Abstract:
:The empirical evidence regarding the implementation and impact of the federal Patient Self-Determination Act is examined in this article. The Act was designed to increase the use of advance medical directives in light of the U.S. Supreme Court's Cruzan decision. Research shows that the law has had little effect and that the use of advance directives has scant relation to medical treatment and care. Various policy alternatives for the right to die are also examined. The authors conclude with an analysis of the likely impact of medical costs, fruitless treatment, and rationed health care on limiting life-prolonging treatment.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Yates JL,Glick HRdoi
10.1300/j031v09n04_03subject
Has Abstractpub_date
1997-01-01 00:00:00pages
29-50issue
4eissn
0895-9420issn
1545-0821journal_volume
9pub_type
杂志文章,评审abstract::Educational attainment is increasingly associated with family inequality in the U.S., but there is little understanding about whether and how education stratifies attitudes toward eldercare. Using the General Social Survey 2012 Eldercare Module, I test the association between educational attainment and attitudes towar...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1722898
更新日期:2020-02-01 00:00:00
abstract::We examined the relationships between nursing home (NH) resident satisfaction and NH organizational characteristics, while controlling for the effect of resident characteristics within facilities. We used a stratified, random sample of NHs (N = 72) from two states and a prescreened and randomized sample of 1496 reside...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n02_07
更新日期:2007-01-01 00:00:00
abstract::Continued growth in the number of individuals with dementia residing in assisted living (AL) facilities raises concerns about their safety and protection. However, unlike federally regulated nursing facilities, AL facilities are state-regulated and there is a high degree of variation among policies designed to protect...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1236324
更新日期:2017-03-01 00:00:00
abstract::Debates about who should care for the elderly often center on the relative responsibilities of the state and family. In federal societies such as Canada and the United States, however, multiple governments are involved. This article compares and contrasts federalism in these two nations and its effects on the division...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v05n01_03
更新日期:1993-01-01 00:00:00
abstract::A social health maintenance organization (SHMO) integrates acute and long-term care and provides an extended-care benefit for elderly who are at risk of institutionalization. This article reports findings from a case study of the termination of the Group Health SHMO in Minnesota. Interviews were conducted with social ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::The goal of this paper is to show how members of three Social HMOs use a limited entitlement for community-based long-term care to meet their needs and solve their problems. The paper is based on in-home interviews with 48 aged Medicare beneficiaries who joined Social HMOs and are eligible for the entitlement. Members...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v12n03_03
更新日期:2001-01-01 00:00:00
abstract::Pairs of testers, one aged 57 and one aged 32, applied for 102 entry-level sales or management jobs in the Washington, DC, metropolitan area. Although their credentials described them as equally qualified, the older applicants received less favorable responses from employers 41.2% of the time. Three quarters of these ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v10n04_02
更新日期:1999-01-01 00:00:00
abstract::This article examines the challenges experienced by very old individuals and their consequences for well-being and mental health. In order to capture unique issues experienced in very old age, 75 participants of the population-based Fordham Centenarian Study answered open-ended questions on everyday challenges. Theme-...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1163652
更新日期:2016-07-01 00:00:00
abstract::The 1983 amendments to the Social Security Act reduced early retirements benefits and increased the retirement age for future retirees. These changes will differentially affect various segments of the older population. The author examines implications of these changes for older blacks, and concludes that disability an...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v05n04_02
更新日期:1993-01-01 00:00:00
abstract::The developed world's population is aging, due to trends of increased life expectancies and decreased fertility rates. These trends are predicted to increase demand on long-term care services. At the same time, the long-term care workforce is in shortage in most of the developed world. Moreover, such shortages are exp...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v17n04_05
更新日期:2005-01-01 00:00:00
abstract::Maintaining cognitive function is a prerequisite of living independently, which is a highly valued component in older individuals' well-being. In this article we assess the role of early-life and later-life nutritional status, education, and literacy on the cognitive functioning of older adults living in poverty in Pe...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1485390
更新日期:2020-05-01 00:00:00
abstract::A rapidly expanding number of baby boomers provide care to aging parents. This study examines associations between caregiver status and outcomes related to awareness and anticipation of future long-term care (LTC) needs using 2007 Connecticut Long-Term Care Needs Assessment survey data. Baby boomers who were adult chi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.630905
更新日期:2012-01-01 00:00:00
abstract::This article provides an overview of the Swedish personal assistance program for persons with severe impairments, introduced in 1994. The personal assistance program makes it financially possible for people with severe disabilities to appoint a personal assistant, by themselves or through a provider, to create support...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n03_05
更新日期:2007-01-01 00:00:00
abstract::This article presents a framework identifying important home care benefit design decisions and reviews existing designs that have been adopted in practice. Four basic designs were identified, based on a review of 55 home care benefits drawn from public programs in the United States and foreign countries, and from priv...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/J031v07n03_08
