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Open Access
Article
Publication date: 16 November 2022

Qingqing ZONG, Yi ZHANG and Yuyu CHEN

This paper theoretically and empirically analyzes the effects of the elderly’s physical health status on their need for care and the choice of care models in China.

Abstract

Purpose

This paper theoretically and empirically analyzes the effects of the elderly’s physical health status on their need for care and the choice of care models in China.

Design/methodology/approach

Empirically, the estimation results of a large-sample randomized intervention trial with chronic obstructive pulmonary disease (COPD) patients through the difference-in-difference method indicated the following: (1) After the COPD intervention trial, the physical health status of the elderly in the treatment group improved significantly, the need for care was substantially reduced and the health improvement led to a 35.5% reduction in the probability of using elderly care. (2) The reduction in the need for care regarding the treatment group occurred mainly in social care. The probability of using social care decreased by 67.8% due to the elderly’s health improvement, while that of home care remained unchanged generally. (3) Further heterogeneity tests suggested that families with fewer potential internal resources for caregiving had a more pronounced decline in the need for social care.

Findings

Theoretically, these empirical results support the existence of the “pecking order” theory in the family’s choice of elderly care model, that is, families tend to employ all internal resources for caregiving before resorting to social care, resulting in a higher sensitivity of social care to health.

Originality/value

The main policy implication of this paper is that ex ante preventive health intervention policies can significantly alleviate the burden of care, especially social care, on families. And preventive health intervention policies are particularly effective in reducing the burden of the families with relatively few resources for informal internal care.

Details

China Political Economy, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2516-1652

Keywords

Article
Publication date: 28 December 2018

Avanish Bhai Patel

The elderly are facing many problems in the phase of life in the contemporary times. The problem of suicide among the elderly is one of them. The purpose of this paper is…

Abstract

Purpose

The elderly are facing many problems in the phase of life in the contemporary times. The problem of suicide among the elderly is one of them. The purpose of this paper is to focus on the cause of death due to suicide among the elderly in later life. There are two objectives of the present study. The first objective examines the nature and problem of elderly suicide in Indian society. The second objective explores the factors affecting suicidal tendency among the elderly.

Design/methodology/approach

The data have been collected through two newspapers from January 2013 to April 2013. The content of news items has been analysed through content analysis.

Findings

The study finds out that the factors such as family problems, chronic diseases, poverty, lack of social status and bankruptcy give rise to feeling of committing suicide among the elderly.

Originality/value

This is an original paper.

Details

Working with Older People, vol. 23 no. 1
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 1 July 1999

Rachel Fleishman, Fernando Potel, Dror Walk, Jenny Mandelson, Gad Mizrahi, Fanny Yuz and Miriam Bar‐Giora

In Israel, institution staff classify residents’ functional status as part of the routine governmental surveillance of institutions for semi‐independent and frail elderly

Abstract

In Israel, institution staff classify residents’ functional status as part of the routine governmental surveillance of institutions for semi‐independent and frail elderly. However, owing to a lack of clarity and specificity in the regulation which defines functional status categories, nurse surveyors, who conduct the routine surveillance of institutions, have begun to make their own estimates of functional status. Data were collected and compared on the functional status classification of 78 per cent of the elderly residents by institution staff and nurse surveyors. Data analysis showed that the poorer the functional status, the less congruity between the classifications. This has practical consequences for estimating the number and type of staff needed. It was found that the waste of resources and discrepancies caused by reclassification of the elderly by the nurse surveyors may be avoided by using more specific and precise definitions as suggested in this article.

Details

International Journal of Health Care Quality Assurance, vol. 12 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Open Access
Article
Publication date: 1 January 1970

Premwadee Karuhadej, Monrudee Popijan and Prapaiwan Danpradit

The purpose of this paper is to study and compare knowledge and skills in basic care for the dependent elderly of health volunteers before and after the increase in…

1248

Abstract

Purpose

The purpose of this paper is to study and compare knowledge and skills in basic care for the dependent elderly of health volunteers before and after the increase in ability program participation.

