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The purpose of this paper is to develop a case definition of integrated health and social services initiatives that serve older adults, and will provide characteristics to aid in the identification of such initiatives. The case definition is intended to ease the identification of integrated health and social care initiatives.

A limited search was undertaken of both scientific and gray literature that documented and/or examined integrated health and social services initiatives. In addition, literature on well-documented and generally accepted integrated healthcare and social services models that reflect collaborations from healthcare and social services organizations that support older adults was also used to develop the case definition.

The case definition is as follows: healthcare organizations from across the continuum of care working together with social services organizations, so that services are complementary and coordinated in a seamless and unified system, with care continuity for the patient/client in order to achieve desired health outcomes within a holistic perspective; the initiatives comprise at least one healthcare organization and one social care organization; and these initiatives possess 18 characteristics, grouped under 9 themes: patient care approach; program goals; measurement; service and care quality; accountability and responsibility; information sharing; culture; leadership; and staff and professional interaction.

A limitation of this study is that the characteristics are based on a limited literature search. The quality of some of the literature both gray and published was not definitive: information on how they undertook the literature search was not provided; exclusion and inclusion criteria were not included; and there was insufficient detail on the design of the studies included. Furthermore, the literature reviews are based on integrated initiatives that target both seniors and non-senior’s based services. The cross-section of initiatives studied is also different in scale and type, and these differences were not explored.

The case definition is a useful tool in aiding to further the understanding of integrated health and social care initiatives. The number of definitions that exist for integrated health and social care initiatives can make it confusing to clearly understand this field and topic. The characteristics identified can assist in providing greater clarity and understanding on health and social care integration.

This study provides greater coherence in the literature on health and social care integration. It aids in better framing the phenomenon of healthcare and social services integration, thereby enhancing understanding. Finally, the study provides a very useful and concrete list of identifying characteristics, to aid in identifying integrated health and social care initiatives that serve older adults.

This research project investigated practical aspects of teaching older, retired people to use the Internet, with particular emphasis on email. The study was carried out in Melbourne, Australia. This paper deals with the justification for the research, its aims, objectives and mid‐term results. A small number of residents in retirement accommodation, aged 84‐97, have been tutored on a one‐to‐one basis to use email and other computer/Internet applications. Though several endemic hurdles have been experienced, the research shows the benefits of email and ways to overcome some of the problems.

After retirement, energetic seniors still can contribute to social development. This paper aims to explore the structural relationship between energetic seniors’ social reengagement intention (SRI) and its five drivers. The antecedents of energetic seniors’ SRI were identified through extensive literature (including social marketing) review and focus group interviews.

Data was collected from Pearl River Delta region of Guangdong Province, China. The proposed model was tested using partial least squares structural equation modeling with a community-based valid sample size of 750 energetic seniors (ages 60+).

Results indicate that energetic seniors’ SRI is directly determined by their perceived social value and knowledge sharing intention, which are, in turn, directly determined by their individual social capital, social achievement motivation and perceived social risk.

To the best of the authors’ knowledge, this is the first study to provide a new approach toward reengagement social development for energetic seniors. The discussion provides implications and managerial new insights for research and practice of population aging.

Aging is a complex and multifactorial process. This study aims to is focus on mattering in older people. Mattering is the feeling of being important to others in ways that give individuals the sense that they are valued and other people care about them. However, for many, aging brings about the loss of self-esteem, and they feel useless, deprived and unwanted. The authors have adopted the partial least square structural equation modeling technique and Self-Esteem Scale of Rosenberg for evaluating the level of self-esteem in senior citizens of Pakistan. The results reveal a strong association between the predictor and the criterion variables, supporting the view that the communal integration construct is the strongest determinant in old age. Based on the results, the authors can argue that socioeconomic status, social relationships and daily activities and have a direct association with the elderly people’s self-esteem.

