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Revaluating aging in place: from traditional definitions to the continuum of care
- Authors:
- WEIL Joyce, SMITH Elizabeth
- Journal article citation:
- Working with Older People, 20(4), 2016, pp.223-230.
- Publisher:
- Emerald
Purpose: Traditional definitions of ageing in place often define ageing in place specifically as the ability to remain in one’s own home or community setting in later life. The purpose of this paper is to reframe ageing in place and show how narrowly defined ageing in place models can be potentially negative constructs that limit options for older adults. The authors propose a paradigm shift, or a re-framing of, the popularised idea of ageing in place. The authors challenge mainstream and literature-based beliefs that are deeply rooted to the idea that ageing in place ideally happens in the home in which a person has lived for many years. Design/methodology/approach: The paper reviews common concepts and constructs associated with ageing in place as well as gaps or exclusions, and US-based ageing in place policy initiatives favouring the ageing in place model. Findings: An expanded definition of ageing in place embraces heterogeneity in residence types and living options. A realistic assessment of person-environment fit, matching an older person’s capabilities to his or her environmental demands, allows for the development of additional ageing in place options for those living across the continuum of care. Social implications: Ageing in place should be moved from the personal “success” or “failure” of an older individual to include the role of society and societal views and policies in facilitating or hindering ageing in place options. The authors demonstrate that these options, in facilities within the continuum of care, can be thought of as appealing for older persons of all levels of physical and cognitive functioning. (Edited publisher abstract)
Mapping the future of family care: receipt of informal care by older people with disabilities in England to 2032
- Authors:
- PICKARD Linda, et al
- Journal article citation:
- Social Policy and Society, 11(4), October 2012, pp.533-545.
- Publisher:
- Cambridge University Press
Today, in many economically developed countries, long-term care systems are reliant on informal care. However, in the context of population ageing, there are concerns about the future supply of informal care. This article reports on projections of informal care receipt by older people with disabilities from spouses and adult children to 2032 in England. The current projections show that the relative numbers of older people with disabilities who have a child will fall by 2032, and that the extent of informal care in future may be lower than previously estimated. The policy implications for England are discussed.
The impact of devolution: long-term care provision in the UK
- Author:
- BELL David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2010
- Pagination:
- 41p., bibliog.
- Place of publication:
- York
This report on long-term care provision policies, from a series on the impact of 10 years devolved government in the United Kingdom, considers the constraint that tax and benefit structure (control of which remains centrally within the Departmental Expenditure Limits (DEL) system), has on Scotland, Northern Ireland, Wales and England. The importance of having secondary social care, funded from Annually Managed Expenditure by the Department for Work and Pensions (DWP) and less bound to annual budgets than DEL, in minimising diversity of delivered care is discussed. The inability of devolved governments to steer DWP, due to weak intergovernmental relations, is highlighted and in section 2 Scottish attendance allowances and Welsh domiciliary care charges are contrasted. Section 3 details demand for care varies more within countries than between them, while section 4 highlights divergence in older people’s ability to pay. A current snapshot of care provision across the UK in section 5, is followed by a focus on free personal care, personalisation and charging in Section 6. Section 7 reiterates that policies can be constrained as well as enhanced by devolution. Other reports, in this series, detail area based regeneration, indicators of poverty and social exclusion, employment and employability and housing and homelessness.
Review of older people's engagement with government
- Author:
- ELBOURNE John
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2008
- Pagination:
- 83p., bibliog.
- Place of publication:
- London
On 22 May 2008, the Minister for Pensions Reform, Mike O’Brien announced that John Elbourne had been asked to: “Examine the current arrangements for the engagement of older people and the ability of those arrangements to inform policy and actions of Government at all levels". John publishes this emerging finding on 9 October 2008. On 18 November 2008, John presented his final report to Government. To ensure that everyone with an interest in this important area has an opportunity to provide views on John’s findings and recommendations, Rosie Winterton, Minister of State for Pensions and the Ageing Society is inviting comments.
Ageing in place together: older parents and ageing offspring with intellectual disability
- Authors:
- CHOU Yueh-Ching, KROGER Teppo
- Journal article citation:
- Ageing and Society, 42(2), 2022, pp.480-494.
- Publisher:
- Cambridge University Press
Limited research has been conducted about ageing in place among older parents who co-habit with their ageing offspring with intellectual disability (ID). This study aims to explore which older parents would choose ageing in place together with their ageing offspring with ID instead of moving and what factors are associated with this choice. A face-to-face interview was conducted using the ‘housing pathways’ framework with older parents (⩾60 years) co-habiting with their ageing offspring with ID (⩾40 years) from two local authorities in Taiwan. In total, 237 families completed a census survey between June and September 2015. The results showed that 61.6 per cent of the participants would choose ageing in place with their ageing offspring with ID, while 38.4 per cent of the participants would stay in their previous place without their disabled children, move in with their other children or move to a nursing home. Logistic regression analyses revealed that parents who preferred ageing in place together with their offspring with ID were more likely to own a house (‘personal control’), have higher levels of life satisfaction (‘self-esteem’) and satisfaction with their current community (‘self-identity’), and have a lower level of social support than parents who chose another option. To meet the needs of older parents and their ageing offspring with ID, care and housing transitions should be considered as part of long-term care policy. (Edited publisher abstract)
Facing the cost of long-term care: towards a sustainable funding system
- Author:
- HIRSCH Donald
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2005
- Pagination:
- 38p., bibliog.
