Abstract:
OBJECTIVES:This article seeks to review debates about age-based rationing in health care. METHODS:The article identifies four different levels (or types) of decision-making in health resources allocation--societal, strategic, programmatic, and clinical--and assesses how the issues of rationing vary in relation to each level. RESULTS:The article concludes that rationing is least defensible at the clinical level, where it is also most covert. The role of rationing at other levels is more defensible when based on grounds of cost-effectiveness rather than equity. The article emphasizes the importance of fairness in health allocation and suggests that efficiency criteria need to be considered in that context. DISCUSSION:The article suggests that rationing is most problematic where it is least overt. This raises further questions about how rationing can be made more explicit at different levels of decision making.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Dey I,Fraser Ndoi
10.1177/089826430001200404subject
Has Abstractpub_date
2000-11-01 00:00:00pages
511-37issue
4eissn
0898-2643issn
1552-6887journal_volume
12pub_type
杂志文章abstract:OBJECTIVE:The aim of this study is to increase our understanding of declining network size with aging by differentiating between processes of loss and gain and studying the associations with various health problems. METHODS:Six observations of the Longitudinal Aging Study Amsterdam (LASA) across a time period of 16 ye...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264312468033
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:Our objective was to describe behavioral change trajectories for healthful eating and exercise in a group of community-dwelling older adults. A secondary aim was to determine predictors of maintenance and resilience. METHOD:Subjects were participants in the Study of Exercise and Nutrition in Older Rhode Isla...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317746264
更新日期:2019-06-01 00:00:00
abstract::Objective: The objective of this study was to explore the association between social engagement and cognitive impairment with psychological well-being (PWB) as a mediator in older Chinese adults and to further test the gender differences in this association. Method: Data were drawn from the Chinese Longitudinal Health...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319839594
更新日期:2020-08-01 00:00:00
abstract::This article examines the impact of mental health services on the mortality rate for mentally ill nursing home residents. Previous research has documented the unmet need for mental health services among nursing home residents. Some research using small data sets has indicated patient benefits from treatment. This ar...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439700900404
更新日期:1997-11-01 00:00:00
abstract::Objective: For long-term care (LTC) residents, transfers to emergency departments (EDs) can be associated with poor health outcomes. We aimed to describe characteristics of residents transferred, factors related to decisions during transfer, care received in emergency medical services (EMS), ED settings, outcomes on r...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264318808908
更新日期:2020-03-01 00:00:00
abstract::The articles in this special issue make it clear that there are interesting and policy-relevant research to identify place-based strategies to improve health and reduce health disparities among older adults. The articles also reveal important areas of future research and policy innovation that are needed related to pl...
journal_title:Journal of aging and health
pub_type: 社论
doi:10.1177/0898264314562148
更新日期:2014-12-01 00:00:00
abstract::Objective: Timing and accumulation of work-related exposures may influence later life health. This study evaluates the association between women's work patterns and physical functioning. Method: Work history and physical functioning information was collected at baseline for U.S. women ages 50 to 79 years in the Women'...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319826797
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:This study sought to evaluate the relationship between baseline depression and prospective engagement in walking and exercise behavior after enrollment in an exercise intervention. METHODS:The study used baseline, 1-month, 12-month, and 24-month in-person interview and pedometer data collected from Latinos a...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264312468488
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:To promote caregiver well-being and to help caregivers persevere in their invaluable roles, personal resources that predict increased self-care and reduced health risk behaviors need to be identified. METHOD:This study examined relationships between self-efficacy beliefs in three distinct domains of caregivi...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264307308559
更新日期:2007-12-01 00:00:00
abstract::OBJECTIVE. To evaluate the effect of individually tailored programs on perceived autonomy in institutionalized physically disabled older people and to describe participants' activity wishes and content of the programs. METHOD. This blinded randomized trial with follow up included a total of nine nursing homes and 50 n...
