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Journal of Aging & Social Policy

Philip A Rozario, Song-Iee Hong
In Singapore, policy makers expect families to remain actively involved in the care of their frail older relatives, as manifestly expressed in its Many Helping Hands approach to long-term care. To enable families to fulfill this expectation, the government has enacted policies that encourage the hiring of foreign domestic workers (FDWs) to complement or supplement informal caregiving efforts. Using the Andersen Behavioral Model, we were interested in identifying caregiver and care receiver characteristics that might predict the hiring of FDWs...
February 16, 2019: Journal of Aging & Social Policy
Li Zhang, Zhihong Ding, Liya Qiu
We contrast rural and urban single-child parents' old age care preferences and factors determining their preferences. The results show that single-child parents are more likely to report specific old age preferences than parents with multiple children; urban single-child parents are also more likely to have specific old age care preferences than their rural counterparts. Pension/social insurance is most preferred by urban single-child parents; whereas the preferences of rural single-child parents are more diverse...
February 16, 2019: Journal of Aging & Social Policy
Denise A Tyler, Renée R Shield, Jill Harrison, Whitney L Mills, Kristen E Morgan, Maxwell E Cutty, Danielle L Coté, Susan M Allen
This study aimed to identify the barriers to a timely discharge from short-term care in Veterans Health Administration (VHA) Community Living Centers (CLCs). Ninety-nine interviews were conducted with CLC staff in leadership and direct-care positions in eight varied CLCs. Major themes identified through qualitative analysis as barriers to a timely discharge were a lack of patients' financial resources, low social support, and reluctance of some veterans and staff to view a timely veteran discharge as their goal...
February 14, 2019: Journal of Aging & Social Policy
Joseph W June, Hongdao Meng, Debra Dobbs, Kathryn Hyer
In 2014, more than 800,000 older adults reside in assisted living communities (ALCs) in the United States, yet few studies have examined whether state licensure inspection and citation information can be used to help consumers infer quality in choosing facilities. We examined the quality of ALCs using the deficiency citation data from the State of Florida. Data on 2,457 licensed ALCs operating between 2013 and 2015 were used to estimate logistic and negative binomial regression models to determine ALCs' structural characteristics that were associated with any and the number of deficiency citations...
January 16, 2019: Journal of Aging & Social Policy
Walter D Dawson, John Cutler
Reform of the U.S. long-term services and supports (LTSS) financing system has been historically difficult to achieve. This article outlines several recent reform proposals and offers a path forward on achieving LTSS reform. These proposals include the Commonwealth Fund's Medicare Help at Home proposal, the work of the Bipartisan Policy Center, as well as the State of Minnesota to develop an LTSS benefit. All three proposals focus on an expansion of Medicare to cover the LTSS needs of Americans. While Medicare increasingly pays for LTSS, these approaches ensure that the role of Medicare in LTSS financing is much more coordinated...
January 15, 2019: Journal of Aging & Social Policy
Małgorzata Kalbarczyk, Joanna Mackiewicz-Łyziak
In this study, we investigate whether higher physical activity of older people dampens increases in public expenditure, particularly the costs of long-term care. In our estimations, we refer to the projections of long-term care costs in Poland, published by the European Commission. Using the Survey of Health, Ageing and Retirement in Europe (SHARE) database, we calculate disability rates based on physical activity performed. Our results suggest that disability rates are significantly lower for older people who are physically active, and the promotion of physical activity in Polish society may significantly reduce future budgetary burden connected with population aging...
January 10, 2019: Journal of Aging & Social Policy
Joshua M Wiener, Micah Segelman, Erin White
The Great Recession substantially affected most developed countries. How countries responded to the Great Recession varied greatly, especially in terms of public spending. We examine the impact of the Great Recession on long-term services and supports (LTSS) in the United States and England. Financing for LTSS in these two countries differs in important ways; by examining the two countries' financing and program structures, we learn how these factors influenced each country's response to this common external stimulus...
January 8, 2019: Journal of Aging & Social Policy
Jaap Oude Mulders
The Dutch government abolished mandatory retirement for national-level civil servants in 2008, but not for employees in other sectors. This study analyzes whether national-level civil servants have different attitudes and plans about working beyond normal retirement age than employees in other sectors. Results show no clear differences between the groups. A national ban on mandatory retirement would presumably not lead to many more older workers continuing to work beyond normal retirement, but would need to be integrated in a much broader policy reform that also addresses employment protection legislation and seniority-based wages...
January 5, 2019: Journal of Aging & Social Policy
Diane Berish, Ian Nelson, Shahla Mehdizadeh, Robert Applebaum
In U.S. social welfare history, many have suggested that if benefits were too attractive, consumers would come out of the woodwork to take advantage of the opportunity. Clinical trials have provided evidence of the woodwork effect's existence, suggesting caution when expanding home- and community-based services (HCBS). However, it is unclear whether these studies are best suited to assess whether a system-level effect occurs. Using state and federal data tracking Ohio's long-term services and support (LTSS) system from 1995 to 2015, this paper examines changes in the utilization rates and expenditures of Medicaid LTSS to explore whether a woodwork effect occurred as Ohio moved to improve its LTSS system balance (80% Nursing Home [NH], 20% HCBS) to (49% Nursing Home [NH], 51% HCBS)...