- Place of publication:
- York
Over the past decade it has become ever clearer that the UK lacks an adequate, coherent and fair basis for paying for long-term care for older people. As a result, services are already under strain, not all needs are being met, and all are ill-prepared to meet future challenges as the population continues to age. This study brings together evidence and discussions assembled by the Joseph Rowntree Foundation. It identifies some key challenges that need addressing in order to start moving towards a fairer, more rational and adequate system of funding It deliberately avoids proposing a radical redesign of the whole system, though there is a case for that. Rather it provides a platform for sensible discussion of how to design improvements in the funding system.
Long-term care for older people
- Author:
- ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2005
- Pagination:
- 137p.
- Place of publication:
- Paris
Long-term care is a cross-cutting policy issue that brings together a range of services for persons who are dependent on help with basic activities of daily living. When the cohorts of the baby-boom generation will reach the oldest age groups over the next three decades, demand for long-term care will rise steeply. How do governments in OECD countries respond to this growing demand? What has been done to improve access to long-term care, improve quality of services and make care affordable? Are there examples of successful strategies to improve the mix of services and policies to enable a larger number of older persons to stay in their homes? And has this helped contain the costs of caring for the elderly? This study reports on the latest trends in long-term care policies in nineteen OECD countries: Australia, Austria, Canada, Germany, Hungary, Ireland, Japan, Korea, Luxembourg, the Netherlands, New Zealand, Norway, Mexico, Poland, Spain, Sweden, Switzerland, the United Kingdom, and the United States. It studies lessons learned from countries that undertook major reforms over the past decade. Trends in expenditure, financing and the number of care recipients are analysed based on new data on cross-country differences. Special attention is given to experience with programmes that provide consumers of services with a choice of care options, including cash to family caregivers. Concise country profiles of long-term care systems and an overview on demography and living situations of older persons make this complex policy field more accessible.
Paying for care: the Japanese model
- Author:
- DIX Jackie
- Journal article citation:
- Working with Older People, 9(1), March 2005, pp.24-26.
- Publisher:
- Emerald
The author, who participated in a 'Young Core Leader of Civil Society' programme organised by the Japanese government in February 2003, explains how Japan is dealing with paying for the long-term care of its ageing population.
Factors associated with the willingness of older people to engage with long-term care services: a systematic review
- Authors:
- ZHANG Yuanyuan, et al
- Journal article citation:
- Health and Social Care in the Community, early cite May 2022,
- Publisher:
- Wiley
The ageing of the population has resulted in an increase in the demand for long-term care services for older people, but with limited resources, its challenges have also been highlighted. Although factors affecting the willingness of older people to engage with long-term care services have been widely reported, however, systematic review has not synthesised the evidence, and its associated factors remain unclear. This systematic review aims to study and synthesise the best available evidence on the potential factors related to the willingness of older people to engage with long-term care services. Eight electronic databases were comprehensively searched from inception to January 2021: the Cochrane Library, PubMed, Web of Science, CINAHL, Wanfang Database, China Knowledge Resource Integrated Database (CNKI), Weipu Database (VIP), and Chinese Biomedical Literature Database (CBM). The original literatures were screened according to selection criteria. Two researchers used 11-item checklist recommended by the Agency for Healthcare Research and Quality to evaluate the quality of the included literatures. And the review used narrative synthesis to integrate factors related to the willingness of older people to engage with long-term care services. In total, 7794 studies were screened and 35 studies were included in this review. Among them, 23 studies were rated as moderate quality and 12 was high quality. Data synthesis identified that age, education, number of children, living arrangements, the relationship with children, primary caregivers, place of residence, social support, household income, medical insurance, activities of daily living ability and spiritual comfort should all be taken into account when establishing the appropriate long-term care service model or formulating relevant policies. However, many factors remain undetermined and require more rigorous original literature support. And multiple areas can be also considered in the future studies, especially psychological factors. (Edited publisher abstract)
Long term care 2030
- Authors:
- LAPRE Freek, et al
- Publisher:
- European Ageing Network
- Publication year:
- 2019
- Pagination:
- 60
- Edition:
- 2nd ed
This report sets out a vision for the provision of long-term care in 2030. At the heart of this vision is the notion that ageing and becoming old is not a disease but a stage of life. This has a number of implications for each of the following four areas: the future of ageing – there is an increasing need for care and support of older people while there are less possibilities for informal/family support; the future of the system and structure of providing senior care/services – characterised by budget constraints, increased competition and new opportunities for providers, and an integrated approach; future concepts of senior care/ services – a focus on ageing in place, a greater emphasis on quality of life, and technology innovations; the future organisation and leadership in elder care/services – in particular in relation to the workforce. Key implications include: older people and their families can decide about their care for themselves; elderly care must not aim towards quality of care but towards quality of life; the main focus must be on social support and services – health care is critical but should not be the dominant element in the services and support for older people; prevention is key; social care must be seen as an economic opportunity with job creation and technological and social innovations; the full array of care service are important in the current and future system – thus, we need home care, ambulant care, respite care and residential care and also other various housing models and support services; care providers must think outside the walls of their own facility and services but need to try to organise and manage a network that is integrated in local communities. (Edited publisher abstract)