The Self-Esteem Questionnaire by Rosenberg (Rosenberg, 1965) and the Quality of Life Questionnaire by Bowling (Bowling, Banister, Sutton Evans and Windsor (2002) are two tested tools that were used to collect the sample data from various neighborhoods of Peshawar. The sample consisted of respondents who were 60 years of age or older. The current study only included men who were 60 years of age or older because men make up a higher number of retirees in the district (84%) than do women. A total of 312 male volunteers, representing a various cadre of job, were recruited at random. The research population’s data were gathered through convenience sampling. Only volunteers who appeared to be healthy in both body and mind were chosen as participants. When older people were unable to complete questionnaires, researchers helped them read the questions and then helped them write down their answers. Out of the 500 survey forms that were sent, 312 were properly completed and used for the analysis.

The results of this study suggest that the happiness and well-being of retired seniors are not only influenced by their general activities, health and socioeconomic status but also more strongly by their psycho-social integration, such as their close and intimate relationships with friends, family and relatives. The findings, therefore, urge the incorporation of social integration aspects in mental health treatment programs and public health policies to support the psycho-social well-being of the elderly. Social relationship variables might become a common aspect of practice through medical, psychiatric and psychological screening and examination.

Due to the fact that research participants were selected from just one city – Peshawar – the results cannot be generalized. As a result, findings are less likely to apply to older persons who reside in other provinces due to sample selection. Future research will be conducted all around the nation, though, and it could produce more precise and broadly applicable findings. Only male respondents applied to the second limitation. Only male participants were sought due to socioeconomic differences, social and cultural obstacles and the small number of female retirees. Therefore, it limits the spectrum of the study.

An individual’s self-esteem is made up of intrapersonal and interpersonal elements. Regarding policy intervention, the present effort will be a crucial step in helping the elderly understand the value of maintaining social networks and will encourage them to maintain close relationships with family and friends to safeguard their well-being in later life. On the other side, this research will help academics, politicians and thinkers better comprehend aging, perspectives of conduct and psychological and emotional viewpoints. One of the most important aspects of life that affects how old people feel about themselves is the support from social networks. Therefore, through raising awareness and fostering a favorable environment for the welfare and self-worth of senior individuals, politicians and society are expected to care for enriching the lives of the elderly. By highlighting the importance of communal support from a multidimensional aspect of a person, this study offers a wider perspective on self-esteem. With this in mind, the authors advise academics to adopt a fresh perspective on interpersonal mechanisms that ultimately aim to improve self-esteem and social support. Social support is a key factor in fostering or inhibiting self-esteem in the elderly and is a strong predictor of mental health. A society must take action to boost older people’s communal integration to improve their quality of life.

This study makes the case for a broader perspective on self-respect or esteem by suggesting that self-esteem may be seen in a broader context rather than in terms of limited characteristics. The authors offer an integrated model of self-esteem that conceptualizes it as an interpersonal phenomenon influenced by multiple vital aspects using various metrics of old age. Self-esteem was envisioned as the result of a number of factors, including social position, activities and interpersonal interaction “relationships with relatives, family, and friends.” The authors’ conceptual framework’s goal is to comprehend the different ways that senior citizens’ lives affect their sense of self-worth.

This paper links the literatures on the life-cycle hypothesis, homeownership, home equity and pensions. Empirically, the focus is on the EU and USA. The paper aims to explore the extent that seniors extract their home equity and discuss the financial instruments available for equity extraction.

The study uses data from the EU and USA to determine homeownership rates, house values and mortgage debt. With these values, the amount of seniors’ home equity is measured for each country. The usage of home equity extraction methods is reported and factors limiting their use are identified.

Seniors’ home equity is a substantial share of their total wealth. Estimates for 2013 are that their home equity equals about €5tn in the USA and over €8tn in large EU countries. The authors find that only a small share of seniors extracts their home equity. While there are supply side constraints in many countries, the evidence suggests that the cause of low extraction rates is the lack of demand. Various reasons for the lack of demand are discussed.

The increasing share of seniors in most countries’ population suggests that there will be increasing pressure on public pension systems. One among many options to address this issue is to impose a wealth test for eligibility, where wealth includes home equity. This study suggests that although home equity is substantial for many seniors, they are reluctant to access the funds.

The paper highlights the importance of home equity in the EU and USA and the factors that affect the primary methods of extraction.