journal_title:Journal of aging and health
pub_type: 杂志文章,随机对照试验
doi:10.1177/0898264309348197
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:This study examined the relationship between volunteer activity and hypertension, a risk factor for cardiovascular disease, renal failure, and cognitive impairment. METHOD:Employing data from the Health and Retirement Study, we estimated regression models of hypertension status that include volunteer activit...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264310388272
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to evaluate fall rates across body mass index (BMI) categories by age group, considering physical performance and comorbidities. METHOD:In the Osteoporotic Fractures in Men (MrOS) study, 5,834 men aged ≥65 reported falls every 4 months over 4.8 (±0.8) years. Adjusted associations bet...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264316660412
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:To test current marital status as a moderator on the influence of depressive symptoms and chronic conditions on subsequent functional limitations. METHOD:Data come from the Health and Retirement Study (HRS; 1998-2010). Hierarchal linear modeling models tested differences in functional limitations among a sam...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315589572
更新日期:2016-02-01 00:00:00
abstract::This article is a retrospective case-control study of patients from a Veteran's Affairs Medical Center and an urban public hospital. Patients (53) older than 55 at the time of their HIV diagnosis were age- and gender-matched to 106 HIV-negative controls. Potential predictors of HIV-infection were abstracted from the m...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264305276298
更新日期:2005-06-01 00:00:00
abstract::The objectives of this study are to examine whether specific foot disorders and ankle weakness and foot pain are related to functional limitations or disabilities in elders. Community-dwelling adults 65 and older were enrolled in a population-based, cross-sectional study of foot disorders and health outcomes. Demograp...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264305280998
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:Emotional competence (EC) has been found to be an important predictor of individuals' health. While it is well known that EC predicts important outcomes in young adults, its importance is less clear in the elderly. We aimed to address this gap: Is the structure of EC the same in older as in younger adults? Ho...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264314535633
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To examine the longitudinal association between levels of lower extremity performance (LEP) and health-related quality of life (HRQoL) in older Mexican Americans aged 72 years or older participating in the Hispanic Established Population for the Epidemiological Study of the Elderly (2000-2006). METHOD:LEP wa...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315572115
更新日期:2015-09-01 00:00:00
abstract:PURPOSE:Visual impairment and, to a lesser extent, hearing impairment are independent predictors of reduced survival in selected studies of community-residing adults. To date, the association of severity of concurrent impairment and mortality has not been examined. METHOD:The National Health Interview Survey is a cont...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264307300174
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:This study examines how the linkage of surveys to death records differs for Hispanics and non-Hispanic Whites and how such differences affect estimates of ethnic differences in U.S. adult mortality. METHOD:I use data from the 1989-2000 National Health Interview Survey (NHIS) linked to the National Death Inde...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264311421369
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:To investigate tobacco and alcohol consumption as risk indicators for missing teeth in late middle-aged Danes. METHOD:In all, 1,517 Copenhagen Aging and Midlife Biobank (CAMB) participants received a clinical oral examination that included number of teeth. Information on smoking, drinking, and various covar...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313509278
更新日期:2014-02-01 00:00:00
abstract::Objective: The objective of this study is to examine the relationship between loneliness and work disability and whether depression mediates the hypothesized relationship. Method: We draw on data from the 2013 and 2015 waves of the Survey of Health, Aging, and Retirement in Europe. We limited the sample to adults betw...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319836549
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:The association between socioeconomic status (SES) and health, which has proven to be quite robust, is rarely tested in societies where levels of economic development and systems of stratification differ from those in Western developed countries. This article examines associations in rural and urban China. M...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264303260440
更新日期:2004-02-01 00:00:00
abstract::Objective: This study examines effects of physical and functional limitations on health care utilization among older cancer survivors, compared with those without cancer and without physical and functional limitations. Method: Medicare Current Beneficiary Survey data from 2008 to 2011 were used. Physical limitations (...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319872309
更新日期:2020-10-01 00:00:00
abstract::The purpose of this study was to assess the stability of short-term plans to retire and to evaluate the role of self-reported health status in predicting both plans to retire and actual retirement from a sample of 1,165 older members of a prepayment, group practice model, health maintenance organization. The study sam...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439000200403
更新日期:1990-11-01 00:00:00
abstract::This study investigated outcomes of geriatric rehabilitation and predictors of success among 81 consecutive admissions to a 40-bed rehabilitation unit in a long-term care facility. Predictors measured at admission included sociodemographic variables, functional status (both current and prior to illness), social contac...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826438900100405
更新日期:1989-11-01 00:00:00
abstract::This study examines the relationship between coping styles, quality of life, and depressive symptoms in older heart failure patients. Eighty heart failure patients seeking treatment in an outpatient heart failure or family practice clinic participated in a study examining depression, disability, and heart failure. Pat...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264306296398
更新日期:2007-02-01 00:00:00
abstract::Despite the general persistence and even increase of strong socioeconomic status (SES) differentials in health in the United States, research suggests that SES differentials in health may diminish or become nonexistent at older ages. However, most research has used only limited measures of SES (e.g. education, income...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439600800304
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVE:To examine how the experience of a negative health event (i.e., onset of heart disease, diabetes, lung disease, cancer, or stroke) of one spouse affects the mental and physical well-being of the other partner as measured by depressive symptoms and self-reported health. METHODS:We employ latent growth curve a...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313494800
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:We aimed to explore correlates and predictors of bereavement severity and persistence (triggered by "loss of a loved one"; referent group partner loss) in the Rotterdam cohort. METHOD:We used linear regression to examine factors associated with grief severity using a cross-sectional analysis and logistic reg...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317720715
更新日期:2017-12-01 00:00:00
abstract::Since the development of the Index of Independence in Activities of Daily Living, ADL tools have been used to describe older persons' status and to predict outcomes. It is suggested that this approach is grounded in an ADL research tradition. An alternative that is based upon Husserl's phenomenology is proposed. A ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439500700102
更新日期:1995-02-01 00:00:00