Journal of Aging & Social Policy (J Aging Soc Pol)

Publisher: Taylor & Francis (Routledge)

Journal description

The Journal of Aging & Social Policy presents insightful contributions from an international and interdisciplinary panel of practitioners, researchers, and academics who address key policy issues, including health care, long-term care programs, income security, end-of life issues, and social welfare. The journal examines and analyzes policymaking and the political processes that affect the development and implementation of programs for the elderly from a global perspective, highlighting - among others - Israel, Germany, the United Kingdom, Australia, Brazil, Sweden, Hong Kong, Korea, and the Asia-Pacific rim.Issues regularly addressed in the Journal of Aging & Social Policy, include: residential care, private pension coverage, assisted living, nursing home reform, federal welfare reform, retirement, telemedicine, insurance and health coverage, human rights enforcement and an analysis of state laws concerning Alzheimer's disease and other forms of dementia. In addition to the major issues of growing old in a youth-oriented society, the Journal of Aging & Social Policy also reviews the processes for adopting policies at the state and federal levels, examining the interplay of political and economic forces, legal and regulatory constraints, the pressure of special interests, and the influence of constituencies.

Current impact factor: 0.60

Impact Factor Rankings

Additional details

5-year impact 0.00
Cited half-life 6.80
Immediacy index 0.18
Eigenfactor 0.00
Article influence 0.00
Website Journal of Aging & Social Policy website
Other titles Journal of aging & social policy (Online), Journal of aging & social policy, Journal of aging and social policy
ISSN 1545-0821
OCLC 50751883
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Taylor & Francis (Routledge)

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Some individual journals may have policies prohibiting pre-print archiving
    • On author's personal website or departmental website immediately
    • On institutional repository or subject-based repository after either 12 months embargo
    • Publisher's version/PDF cannot be used
    • On a non-profit server
    • Published source must be acknowledged
    • Must link to publisher version
    • Set statements to accompany deposits (see policy)
    • The publisher will deposit in on behalf of authors to a designated institutional repository including PubMed Central, where a deposit agreement exists with the repository
    • STM: Science, Technology and Medicine
    • Publisher last contacted on 25/03/2014
    • This policy is an exception to the default policies of 'Taylor & Francis (Routledge)'
  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Singapore, like many developed countries, is facing the challenge of a rapidly ageing population and the increasing need to provide long-term care (LTC) services for elderly in the community. The Singapore Government's philosophy on care for the elderly is that the family should be the first line of support, and has relied on voluntary welfare organizations (VWOs) or charities for the bulk of LTC service provision. For LTC financing, it has emphasized the principles of co-payment and targeting of state support to the low-income through means-tested government subsidies. It has also instituted ElderShield, a national severe disability insurance scheme. This paper discusses some of the challenges facing LTC policy in Singapore, particularly the presence of perverse financial incentives for hospitalization, the pitfalls of over-reliance on VWOs, and the challenges facing informal family caregivers. It discusses the role of private LTC insurance in LTC financing, bearing in mind demand- and supply-side failures that have plagued the private LTC insurance market. It suggests the need for more standardized needs assessment and portable LTC benefits, with reference to the Japanese Long-Term Care Insurance programme, and also discusses the need to provide more support to informal family caregivers.
    No preview · Article · Jan 2016 · Journal of Aging & Social Policy

