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Concluding commentary
- Author:
- LEAPER Robert
- Journal article citation:
- Social Policy and Administration, 27(3), September 1993, pp.257-265.
- Publisher:
- Wiley
Draws conclusions from a series of companion studies on the views of older people in cities in the United Kingdom, Eire, Belgium and France.
Incomes and living standards of older people: a comparative analysis
- Authors:
- WHITEFORD Peter, KENNEDY Steven
- Publisher:
- HMSO
- Publication year:
- 1995
- Pagination:
- 173p.,diags.,bibliog.
- Place of publication:
- London
Research study providing an empirical analysis of the incomes of older people in 11 countries. Also presents the results, for a narrower range of countries, of an analysis of living standards, defined to include the value of government provided health and education services, as well as disposable cash income. In addition, looks at the role of owner-occupied housing and liquid wealth.
The economics of care of the elderly
- Authors:
- PACOLET Jozef, WILDERCOM Celeste
- Publisher:
- Avebury
- Publication year:
- 1991
- Pagination:
- 241p.,tables,bibliogs.
- Place of publication:
- Aldershot
Set of papers given at a colloquium in March 1990 in Brussels, where a group of economists presented their theoretical and empirical progress on an EC initiated project on the care of elderly people. Divided into 4 parts: part 1: the ageing population and the organisation of the welfare state: macro economic analysis; part 2: significance of informal care of elderly people; part 3: how to meet the needs of elderly people: relevance of micro-economic analysis; and part 4: policy formation for older people. This section includes comparative studies of Belgium, Denmark, Spain, France, West Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, and the United Kingdom.
Trends in severe disability among elderly people: assessing the evidence in 12 OECD countries and the future implications
- Authors:
- LAFORTUNE Gaetan, et al
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2007
- Pagination:
- 78p., bibliog.
- Place of publication:
- Paris
As the population aged 65 and over will continue to grow steadily in OECD countries over the next decades, improvements in the functional status of elderly people could help mitigate the rise in the demand for, and hence expenditure on, long-term care. This paper assesses the most recent evidence on trends in disability among the population aged 65 and over in 12 OECD countries: Australia, Belgium, Canada, Denmark, Finland, France, Italy, Japan, the Netherlands, Sweden, the United Kingdom and the United States. One of the principal findings from this review is that there is clear evidence of a decline in disability among elderly people in only five of the twelve countries studied (Denmark, Finland, Italy, the Netherlands and the United States). Three countries (Belgium, Japan and Sweden) report an increasing rate of severe disability among people aged 65 and over during the past five to ten years, and two countries (Australia, Canada) report a stable rate. In France and the United Kingdom, data from different surveys show different trends in ADL disability rates among elderly people, making it impossible to reach any definitive conclusion on the direction of the trend. One of the main policy implications that can be drawn from the findings of this study is that it would not be prudent for policymakers to count on future reductions in the prevalence of severe disability among elderly people to offset completely the rising demand for long-term care that will result from population ageing.
Lifecourse determinants and incomes in retirement: Belgium and the United Kingdom compared
- Author:
- DEWILDE Caroline
- Journal article citation:
- Ageing and Society, 32(4), May 2012, pp.587-615.
- Publisher:
- Cambridge University Press
This paper considers how social inequality in old age might be structured by previous lifecourse experiences. Specifically, it analyses the impact of ‘life-time’ family and labour market experiences on household incomes of older people in Belgium and the United Kingdom. Prospective panel data and retrospective life-history information from the Panel Study of Belgian Households (1992-2002) and the British Household Panel Survey (1991-2005) were combined. The analysis sample comprised 481 Belgium men, 602 Belgium women, 577 British men, and 803 British women aged 60 years and over. The results show that old-age income is indeed influenced by previous lifecourse experiences, and that differences between Belgium and the UK can be explained in terms of welfare regime arrangements. Family experiences have a larger impact on old-age incomes in ‘male-breadwinner’ Belgium, while in Britain labour market events are more important. As social transfers in Britain are more aimed at poverty prevention and less at income replacement, a ‘scarring effect’ of unemployment persists even into old age. Also, the more of one's career is spent in blue-collar work, self-employment or farming, the lower the income in old age. This effect was found to be significantly stronger in Belgium than in the UK, despite the high level of ‘de-commodification’ achieved by the Belgian welfare state.
Ageing and health status in adults with intellectual disabilities: results of the European Pomona II study
- Authors:
- HAVEMAN Meindert, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 36(1), March 2011, pp.49-60.
- Publisher:
- Taylor and Francis
POMONA II was a European Commission funded public health project collecting information from 14 countries using a set of key health indicators specifically relevant for people with intellectual disabilities. This research focused on age-specific differences relating to environmental and lifestyle factors and the 17 medical conditions measured by the POMONA Checklist of Health Indicators. The article describes how information was collected using the POMONA Health Interview Survey and Evaluation Form from a sample of 1,253 participants in Austria, Belgium, Finland, France, Germany, Ireland, Italy, Lithuania, the Netherlands, Norway, Romania, Slovenia, Spain, and the United Kingdom. It then presents the results of the analysis, with tables showing characteristics of people with intellectual disabilities in the study, frequency of social contacts with relatives or friends according to age, lifestyle risk factors in people with intellectual disabilities according to age, and general and age-specific prevalence rates of health problems. The authors discuss how healthy older adults with intellectual disabilities are with regard to lifestyle factors, and whether there are health disparities between older adults with and without intellectual disabilities. They note that some evidence of health disparities was found for older people with intellectual disabilities, particularly in terms of under diagnosed or inadequately managed preventable health conditions.
