831"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12167748/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Policy and Practices of Hospice Live Discharge: A Historical Exploration of the Medicare Hospice Benefit. 完善临终关怀的政策与实践:医疗保险临终关怀福利的历史探索。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2023-12-01 DOI: 10.1080/08959420.2023.2286164

Cara L Wallace, Stephanie P Wladkowski

{"title":"Improving Policy and Practices of Hospice Live Discharge: A Historical Exploration of the Medicare Hospice Benefit.","authors":"Cara L Wallace, Stephanie P Wladkowski","doi":"10.1080/08959420.2023.2286164","DOIUrl":"10.1080/08959420.2023.2286164","url":null,"abstract":"Hospice care in the US is heavily regulated to ensure access to the Medicare Hospice Benefit (MHB) for individuals with serious illness. Policy changes to the MHB, many of which intended to minimize potential fraud (e.g. focused medical reviews; documentation requirements for certifications, recertifications, and discharges; requirements of physician narratives and face-to-face visits), directly impact current hospice discharge practices and experiences. When patients revoke hospice or are unable to be recertified due to a stabilized condition, they lose access to the holistic philosophy of care and experience additional stressors with increased potential for burdensome transitions. Patients with chronic conditions, such as Alzheimer's disease or related dementias, Chronic Obstructive Pulmonary Disease, or heart failure are more likely to have longer length of stays and are more often discharged alive from hospice. Few policy changes have been made to account for growing incidents of patients dying of chronic illness though the policy was originally created primarily for cancer patients, reflecting a time when most patients were dying of cancer. This manuscript describes the uniquely American phenomenon of a hospice live discharge, reviews relevant and historical policies, and provides recommendations for future research, policy, and practice to better support patients and families during this critical healthcare transition.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"996-1011"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463554","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}

引用次数: 0

Can Long-Term Care Insurance Change Eldercare Patterns? Evidence from China. 长期护理保险能否改变老年人护理模式？来自中国的证据。

IF 2 3区社会学

Journal of Aging & Social Policy Pub Date : 2025-01-01 Epub Date: 2024-08-22 DOI: 10.1080/08959420.2024.2384183

Chenyang Shao, Yiwen Shangguan, Wenshun Li

{"title":"Can Long-Term Care Insurance Change Eldercare Patterns? Evidence from China.","authors":"Chenyang Shao, Yiwen Shangguan, Wenshun Li","doi":"10.1080/08959420.2024.2384183","DOIUrl":"10.1080/08959420.2024.2384183","url":null,"abstract":"Long-term Care Insurance (LTCI), providing care services and economic compensation to older adults with activity limitations, plays a crucial role in addressing the care needs of older adults and easing the burden on family caregivers. This article is based on the 2011-2018 China Health and Retirement Longitudinal Study (CHARLS) and uses China's LTCI pilot program as a quasi-experiment to examine the impact of LTCI on older adults' care patterns in China. It employs a staggered difference-in-differences (staggered DID) methodology to model the economic support, living arrangements and care, and spiritual comfort provided to older adults. Results indicate that LTCI significantly enhances the economic and emotional independence of older adults. On the one hand, LTCI effectively decreases the economic and emotional dependence of older adults on their children. On the other hand, LTCI raises the likelihood that older adults rely on social institutions and personnel for care. Additionally, LTCI is associated with achieving higher life satisfaction. Interestingly, the impact of LTCI varies significantly across sub-samples of different types of older adults and different policy regulations. Overall, findings indicate that LTCI shifts older adults' care patterns from family to socialized care, thereby reducing children's caregiving burden.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"375-394"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037337","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