This study aims to explore the causes and consequences of media scandals involving nursing homes for older persons in Canada, Norway, Sweden, the UK and the USA.

This study uses a descriptive case-study methodology which provides an in-depth, focused, qualitative analysis of one selected nursing home scandal in each jurisdiction. Scandals were selected on the basis of being substantive enough to potentially affect policy. An international comparative perspective was adopted to consider whether and how different social, political and economic contexts might shape scandals and their consequences.

This study found that for-profit residential care provision as well as international trends in the ownership and financing of nursing homes were factors in the emergence of all media scandals, as was investigative reporting and a lack of consensus around the role of the state in the delivery of residential care. All scandals resulted in government action but such action generally avoided addressing underlying structural conditions.

This study examines only the short-term effects of five media scandals.

While there has been longstanding recognition of the importance of scandals to the development of residential care policy, there have been few studies that have systematically examined the causes and consequences of such scandals. This paper contributes to a research agenda that more fully considers the media's role in the development of residential care policy, attending to both its promises and shortcomings.

The objective of this paper is to focus on seniors’ acceptance of the usage of connected healthcare technologies in their homes. The authors integrated into technology acceptance model (TAM) several latent variables such as social presence, trust and degree of intrusiveness perceived with the use of connected health technologies.

The authors distributed the survey by post to 605 seniors. The authors targeted elderly people using connected health technologies (assistive alarm, telecare, sensors, etc.) at home and/or receiving healthcare at home. The authors received 213 questionnaires back. As The authors had several latent variables, the authors used partial least squares (PLS), a variance-based structural equation modeling method.

The results show that the level of trust in these technologies impacts significantly the perception of usefulness and the degree of intrusiveness. In parallel, the degree of usefulness of these technologies impacts positively elderly people’s intention to accept their usage. Finally, one can claim that the perception of the social presence with the use of these technologies impacts positively the degree of perceived usefulness, trust and intrusiveness.

The sample covers a population benefiting from similar connected health technologies. It was difficult to distinguish and interpret the added value of each technology separately. As more and more elderly people use or are least familiarizing themselves with a range of connected technologies it would be interesting to identify which sets of connected technologies contribute the most to a positive feeling of social presence.

These results are particularly relevant to stakeholders in the health industry in their quest to improve their products/services. A better understanding of the relation that the elderly have with connected health technologies is an essential prerequisite to supporting the development of new solutions capable of meeting the specific needs of our seniors.

The authors want to apply the TAM to connected health technologies designed for elderly people and the authors also want to extend it by integrating the social presence, trust and degree of intrusiveness variables to our research model.

Why is self-employment an attractive option for certain seniors and what drives seniors into business start-ups? In this study, the motivations and preferences of senior entrepreneurs in Australia, to become self-employed, by means of business start-ups, are explored. The purpose of this paper is to provide empirical basis for policy implications.

A mixed methods study is conducted. Members of the National Senior’s Association in Australia were interviewed and surveyed. The semi-structured interviews identified the key factors influencing senior entrepreneurs in relation to self-employment and entrepreneurial choices at a later career stage. The survey collected information on intentionality, motivation, skills, opportunities, success, satisfaction, participation, barriers, benefits, education and training, and perceptions of policy support for senior entrepreneurs.

Respondents gave an account of the prevalence of pull factors motivating their choice of an entrepreneurial career. Multivariate statistical analysis of survey responses showed that senior entrepreneurs are more driven by opportunity than necessity and are primarily internally motivated.

Results of this study suggest a weak link between motivation by others and the act of start-up, but this may also imply that those seniors who are more likely to become entrepreneurs are more likely to ignore the impulses from their social context. This requires further investigation to ensure a robust identification of drivers and an elimination of contextual effects. Further research is suggested to compose a relevant model structure in different contexts and a representative sample to confirm the model outcomes.

This is the first mixed methods study of the antecedents of senior entrepreneurs’ start-up intentions in Australia. The study also uses entrepreneurial activity as opposed to intention as its dependent variable, which allows for a more accurate evaluation of antecedents to the senior entrepreneurship phenomenon.