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Ageing is a global concern that poses many challenges for governments, particularly in relation to the pressing issue of how to provide adequate social protection for the increasing number of elderly. Alongside rapid social and demographic transformation, Indonesia is especially challenged by the increasing number of elderly in need of formal care that is stretching the capacities of government and necessitates improvements in the social protection system. This study examines governance capacity in nursing homes and offers recommendations for improving the social protection system.

The research presents a qualitative case study of government aged care centres in East Java and the experiences of residents and staff of three centres managed by the Provincial Social Service of East Java. The case study is based on ethnographic fieldwork, semi-structured interviews with 32 informants comprising directors, managers, staff and elderly residents of nursing homes.

The research finds that while social protection is in place, governance capacities at the provincial and local level are thinly stretched. The research highlights the tensions between existent governance capacities – in terms of mobility, decision-making, implementation and established local structures of governance and management – and the inability to meet the increasing demands for government elder care services and resources amidst broader societal transformations such as shifts in cultural framing of familial care of elderly. The findings point to the importance of understanding the dynamic relationship between governance capacity and the shifting terrains of elderly care due to societal transformation.

The research brings attention to the pivotal role that governance capacity plays in shaping the experiences and challenges of local government level elder care provision and the growing need for elder care in the face of an ageing population and shifts in kinship and family elder care arrangements. Elder care is not simply about addressing basic needs but also the quality and dignity of elderly and this is not easy to address where social protection systems are stretched beyond capacity. Recommendations are provided for enhancing government policy and expanding the scope for building cross-sectorial partnerships.

Population ageing is a demographic transition and burdens every country’s health sector. A lack of social security combined with low government health-sector spending has made health-care utilisation difficult among elderly in many developing countries like India. This makes population ageing a global phenomenon for policymakers, researchers and stakeholders to discuss and debate in 21st century. The purpose of this paper is to examine the behavioural determinants of health-care utilisation among elderly population in Punjab.

This study examines health-care utilisation among the elderly population in Punjab. A structured questionnaire was used to collect the data in the state of Punjab, with a multi-stage stratified random sample of 385 respondents. Logit regression was used to analyse the association between several behavioural factors like age, gender, place of residence, source of livelihood, education and frequency of visits with health-care utilisation among elderly aged 60 and above.

This study revealed that gender, age, place of residence, source of livelihood, education and frequency of visits were significant determinants of health-care utilisation among elderly population.

This study directs the need to improve health-care utilisation in a country, reducing inequalities that exist among the elderly population with respect to socio-economic and demographic differences.

In the current scenario, with rapid socioeconomic transformation occurring in all aspects of society, the adversities experienced by older adults have come to the forefront. The lived experiences within joint families are making it harder for the elderly to adjust to the changed familial setup. In such a situation, they undergo many problems which are most often overlooked and considered not worthy of serious attention. Loneliness and isolation are the most crucial and serious issues experienced by the elderly within the nuclear family. After spending a significantly larger part of their lives within large families, with caring people, interdependent, adjusting to the changing familial setup has become hard and strenuous. Moreover, lack of emotional support is yet another major concern of the elderly. As they grow older, care and emotional support become necessary to maintain an effective and active life in old age. However, such emotional support and care that the joint family offered is missing in the changing familial setup. Now, in light of these issues, this paper aims to explore the multidimensional concerns of the elderly (60 years and above) who, on account of familial transitioning from joint to nuclear in Kashmir, are experiencing isolation and other, hard to adjust, life changes. The paper is based on 20 oral narratives conducted, over time, with elderly people undergoing life changes due to family transition from joint to nuclear. The finding of the study revealed that the elderly experience a greater degree of change in their lifestyle due to the family transition from joint to nuclear.

This is a qualitative study that describes the multidimensional concerns of the older adults. The study was conducted in the union territory of Jammu and Kashmir using in-depth face-to-face interviews with 20 respondents aged 60 years and above who have witnessed a transition in family from joint to nuclear and have undergone many problems during this transition. Apart from this, two interviews with the sons of older persons were also included in the study to know the status of age in the current situation. After the data was collected from the first 10 respondents, the study witnessed a data saturation, as the same set of results were obtained. Meanwhile, 3 more respondents were included in the study to make sure that no data was left behind; however, again same results were witnessed. This led the investigator to halt the data collection process. Thereafter, the data was then analyzed using Braun and Clarke's (2006) thematic analysis technique, which involved familiarizing oneself with the data, looking for themes, validating and refining themes, identifying and labeling themes and finally creating the report.