Design/methodology/approach

Quasi experimental research includes one group pretest-posttest design. The research was conducted from January to March 2018. The samples were 30 health volunteers in Nakorn Pathom Province selected by purposive sampling. They were all female, aged 20–50 years, with minimal education level of early secondary school and were current or former health volunteers. The increase ability program consisted of lecture and skill practice by demonstration and individual replay demonstration. The program duration was 30 h with 19 h of skill practice and 2 days of site visit to the dependent elderly’ homes. The tool for collecting data was a questionnaire for the evaluation of knowledge and skills in basic care for the dependent elderly. The data were analyzed by means, standard deviation and paired t-test.

Findings

After the increase in ability program participation, the health volunteers had very good level of knowledge in basic care for the dependent elderly with statistical significance (p<0.01) and had most correct skills in basic care for the dependent elderly with a score of 9 from 11 items.

Originality/value

Knowledge and skills in basic care for the dependent elderly of the health volunteers increased to a very good level after program participation. Thailand should provide periodic and continuous training program to increase health volunteers’ knowledge and skills in basic elderly care to provide care for the elderly with most benefits.

Details

Journal of Health Research, vol. 33 no. 3
Type: Research Article
ISSN: 2586-940X

Keywords

Book part
Publication date: 9 April 2008

Urban Fransson, Daniel Hallberg and Mårten Lagergren

In Sweden, responsibility for the public care of the frail elderly rests with three authorities acting at different levels. At national level, the Riksdag and the…

Abstract

In Sweden, responsibility for the public care of the frail elderly rests with three authorities acting at different levels. At national level, the Riksdag and the Government realize policy goals through legislation and financial control measures. At regional level, 18 county councils and two regions are responsible for the provision of health and medical care. At local level, Sweden's 290 municipalities have a statutory duty to meet the social service and housing needs of the elderly. Sweden's municipalities and county council have a high level of autonomy by international standards. Activities in caring services are ultimately controlled by politicians appointed to policy-making assemblies in municipalities and county councils through general elections. The decentralization of responsibility for elderly care makes it possible for local and regional conditions to be taken into account when policies for the elderly are formulated. The national authorities – the National Board of Health and Welfare and the 20 county/region administrative boards – are responsible for supervision, follow-up, and evaluation of municipal and county council caring services.

Details

Simulating an Ageing Population: A Microsimulation Approach Applied to Sweden
Type: Book
ISBN: 978-0-444-53253-4

Book part
Publication date: 9 August 2012

Atsuko Kawakami and Jennie Jacobs Kronenfeld

Scholars have explained how people in Japan feel ashamed when elderly members of the family are cared for by formal services such as day care or…

Abstract

Scholars have explained how people in Japan feel ashamed when elderly members of the family are cared for by formal services such as day care or government/commercial-based nursing homes due to the cultural norms of the consciousness of social appearance. However, this consciousness of social appearance plays a minimum role when it comes to elderly Japanese immigrant women's preference to utilize formal care services in the United States. They see receiving family based care as a burden on their middle-aged children (or grandchildren) and they prefer purchasing formal long-term care services when they can no longer feel confident about maintaining their independent lives. Elderly Japanese immigrant women hold rather positive views on formal care in the United States, including nursing homes. This chapter suggests that elderly Japanese immigrant women may not consider it shameful to utilize formal care as many previous scholars have suggested.

Details

Issues in Health and Health Care Related to Race/Ethnicity, Immigration, SES and Gender
Type: Book
ISBN: 978-1-78190-125-0

Keywords

Open Access
Book part
Publication date: 4 May 2018

Yuziani and Meutia Maulina

Purpose – The objective of this research is to know the correlation of stress level with the degree of depression in the elderly at a nursing home in Lhokseumawe in the…

Abstract

Purpose – The objective of this research is to know the correlation of stress level with the degree of depression in the elderly at a nursing home in Lhokseumawe in the year 2017.

