Search results

The purpose of this study is to examine inter‐generational arrangements in Thailand for personal care provided to older members and provided by them as grandparents to young children.

Results are based on analysis of the 2007 Survey of Older Persons in Thailand. Consideration focuses on persons aged 60 and older.

The results document the primary role of the family, especially adult children and spouses, in providing personal care to older members. For those with only one or two adult children compared to those with four or more, spouses are considerably more likely and children less likely to be the main care provider. At the same time, older family members, as grandparents, make significant contributions to the care of young children, especially for those whose parents migrated. In most such situations, however, the grandchild's parents cover the main financial support.

Trends towards smaller family size and increased migration of adult children have already contributed to a steady decline in coresidence with adult children and increased proportions of older persons living alone or only with a spouse. How this will affect elder and grandchild care requires careful monitoring to guide social policy in relation to the roles of family, state, and voluntary sector.

The availability of representative data on the older population in Thailand provides an unusual opportunity to highlight the challenges posed by the changing demographic context of inter‐generational family care in a context of rapid population ageing in a developing country setting.

The purpose of this paper is to suggest that it should be possible to devise mechanisms which will enable communities to address the changing assistance needs of disabled and older residents whilst giving younger resident assistants an equity stake in the housing market. The existence of such mechanisms on a national scale would facilitate mobility between otherwise independent communities and maximise the choices available to residents requiring different forms of assistance at different stages in their lives.

The paper draws upon the author's personal experience of exchanging accommodation with a team of assistants. The author considers how this model could be made more sustainable and replicable. Action research is needed to explore similar models within the context of intentional communities.

Two pressing social challenges could have a unified solution. Cohousing provides potential for people to remain within an intergenerational community as they grow older and develop assistance needs, while providing accommodation equity. Today's “baby boomer” generation may contribute to less advantaged future generations by leaving behind them dedicated housing for assistants in order to make sure that such provision is present within communities in perpetuity.

As a disabled person, the author had found it interesting to actively explore with younger people the impact upon both generations of issues around housing equity. The author has already, and would like to test further, the potential of nonmonetary exchange within intentional communities.

To describe, analyze, and compare two long-term care (LTC) systems for elders in Germany and Israel.

Secondary analyses of data on LTC beneficiaries, structure of service provision and content analyses of policy documents in a comparative perspective based on the Esping-Andersen welfare state typologies.

Descriptive background of demographic attributes in the two countries; discussion of LTC development laws which in Israel focuses on “aging in place” concept, where in-kind services are geared only to community-dwelling frail elders while in Germany it’s for community and institutionalized elders. Analyses of various service types provided their use, resources invested, and benefits incurred for frail elders and their family caregivers.

The advantages and shortcomings of the two systems were analyzed with recommendations for future developments. Such comparisons across nations can inform social policy debates in Germany and Israel as to how to prepare for population aging. The originality of such comparison can shed light on issues for LTC service development in other countries.

This paper aims to identify the characteristics of 260 adults, 65 and over, who applied for services through an Area Agency on Aging in a western state in the United States, and to determine the conditions that resulted in referral to the state‐funded Home and Community Based Alternatives Program (Alternatives) or the Medicaid Aging Waiver (Waiver) program.

The study was an exploratory one utilizing quantitative data from an existing database of older adults who sought home and community based services from Mountainlands Area Agency on Aging (AAA) between January 1, 2006 and December 31, 2007.

Although most of the sample lived at or near poverty levels, results suggest that higher monthly income and living alone predict referral to the Alternatives program, whereas greater need for assistance with bathing and performing heavy housework are the primary determinants of referral to the Medicaid Waiver program.

This study adds to the body of knowledge concerning the characteristics of people who access home and community based services. Most people in this study, who were seeking assistance from public programs, were living at or below the US Federal Poverty Line. One home and community based program was more likely to serve people who lived with others and had cognitive impairments, and referral to a Medicaid home and community based program was more likely for people who needed assistance with bathing and heavy housework.