December 1, 2018: Journal of Aging & Social Policy
Margaret Ralston, Enid Schatz, Jane Menken, Francesc Xavier Gómez-Olivé, Stephen Tollman
Noncontributory pensions serve as an important resource for poverty-affected households in low- and middle-income countries. This study explores how a recent policy change to pension receipt influences perceived quality of life among older South Africans. We use survey data from the longitudinal World Health Organization Study on global AGEing and adult health and from the Agincourt Health and Socio-Demographic Surveillance System census. We find pension receipt to have a positive impact on both men's and women's perceived quality of life...
November 24, 2018: Journal of Aging & Social Policy
Siu-Yau Lee, Kee-Lee Chou, Wai-Sum Chan, Hans van Kippersluis
Retirees without annuities in Hong Kong confront longevity and investment risks. Despite these risks, there is very limited uptake of annuities. This study identifies product and consumer characteristics that are associated with the demand for annuities in Hong Kong. We conduct a discrete choice experiment and distribute a consumer survey among two independent representative samples of workers aged between 40 and 64. Results suggest that a fixed monthly income and a 10-year guarantee period are two significant product characteristics, while a bequest motive, being married, and an understanding of the annuity are consumer characteristics that are associated with the demand for annuities...
November 15, 2018: Journal of Aging & Social Policy
Xing Ren, Heng Xi, Shaoguo Zhai, Ming Zhou
A retirement age postponement policy will not only increase pension income but also reduce pension payments, which will cause an accumulation effect on the size of the pension fund and relieve the intensifying pressure on pension payments. Based on the analysis of historical data in order to predict the population and pension scale in China, this research shows that the working-age population will gradually decrease, the supply of labor will decrease, and the demographic dividend will gradually disappear between 2018 and 2055 if the current retirement policy remains unrevised...
October 25, 2018: Journal of Aging & Social Policy
Ashley Carr, Simon Biggs
The regulation of care services has become the principal means by which the state influences provision. In this article we examine the regulation of dementia care within organizations to show how some care activities attract more regulation than others. While often perceived to be overwhelming, regulation is in fact unevenly distributed at the system, organization and, in particular, the care practice levels. In practice, some areas of care are heavily regulated, while others are less so. Drawing on research interviews with staff (N = 60) at three levels of care provider organizations-senior managers, facility managers, and direct care workers-a continuum of regulation, with regulations collecting around some care activities and not others, is developed...
October 25, 2018: Journal of Aging & Social Policy
Verena Menec, Cara Brown
This interpretive review examined the empirical evidence of the factors that facilitate or hinder the implementation of age-friendly community and city (AFCC) initiatives. Thirteen studies were included in the review. Findings show three themes: enablers (consisting of the subthemes of multilevel leadership and a common vision, effective governance and management, and diverse partnerships); process-related factors (e.g., linking to other strategies); and contextual factors (e.g., rural/urban). Moreover, several underlying influencers intersect with these themes, such as how age-friendliness is conceptualized...
October 15, 2018: Journal of Aging & Social Policy
David W Hancock, Amelia E Talley
The present study seeks to confirm the factor structure of the succession, identity, and consumption (SIC) scale of prescriptive ageism as a modern measure of intergenerational ageism, with particular utility for institutionalized ageism and policy in health care, the workplace, and residential facilities. In addition, measurement invariance of the scale is tested for gender and racial/ethnic groups. Confirmatory factor analysis was performed on the scale as initially proposed, treating the items as categorical variables (see for treatment of Likert-type items as categorical)...
October 9, 2018: Journal of Aging & Social Policy
Moritz Hess, Jürgen Bauknecht, Sebastian Pink
This study investigates how flexibility in working hours affects retirement timing. It tests the assumption that decreasing weekly working hours delays retirement and extends working life. Using data from four waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) and of the English Longitudinal Study of Ageing (ELSA), we analyze whether a shift from full-time to part-time work delays retirement. Results show that older workers who reduce their working hours retire earlier than those who stay in full-time employment...
October 2018: Journal of Aging & Social Policy
Jiby Mathew Puthenparambil
The early 1990s economic setback brought significant reforms favoring the outsourcing of care in Finnish municipalities. Here, outsourcing refers to the practice of municipalities employing private organizations through different means (e.g., open tendering) to deliver public care services. In this context, this study examines the growth in the outsourcing of service housing and home-help services in 311 municipalities from 2001 to 2015 and investigates the municipal factors associated with outsourcing using four dimensions: care needs, population size, economic situation, and political ideology of the municipality...
October 2018: Journal of Aging & Social Policy
Katarina Andersson, Anders Hanberger, Lennart Nygren
This article explores how local politicians and care unit managers in Swedish eldercare experience and respond to state supervision (SSV). Twelve politicians and twelve managers in 15 previously inspected municipalities were interviewed about their experiences of and reactions to SSV in relation to their views of care quality and routines in eldercare practice. The findings indicate that local managers and political chairs perceived SSV in eldercare positively at a superficial level but were critical of and disappointed with specific aspects of it...
October 2018: Journal of Aging & Social Policy
Maria João Bárrios, Ana Alexandre Fernandes, António Manuel Fonseca
The aging population has an impact on health, social, and economic issues in regard to individuals, communities, and organizations. The challenge for local policies in response to aging is to create sufficient resources to meet the population's needs, wishes, and rights as people age. Active aging constitutes one of the guiding perspectives on policies. Taking into account the local governance perspective, the Model for Aging Local Policies Analysis (MALPA) was created in order to convert the active aging paradigm into a practical approach, as a technique to evaluate and analyze local aging policies...
October 2018: Journal of Aging & Social Policy
Hui-Peng Liew
No abstract text is available yet for this article.
October 2018: Journal of Aging & Social Policy
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