Abstract:
:Diabetes is a serious global public health challenge. The cost for health services for diabetes care has increased 41% over the past 5 years. Despite escalating health expenditure, the United States continues to have higher rates of diabetes than many other developed countries. There is a need for health care reform in the United States not only in reducing health care costs but also in improving the quality of preventative care. This study presents the testing of a multilevel model investigating variables on the individual and state levels to develop a better understanding of the most important contextual pathways that can lead to providing older adults (50+) with type 2 diabetes with the recommended preventative quality care they require. The model was tested using a three-level repeated cross-sectional design with data from various existing data sources, using a national sample of 181,870 individuals aged 50 years and older. Results showed that differences in state health care systems contributed to inequitable access. Specifically, in a state where there was a higher percentage of adults 65 and older coupled with a shortage of health care professionals, the likelihood of receiving the recommended preventative quality care decreased. Also, older adults living in states with a higher percentage of people with diagnosed diabetes but with a lower-than-average annual per capita health care expenditure fared worse in receiving quality preventative care. Last, older adults in wealthy states with higher percentages of uninsured people had the lowest odds of receiving quality preventative care. Health care reform, similar to what is currently promoted by the Patient Protection and Affordable Care Act of 2010, is recommended to improve the performance of all health care systems in all states.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Faul AC,Yankeelov PA,McCord LRdoi
10.1080/08959420.2015.969114subject
Has Abstractpub_date
2015-01-01 00:00:00pages
63-86issue
1eissn
0895-9420issn
1545-0821journal_volume
27pub_type
杂志文章abstract::A series of major reforms implemented through the mid 1980s sought to contain residential care and expand community care in Australia's long-term care system. While this goal has been maintained, a number of new policy initiatives followed the change of federal government in 1996. This article presents a systematic ac...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n02_08
更新日期:2001-01-01 00:00:00
abstract::Whereas many studies of welfare reform have focused on effects on children and families, little research has examined the implications of welfare reform for the elderly. This case study incorporates interviews with service providers for the aging, members of advocacy organizations, and two focus groups of older consum...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n01_03
更新日期:2006-01-01 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::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 basic pension plan for urban enterprise workers (PPUEW) is the primary form of public pension system in China and is managed by provincial governments. Although the federal government requires that employers contribute 20% and individuals 8%, provincial governments have the right to adjust the rate. As different r...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2019.1707056
更新日期:2019-12-24 00:00:00
abstract::The recent influx of immigrants aged 65 and older in the United States triggers an increasing need to understand older immigrants' dental services use. This paper uses data (n = 9,617) from the 2004 and 2006 waves of the Health and Retirement Study to examine the dental services use of older Americans. In particular, ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420903385593
更新日期:2010-01-01 00:00:00
abstract::This article describes an award program sponsored by the U.S. Environmental Protection Agency for excellence in smart growth and active aging. Having examined qualitative and quantitative data, we suggest that any community can foster changes to improve the health and well-being of its aging population. Diverse winner...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2014.854648
更新日期:2014-01-01 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::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::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::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::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::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::The COVID-19 economic crisis makes it vitally important that workers who earned defined benefit pensions receive them at retirement. Unfortunately, billions of dollars that could help cushion the financial shock are sitting unclaimed, because the people who they belong to cannot locate the company responsible for payi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1777826
更新日期:2020-07-01 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::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
abstract::This study examines the scope and range of existing resources for family caregivers from the perspective of the Area Agencies on Aging (AAAs), which are charged with implementing Title III-E of the reauthorized Older Americans Act. California is used as a case example because of its substantial experience in providing...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v17n01_03
更新日期:2005-01-01 00:00:00
abstract::Provisions in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) may increase private long-term care insurance sales without imposing substantially more stringent consumer-protection features. The ability of consumers to make informed choices when purchasing this complex product is examined in lig...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v10n03_03
更新日期:1999-01-01 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::This article examines the relationship between health and workforce participation beyond the age of 65 years in Australia. This study found that people with a chronic health condition were less likely to be employed than those without a health condition (OR, 0.59; 95% CI [0.38, 0.92]). Among those with a chronic healt...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1246319
更新日期:2017-05-01 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::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::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::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::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::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::In an era of globalization where the migration of longterm care workers is common, foreign live-in home care workers can compensate for the unavailability of family members and, perhaps, even substitute for institutional care in the provision of long-term care services to disabled older persons. This study examines di...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n04_06
更新日期:2007-01-01 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