This paper describes an evaluation of 19 extra care schemes allocated funding from the Extra Care Housing Fund.

Interviewers collected information about the expectations and experiences of 1,182 new residents, and demographic and care needs information for those who received a care assessment (817 individuals) to correspond to previous surveys of care homes. Follow‐up information was collected at six, 18 and 30 months. Comprehensive costs were estimated for individuals based on capital costs, care and support costs and living expenses.

Entrants to extra care were much less physically and cognitively impaired, on average, than entrants to care homes, although residents in several schemes had high levels of physical disability. Overall, residents appeared to have made a positive choice to live in a more supportive and social environment (“pull” factors) rather than responding to a crisis (“push” factors). Outcomes, in terms of physical and cognitive functioning, for residents with similar characteristics to care home residents were better, and costs were no higher, while mortality rates were lower.

Outcomes could not be measured for those who dropped out, and residents with deteriorating mental health were more likely to drop out.

Extra care can provide a positive option for people planning ahead, but appears to be less suitable for crisis moves. Further work is needed on supporting those who are more dependent.

To encourage downsizing, extra care needs to be sufficiently attractive to those making a lifestyle choice.

This was the first major study of costs and outcomes in extra care housing.

This paper aims to explore the match between needs and services related to participation for frail older adults receiving home care.

A qualitative multiple case study was conducted with 11 triads each involving an elder, a caregiver and a healthcare provider working in a Health and Social Services Centers (HSSCs).

Although HSSCs in Québec are supposed to promote social integration and participation of older adults, services provided to the older adults in this study focused mainly on safety and independence in personal care, dressing, mobility and nutrition, without fully meeting older adults’ needs in these areas. Discrepancies between needs and services may be attributable to the assessment not covering all the dimensions of social participation or accurately identifying older adults’ complex needs; older adults’ and their caregivers’ difficulties identifying their needs and accepting their limitations and the assistance offered; healthcare providers’ limited knowledge and time to comprehensively assess needs and provide services; guidelines restricting the types and quantity of services to be supplied; and limited knowledge of older adults, caregivers and healthcare providers about services and resources available in the community.

To improve and maintain older adults’ participation, a more thorough assessment of their participation, especially in social activities, is required, as is greater support for older adults and their families in using available community resources. It is also important to review the services provided by HSSCs and to optimize partnerships with community organizations.

This study examines how the lifestyle of senior citizens affects their choices of retirement communities. A survey was conducted among 256 potential customers of elderly housing, targeting citizens over 45 years old who were residents of Seoul, the capital city of Korea, at the time of the survey. Findings reveal that most respondents preferred a location based in proximity to Seoul, convenience to the suburbs, a pleasant surrounding environment, and physical equipment and facilities. Medical services and community services were also found to have an impact on preference for residency. Canonical correlation analysis between the factors of elderly lifestyle and selection attribute factors of senior housing facilities demonstrates various significant relationships with implications for developers.

This is an adaptation of the opening address given by Sister Elizabeth Davis to the Canadian Healthcare Association’s intramural session for its Distance Education programme. The intramural session is an intensive week of plenary and programme‐specific sessions, working groups and student presentations.

This study aims to build on the dynamic capability view by examining dynamic capabilities associated with public value in public procurement.

A qualitative case study approach is used in this study. The interview and secondary data consist of eight cases of value-creating procurement from four public organizations.

The findings connect dynamic capabilities and public value in terms of innovation generation and promotion, well-functioning supplier markets, public procurement process effectiveness, environmental and social sustainability and quality and availability of products or services.

Dynamic capabilities in public procurement are necessary to improve public procurement.

This study extends understanding of how sensing, seizing and transforming capabilities contribute to public value creation in both innovative and less innovative (i.e. ordinary) procurement scenarios.

This case study gives an example of an integrated intermediate care service providing short‐term, intensive support and assistance combined with the facilities and services offered by extra care sheltered housing. The service is located in the Royal Borough of Windsor and Maidenhead.