Design/Methodology/Approach – This research is analytic using a cross-sectional approach with a total sampling method. The total number of samples was 55 respondents.

Findings – The results showed that the elderly in a Lhokseumawe nursing home at average are at mild stress level to medium degree of depression. Pearson correlation test results show that there is a correlation between stress level and degree of depression in elderly in the Lhokseumawe nursing home in 2017 with medium strong relationship (r = 0.406; p = 0.002).

Research Limitations/Implications – We expect that the elderly living in the orphanage avoid negative thinking about themselves and the future, eliminating feelings of guilt or regret about past mistakes, taking adequate rest and maintaining a diet to avoid stress so as to prevent the onset of depression.

Originality/Value – In addition the study increases the theoretical understanding of the correlation between stress level and degree of depression in elderly at nursing home.

Details

Proceedings of MICoMS 2017
Type: Book
ISBN:

Keywords

Book part
Publication date: 15 September 2014

Atsuko Kawakami

This chapter will review the evaluations of the newly developed elderly care system in Japan, Long Term Care Insurance, and its social implications with the focus on…

Abstract

Purpose

This chapter will review the evaluations of the newly developed elderly care system in Japan, Long Term Care Insurance, and its social implications with the focus on demographic change.

Methodology/approach

By reviewing literature, this chapter will examine how demographic and social change over the years has impacted the features of caregivers. Then, how this policy change has demedicalized the aging process will be described. Finally, this chapter will evaluate whether this insurance has shifted the responsibility for elderly care from the family to society as the governmental slogan advertised.

Findings

The new insurance has offered more options in different services and established a new norm of self-reliance and determination for one’s own aging however it is doubtful if this new insurance has shifted the responsibility from family to society.

Research limitations/implications

Applying the implications of policy reforms for elderly care in Japan to the United States, one can assume the traditional U.S. norms and values can facilitate effective utilization of the elderly care system. However, since each nation faces different problems with its specific condition, continuous studies and observations on the relationship between elderly care, immigration issues, and demographic changes will be necessary in order to offer more specific suggestions for each aging nation.

Originality/value of chapter

As Japan’s new insurance scheme for the elderly has been studied by many aging nations, recommendations for more comprehensive plans are suggested including building a community-based support system into the Long Term Care Insurance scheme to prevent social isolation and respond to emergency situations for the elderly.

Details

Technology, Communication, Disparities and Government Options in Health and Health Care Services
Type: Book
ISBN: 978-1-78350-645-3

Keywords

Book part
Publication date: 15 December 2004

Gary A. Hoover

In recent years a great deal of time and resources have been devoted to understanding poverty in general and elderly poverty in particular. This paper uses a panel data…

Abstract

In recent years a great deal of time and resources have been devoted to understanding poverty in general and elderly poverty in particular. This paper uses a panel data set spanning the years 1980–2001 to investigate the impact of certain economic and demographic factors on overall, non-elderly, and elderly poverty. We also investigate the robustness of income-only poverty measures when the threshold income level is altered.

Details

Studies on Economic Well-Being: Essays in the Honor of John P. Formby
Type: Book
ISBN: 978-0-76231-136-1

Book part
Publication date: 10 November 2006

Daniela Mantovani, Fotis Papadopoulos, Holly Sutherland and Panos Tsakloglou

This paper considers the effects on current pensioner incomes of reforms designed to improve the long-term sustainability of public pension systems in the European Union…

Abstract

This paper considers the effects on current pensioner incomes of reforms designed to improve the long-term sustainability of public pension systems in the European Union. We use EUROMOD to simulate a set of common illustrative reforms for four countries selected on the basis of their diverse pension systems and patterns of poverty among the elderly: Denmark, Germany, Italy and the UK. The variations in fiscal and distributive effects on the one hand suggest that different paths for reform are necessary in order to achieve common objectives across countries, and on the other provide indications of the appropriate directions for reform in each case.

Details

Micro-Simulation in Action
Type: Book
ISBN: 978-1-84950-442-3

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