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 comparisons predominantly show differences favorable to larger facilities; qualitative information raises the prospect that current measures overlook beneficial aspects of smaller facilities. If small facilities are included under the AL banner. both policy provisions and quality assessment must be carefully crafted to avoid placing small homes in funding and oversight jeopardy as AL develops.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Morgan LA,Eckert JK,Gruber-Baldini AL,Zimmerman Sdoi
10.1300/J031v16n04_01subject
Has Abstractpub_date
2004-01-01 00:00:00pages
1-16issue
4eissn
0895-9420issn
1545-0821journal_volume
16pub_type
杂志文章abstract::Committed "to care for him who shall have borne the battle and for his widow and his orphans," the federal government through its veterans' programs has long been a pacesetter in meeting some of the income-security and health-care needs of older Americans. But the Department of Veterans Affairs is short of funds. Key ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v03n03_04
更新日期:1991-01-01 00:00:00
abstract::Health policy research analyzes urban/rural differences as a simple dichotomy. Research characterizes the rural elderly as having a higher incidence of sickness, dysfunction, disability, restricted mobility, and acute and chronic conditions than their urban counterparts. However, population density as a dichotomy may ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v08n04_02
更新日期:1996-01-01 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::As the need for long-term care services within the United States has grown dramatically, Congress has consistently deflected the primary responsibility for such care to state governments, local organizations, and, ultimately, the family. This paper examines the impact of the Alzheimer's Disease Demonstration Grants to...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v14n03_07
更新日期:2002-01-01 00:00:00
abstract::The coordination of Medicare and Medicaid benefits and services for dually eligible enrollees has been a longstanding policy challenge. Several provisions of the Affordable Care Act (ACA) attempt to address this lack of coordination, including the establishment of the Federal Coordinated Health Care Office. This paper...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.659113
更新日期:2012-01-01 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::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::In the context of providing health and human services for older individuals, modern American culture often depends on formally asserting and battling over a clashing array of rights among respective combatants as a first resort at problem-solving. A substantial impediment exists in our cultural environment that discou...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v09n02_05
更新日期:1997-01-01 00:00:00
abstract::This article describes the fragmented array of financial supports for family caregivers currently provided by the federal government, the states, and private employers-provisions that range from direct payments to tax allowances, dependent-care tax credits, and unpaid leave. It highlights the uneven pattern of support...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v06n01_05
更新日期:1994-01-01 00:00:00
abstract::The United States Department of Veterans Affairs (VA) is facing pressures to rebalance its long-term care system. Using VA administrative data from 2004-2011, we describe changes in the VA's nursing homes (called Community Living Centers [CLCs]) following enactment of directives intended to shift CLCs' focus from prov...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2017.1414538
更新日期:2018-03-01 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 social security programs that have become widely established in countries around the globe vary greatly in their design features. The difference among the programs invites questions regarding the relative strength of their designs. One hundred and sixty-four programs are assessed on three design dimensions: benefi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v11n01_04
更新日期:1999-01-01 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::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::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 th...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/j031v09n04_03
更新日期:1997-01-01 00:00:00
abstract::During the COVID-19 pandemic, we face an exacerbation of ageism as well as a flourish of intergenerational solidarity. The use of chronological age is an unjustified threshold for the creation of public policies to control the spreading of the virus; doing so reinforces intrapersonal and interpersonal negative age ste...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1772002
更新日期:2020-07-01 00:00:00
abstract::Social security for older people in China today has been established institutionally. However, there are substantial problems such as coverage, affordability, fund management, and corruption. This paper aims to provide a general picture of China's social security system for older people and to argue that the inequalit...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.735159
更新日期:2013-01-01 00:00:00
abstract::This article examines how trial courts should address complex issues of an aging society. More older people, living longer, will enter courthouses with underlying problems that will impede effective access and court processes and will require judges to enhance linkages with community health, mental health, and social ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n02_03
更新日期:2006-01-01 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::On August 22, 1996, President Clinton signed the welfare reform law that ended eligibility for all immigrants to federal means tested entitlements. Poor elderly immigrants on Supplemental Security Income were specifically targeted. This article documents how the print media responded to these policy changes. The follo...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n04_02
更新日期:2001-01-01 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::Since implementation of The Omnibus Budget Reconciliation Act of 1987, restraint use in American nursing homes has reduced dramatically. The reduction in vest restraints has resulted in an increase in "least restrictive" devices such as waist restraints. Although this analysis of U.S. Food and Drug Administration Adve...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420802050967
更新日期:2008-01-01 00:00:00
abstract::Voting is a fundamental right for all United States citizens, one that usually continues for elderly people as long as they are alive. As adults age, certain issues regarding voting warrant deeper consideration than in previous years, especially those presenting as a result of impaired sight, hearing difficulty, demen...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902739170
更新日期:2009-04-01 00:00:00
abstract::This pilot study aimed to examine EVOLVE UK extra care housing tool in an Australian residential aged care minor refurbishment context. The tool's content validity was established with 34 subcategories (I-CVI ≥0.75) and 612 statements (n = 509 I-CVI ≥0.75) relevant. A subsequent audit indicated high concordance (Rho-C...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1851434
更新日期:2021-01-12 00:00:00
abstract::This study uses two studies about the role of managed-care programs in serving Medicaid long-term care clients in Florida to illustrate how different research designs can reach divergent conclusions. Two reports from different groups using essentially the same database to assess the impact of managed care on a group o...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902955867
更新日期:2009-07-01 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::Japanese government policies for seniors have long assumed that informal care by their families exists for them. The rapid aging of Japan is eroding the basis for this assumption. It is now necessary to include barrier-free design concepts in the basic requirements for dwellings to be used by everyone, not just senior...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/J031v08n02_11
更新日期:1996-01-01 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::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::Older adults with serious mental illness disproportionately reside in nursing homes despite the U.S. Supreme Court Olmstead decision supporting the rights of persons with disabilities to benefit from integrated services in the community. This commentary addresses the neglected policy debate on implementing Olmstead fo...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2011.579497
更新日期:2011-07-01 00:00:00