The traditional joint family is undergoing rapid transformation in the current scenario. With a trend toward the nuclearization of families, which resulted in the diminishing status of the elderly, the vulnerabilities of the elderly have come to the forefront (Kumar et al., 2014). The transition of the family from joint to nuclear can be difficult for the elderly as it involves the elderly having to adjust and adapt to a new social milieu, which can be quite complex as it involves major changes in their lifestyle and daily routine. The elderly may also experience difficulty with increased social isolation and reduced family interaction. Such problems may seem insignificant and trivial to the younger ones, but stepping into the shoes of the elderly would help us understand the intensity and vulnerability of such problems. This cultural shift is quickly making changes, in part due to the rise of individualism in modern societies and the existence of a consumerist perspective among the younger generations. Such situations lead to greater alienation and isolation among the elderly from society in general and the members of the family in particular.

The is an empirical study conducted to know the status of older adults in nuclear families.

The study aims to devise a comprehensive evaluation model (CEM) for evaluating spatial equity in the layout of elderly service facilities (ESFs) to address the inequity in the layout of ESFs within city center communities characterized by limited land resources and a dense elderly population.

The CEM incorporates a suite of analytical tools, including accessibility assessment, Lorenz curve and Gini coefficient evaluations and spatial autocorrelation analysis. Utilizing this model, the study scrutinized the distributional equity of three distinct categories of ESFs in the city center of Xi’an and proposed targeted optimization strategies.

The findings reveal that (1) there are disparities in ESFs’ accessibility among different categories and communities, manifesting a distinct center (high) and periphery (low) distribution pattern; (2) there exists inequality in ESFs distribution, with nearly 50% of older adults accessing only 18% of elderly services, and these inequalities are more pronounced in urban areas with lower accessibility, and (3) approximately 14.7% of communities experience a supply-demand disequilibrium, with demand surpassing supply as a predominant issue in the ongoing development of ESFs.

The CEM formulated in this study offers policymakers, urban planners and service providers a scientific foundation and guidance for decision-making or policy amendment by promptly assessing and pinpointing areas of spatial inequity in ESFs and identifying deficiencies in their development.

As populations are ageing and the global average life expectancy is rising, the provision of care for older people is an increasingly salient issue. This paper aims to focus on family-provided care for older immigrants, examining how older immigrants and care providers experience and construct family caregiving.

Based on interviews with care recipients, family care providers, municipal staff and representatives for migrant organisations in Sweden, this study presents a typology of family caregiving for older immigrants.

The authors found three caregiving types, namely, solely family-provided care and a combination of family care and public care (predominantly one or the other). The decision to select family-provided or publicly-funded care depends on personal and institutional factors.

The paper makes three empirical contributions to the literature on care provision for older immigrants. Firstly, this study provides insights into the structural and personal factors that shape care-giving arrangements for older immigrants. Secondly, this study examines the perspectives of care recipients and care providers on family-provided care. Care expectations differ between both groups and sometimes result in intergenerational disagreement. Thirdly, in terms of institutional support, this study finds that the Swedish state’s notion of individual needs does not match the needs of immigrant elderly and their caregivers. The paper places the care types in a broader discussion about eldercare provision in the Swedish welfare state, which has experienced a decline in publicly funded care services and an increase in family caregiving in the past 30 years. In addition, it addresses questions of dignified ageing from a minority perspective.

Implementing physical activity in nursing homes (NHs) can improve functional capacity, quality of life and well-being and even control symptoms associated with chronic diseases in elderly people. Taking into consideration the increasing in number of NHs in Türkiye, it is obvious that this matter should be handled. The purpose of this study is to explore health-care staff’s perspectives on implementing physical activity in NHs.

A generic, qualitative study using face-to-face semi-structured interviews was conducted among 25 health-care staff. A theoretical sampling strategy was used to inform data collection. Data were analyzed using a thematic analysis method.