更新日期:1996-01-01 00:00:00
abstract::Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it is only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a "career," and within the caregiving career, a number of diverse tr...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n03_10
更新日期:2006-01-01 00:00:00
abstract::Rural and small town places in developed economies are aging. While attention has been paid to the local transportation needs of rural seniors, fewer researchers have explored their regional transportation needs. This is important given policies that have reduced and regionalized many services and supports. This artic...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.683329
更新日期:2012-01-01 00:00:00
abstract::Despite recent economic gains for women, a substantial gender gap in financial security during old age remains, making women more dependent than men upon Social Security. Social Security plays an important role in providing for women's economic security. The implications for women of several proposed changes in Social...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v11n04_05
更新日期:2000-01-01 00:00:00
abstract::The availability of data from the Current Population Survey for each year makes it possible to monitor the migration behavior of the population on a year-to-year basis and facilitates efforts to detect changes in long-standing patterns of behavior. The data used in this article come from the published reports summariz...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v08n01_04
更新日期:1996-01-01 00:00:00
abstract::This article discusses the generational equity debate in the United States--including its origins and the functions it serves. This debate has emerged in the context of concerns over the aging of the population, budgetary crises, growing health care costs, increased poverty among children, growing economic inequality,...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/J031v05n03_03
更新日期:1993-01-01 00:00:00
abstract::The surprise election of President Donald J. Trump to the presidency of the United States marks a singular turning point in the American republic-not only because of his idiosyncratic approach to the office, but also because the Republican Party now holds the presidency and both houses of Congress, presenting a histor...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1481314
更新日期:2018-05-01 00:00:00
abstract::There has been substantial recent activity addressed at the challenge of protecting the rights and welfare of vulnerable human participants in various kinds of research protocols, on one hand, without unduly impeding the conduct of research that promises findings that may substantially improve health and quality of li...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v16n03_02
更新日期:2004-01-01 00:00:00
abstract::India is characterized by significant rural-based living, population heterogeneity, financial constraints, and reverse sex ratio. Traditions of joint families, life-long physical activity, vegetarianism, and social and spiritual enrichment, all known to promote healthy aging, are widely prevalent. With the increasing ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v15n02_05
更新日期:2003-01-01 00:00:00
abstract::This paper examines recent trends in health insurance cost and coverage for the near-elderly population (aged 55 to 64), with particular attention directed toward the implications of the 2007 recession. We examine coverage by demographic and socioeconomic characteristics from the Current Population Survey and the Medi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959421003620996
更新日期:2010-04-01 00:00:00
abstract::This article is based upon research in Florida of the older population and its projected need for services. It includes discussion of the method and findings of the study. The focus, however, is on the policy implications for state government that emerged from the research. The data has enabled Florida to examine the ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v04n01_07
更新日期:1992-01-01 00:00:00
abstract::Because of its rapidly aging population, Hong Kong faces great challenges in the provision and financing of long-term care (LTC) and needs to explore sustainable funding mechanisms. However, there is a paucity of research on older people's willingness to pay (WTP) for LTC services in Hong Kong. This study utilizes dat...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1467157
更新日期:2019-07-01 00:00:00
abstract::Jobs are changing in ways that will reduce benefits for retirees. This paper explores the variety of pressures that will tend to produce this result. One major factor is that employers have been responding to cost pressures and the need for flexibility by redesigning jobs. There has been a trend--which is likely to co...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v03n01_04
更新日期:1991-01-01 00:00:00
abstract::To ascertain the need for and to inform development of guidelines for voting in long-term care settings, we conducted a telephone survey of Philadelphia nursing (n = 31) and assisted living (n = 20) settings following the 2003 election. Substantial variability existed in procedures used for registration and voting, in...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v20n01_04
更新日期:2008-01-01 00:00:00
abstract::The paper reviews the history of the Social Security system in the United States in the twentieth century and discusses options for the twenty-first. Because of the steady aging of the U.S. population and the impending retirement of the large baby boom cohort, the Social Security program now is in long-term actuarial ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v14n01_06
更新日期:2002-01-01 00:00:00
abstract::Health insurance education plays an important role in helping consumers make informed decisions about their need for supplemental coverage. This article reviews findings on the knowledge of Medicare beneficiaries about their health insurance coverage. Then, current health insurance education programs are examined with...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v03n04_03
更新日期:1991-01-01 00:00:00
abstract::Dramatic growth in Assisted Living (AL) has resulted in increasing research and policy interest. This analysis compares smaller and larger AL facilities in four states to determine whether extant measures of four key concepts, used to distinguish the AL sector, give advantage to larger facilities. Quantitative compari...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v16n04_01
更新日期:2004-01-01 00:00:00