Socio-economic status differences in older people's use of informal and formal help: a comparison of four European countries
- Authors:
- van GROENOU Marjolein Broese, et al
- Journal article citation:
- Ageing and Society, 26(5), September 2006, pp.745-766.
- Publisher:
- Cambridge University Press
This study investigates the variations by older people's socio-economic status (SES) (i.e. educational level and social class) in the use of informal and formal help from outside the household in Great Britain, Italy, Belgium and The Netherlands. In all these countries, it was older people in low SES groups who mostly used such help. Multinomial logistic regression analyses showed that, in each country and for both types of help, there were SES gradients in the utilisation of both formal and informal care, and that differences in age, health and marital status largely accounted for the former but not the latter. Cross-national differences in the use of both informal and formal help remained when variations in sex, age, SES, health, marital status, home ownership and the use of privately-paid help were taken into account. Significant interaction effects were found, which indicated that older people in low SES groups in Great Britain and The Netherlands had higher odds of using informal help from outside the household than their counterparts in Italy, and similarly that those in The Netherlands were more likely to use formal help than their Italian peers. The results are discussed in relation to the cultural differences and variations in the availability of formal services among the countries.
Understanding obstacles to the recognition of and response to dementia in different European countries: a modified focus group approach using multinational, multi-disciplinary expert groups
- Authors:
- ILIFFE S., et al
- Journal article citation:
- Aging and Mental Health, 9(1), January 2005, pp.1-6.
- Publisher:
- Taylor and Francis
Experts from eight European countries (Belgium, France, The Netherlands, Ireland, Italy, Portugal, Spain and the United Kingdom) and the disciplines of clinical psychology, general practice, geriatric medicine, old age psychiatry, medical sociology, nursing and voluntary body organisation met in 2003 to explore obstacles to recognition of and response to dementia in general practice within Europe. A modified focus group methodology was used in this exploratory process. Groups were conducted over a two-day period, with five sessions lasting 1-1.5 hours each. An adapted nominal group method was used to record themes arising from the group discussion, and these themes were used in a grounded theory approach to generate explanations for delayed recognition of and response to dementia. The overarching theme that arose from the focus groups was movement, which had three different expressions. These were: population movement and its consequences for localities, services and professional experience; the journey of the person with dementia along the disease process; and the referral pathway to access services and support. Change is the core issue in dementia care, with multiple pathways of change that need to be understood at clinical and organisational levels. Practitioners and people with dementia are engaged in managing emotional, social and physical risks, making explicit risk management a potentially important component of dementia care. The boundary between generalist and specialist services is a particular problem, with great potential for dysfunctionality. Stigma and ageism are variably distributed phenomena both within and between countries.
Older people’s perceptions of assistive technology – an exploratory pan-European study
- Authors:
- WILLIAMS Veronika, MCCRINDLE Rachel, VICTOR Christina
- Journal article citation:
- Journal of Integrated Care, 18(1), February 2010, pp.38-44.
- Publisher:
- Emerald
This paper describes a survey undertaken to explore how assistive technology in the form of a wrist-worn device is perceived by older people. The survey was part of a larger study funded by EU Framework 6, ENABLE, which involved development of a wrist-worn assistive technology device capable of providing a variety of functions such as an alarm system, falls detection, navigation through GPS and an event reminder, thus enabling older people and their carers to live more independently and with reassurance. The purpose of the survey was to gain insights into the general issues that concern older people if they are required to wear and use assistive technology, and to identify more specifically the views of older people on the potential functionalities of the intended, future wrist-worn device. The questionnaire was sent out to participants in the UK, Czech Republic, Greece, and Belgium, and 158 completed questionnaires were returned. The results demonstrated a number of older people engaging with technology; a large number used a mobile phone, and almost half owned and used a computer and the internet. The device functions relating to emergency alarm systems and fall detections were rated as important. However, despite the potential benefits, it is clear from the results of the survey that privacy and confidentiality are significant concerns which can impede successful implementation.
Rights, risks and restraint-free care of older people: person-centred approaches in health and social care
- Editors:
- HUGHES Rhidian, (ed.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2010
- Pagination:
- 224p., bibliog.
- Place of publication:
- London
This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. It provides an overview of the different forms of restraint, the conditions under which they are used and their implications for the health and wellbeing of older people. Practical approaches to minimising restraint are then explored, underlining the importance of person-centred care. Innovative programmes and approaches to reducing the use of restraint are described and assessed, and case studies are drawn upon to highlight practice challenges and their effective resolutions. The perspectives of older people and their carers and families, as well as of professionals, commissioners and regulators of health and social care, are also taken into account. The contributors are drawn from an international range of health and social care settings, as well as from the academic world.