Three main themes and seven sub-themes were generated from health-care staff’s narratives of implementing physical activity. Main themes were the lack of knowledge about physical activity, negative mindset and organizational requirements. Implementing physical activity in NHs contributes to a better quality of life for the residents and the protection and improvement of their health. However, a lack of knowledge, negative perceptions of both health-care staff and administrators about physical activity and the organizational requirement were recognized.

Findings from this study will enable administrators to recognize the potential challenges and make informed decisions to implement physical activity programs for NH residents from health-care staff’s perspectives who are working with elderly people.

Due to the rapid ageing of the continent's population, a significant surge in long-term care expenses for the elderly is expected across Europe in the coming years. Could a potential solution to this challenge involve the increased informal care provided by adult children? In this context, we examined a general view or moral duty of European citizens regarding whether adult children should assume responsibility for providing long-term care to the elderly.

Our multilevel analysis draws on individual-level data from the 2017 European Value Study and country-level data from various European sources encompassing participants from 21 member countries of the European Union.

The findings reveal that in nations where public long-term care services are sufficiently available and of superior quality, there is a negative sentiment towards the notion that adult children should bear the responsibility for elderly care. In total, 71% of the country-level variance in our dependent variable was explained by the availability and quality of formal long-term care in a country. Furthermore, various individual-level attributes contribute to shaping attitudes towards care-giving responsibility. We observed that women, middle-aged individuals, those without religious affiliations, those with modern gender role attitudes and non-immigrants tended to hold unfavourable attitudes towards the responsibility of adult children in long-term care provision.

There are relatively many studies on the general attitude of the population towards filial obligation. However, so far there have been very few studies available that examine the population's attitude towards the obligation of adult children to commit to their parents' long-term care. Our research explains the variation of the phenomenon in Europe with both country-level and individual-level factors.

This article focuses on the continuity and changes in the Productive Welfare Regimes and investigates how the COVID-19 pandemic and population ageing can influence the established systems in Hong Kong, South Korea, Singapore and Taiwan.

Our research is based on document review, investigating intricate situations with numerous aspects and providing an excellent opportunity for innovation and examining theoretical presumptions in welfare regime theory, as well as exploring the complicated policy trajectories that varies among cases.

Our findings reveal that social policy responses to COVID-19 have been characterized by adopting the market-conforming role of social policy for the elderly. This is shown by many policy measures focusing on self-sufficiency and an active labour market, signalling that the COVID-19 pandemic and population ageing pressure here are viewed as an economic issue over social rights. The economic-first was adopted to maintain their proximity to the global economy as key sources of their social policy development. We can conclude by emphasizing that the responses to COVID-19 have exposed deficiencies in certain existing social policies. Yet, they have not been sufficient to catalyse substantial policy changes across domains where such change had not already been initiated, thus allowing welfare regimes to remain within productivist boundaries.

This study responds to the current debate on the welfare regime continuity and adaptation in East Asia and suggests a new perspective of policy process in the times of insecurity.

The purpose of this research is to propose and empirically validate a theoretical framework to investigate the willingness of the elderly to disclose personal health information (PHI) to improve the operational efficiency of AI-integrated caregiver robots.

Drawing upon Privacy Calculus Theory (PCT) and the Technology Acceptance Model (TAM), 274 usable responses were collected through an online survey.

Empirical results reveal that trust, privacy concerns, and social isolation have a direct impact on the willingness to disclose PHI. Perceived ease of use (PEOU), perceived usefulness (PU), social isolation, and recognized benefits significantly influence user trust. Conversely, elderly individuals with pronounced privacy concerns are less inclined to disclose PHI when using AI-enabled caregiver robots.

Given the pressing need for AI-enabled caregiver robots due to the aging population and a decrease in professional human caregivers, understanding factors that influence the elderly's disclosure of PHI can guide design considerations and policymaking.

Considering the increased demand for accurate and comprehensive elder services, this is the first time that information disclosure and AI-enabled caregiver robot technologies have been combined in the field of healthcare management. This study bridges the gap between the necessity for technological improvement in caregiver robots and the importance of transparent operational information by disclosing the elderly's willingness to share PHI.