  • No preview · Article · Jan 2016 · Journal of Aging & Social Policy
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    ABSTRACT: This paper aims to (1) determine the rate of (full- and part-time) caregiver leave-taking in Spain, (2) identify the reasons conducive to a more intense use of this resource, and (3) ascertain the main obstacles to its use, as perceived by caregivers. All 896 people covered by the sample were engaging in paid work and had cared for dependent adults in the last 12 years. This resource, in particular the full-time alternative, was found to be a minority option. The data showed that legal, work-related, family and gender norm issues are the four types of factors that determine the decision to take such leaves. The most significant obstacles to their use are the forfeiture of income and the risk of losing one's job. Our results suggest that income replacement during a leave would increase the take up of these resources. Moreover, enlargement of public care services would promote the use of leave as a free choice of caregivers.
    No preview · Article · Jan 2016 · Journal of Aging & Social Policy
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    ABSTRACT: Rural residents are more likely to be enrolled in traditional fee-for-service Part D Medicare prescription drug plans and they face particular challenges in accessing pharmaceutical care. This study examines rural/urban differences in satisfaction with Medicare Part D coverage. Using data from the 2012 Medicare Current Beneficiary Survey (n = 3,107 beneficiaries age 65 and older), we find that rural residents have significantly lower satisfaction with Part D coverage, but that regional variation in satisfaction is largely explained by differences in health services use and type of Part D plan (stand-alone v. Medicare Advantage). We conclude by suggesting a multi-faceted approach to improving satisfaction with Part D for rural residents.
    No preview · Article · Jan 2016 · Journal of Aging & Social Policy
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    ABSTRACT: This study examines the redistributive effects of public pensions on old-age income inequality, testing if public pensions function as the 'great equalizer.' Unlike the well-known alleviating effect of public pensions on old-age poverty, the effects of public pensions on old-age income inequality more generally have been less examined, particularly outside Western countries. Using repeated cross-sectional data of elderly Koreans between 1998 and 2010, we applied Gini coefficient decomposition to measure the impact of various income sources on old-age inequality, particularly focusing on public pensions. Our findings show that, contrary to expectations, public pension benefits have inequality-intensifying effects on old-age income in Korea, even countervailing the alleviating effects of public assistance. This rather surprising result is due to the specific institutional context of the Korean public pension system and suggests that the 'structuring' of welfare policies could be as much important as their expansion for the elderly, particularly for developing welfare states.
    No preview · Article · Jan 2016 · Journal of Aging & Social Policy
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    ABSTRACT: Almost all developed countries provide some answers for long term care, but only a few countries in the world such as Japan, Austria, Netherlands, Germany, and Israel have implemented Long Term Care Insurance (LTCI) based on legislation and entitlement principles. In Israel, community-based LTCI social program has achieved multiple goals and considerably improved the life of frail older people. However, some studies show that despite the rising costs of home care and the mandatory and almost universal nature of LTCI there are still cases where people with AD and other types of dementia or their relatives vacillate or even decline to make use of their rights. We examined the question of whether these patterns may reflect the presence of welfare stigma, i.e., stigmatized views of LTCI, either related to identity stigma of persons with AD or to treatment stigma, usually associated to welfare bureaucracy. Based on a qualitative design, this article uses a methodology of personal in depth and focus group triangulation, by which the views of three groups of stakeholders are explored and compared: persons with AD, relatives and professionals. Findings showed the presence of stigmatic self images among persons with AD or other types of dementia, the absence of such images in relatives' and professionals' views of them, and of LTCI. However treatment stigma was found to be primarily associated with eligibility determination procedures. The study concludes that LTCI, even when mandated and almost universal may also generate welfare stigma due to the ways in which it is implemented.
    No preview · Article · Nov 2015 · Journal of Aging & Social Policy
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    ABSTRACT: Person-centeredness may suffer in nursing homes (NHs) with recent ownership changes. This study identifies associations between ownership change and reported care experiences, important measures of person-centered care for long-term residents in Maryland NHs. Care experience measures and ownership change data were collected from Maryland Health Care Commission reports, which reported data on 220 Maryland NHs from 2011-2012. Facility and market covariates were obtained from 2011 NH Compare and Area Health Resource Files. Linear regression was used to examine whether ownership change in 2011 was associated with lower care experience ratings reported during April-June 2012. Dependent variables were overall care rating (scale 1-10), percent of respondents answering that they would recommend the NH, and assessments of five care and resident life domains (scale 1-4). Care experiences reported in 2012 were high; however, after controlling for covariates, ownership change was associated with significant decreases in 6 out of 7 measures, including a 0.39-point decrease in overall care rating (P = 0.001). NH managers and policymakers should consider strategies to improve patient-centeredness post-ownership change.
    No preview · Article · Jul 2015 · Journal of Aging & Social Policy
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    ABSTRACT: One part of the policy response in many countries to increasing pension coverage will be greater private provision on the part of individuals. This requires that individuals are well-informed about pensions. In this paper, we assess levels of knowledge of pensions using a representative sample of older Irish adults. We find that two thirds of individuals enrolled in pension schemes do not know what amount will be paid out on retirement and/or whether the payments will be in the form of lump-sums, monthly payments, or both. One policy implication is the need for increased information to be directed at certain groups, in particular women and less educated people. More fundamentally, the results suggest that the mandatory elements in pension systems should be extended.
    Preview · Article · Jul 2015 · Journal of Aging & Social Policy
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    ABSTRACT: Financial markets have been characterized by boom and bust cycles since the 1980s, while the responsibility for managing retirement wealth has increasingly shifted onto individual households at the same time. Policymakers and experts have expressed concern over rising risk exposure among older householders, who appear to be increasingly exposed to the growing financial risks just as they near retirement. We consider household data from the Federal Reserve's Survey of Consumer Finances from 1989 to 2010 to analyze the correlation between age and risk exposure. We test if older householders' risk exposure has indeed grown over time, if it has increased more than that of younger householders, if changes in the demographic composition of older householders have contributed to older households' rising risk exposure and the degree to which increases in risk exposure can be traced to a growing concentration of household assets held in stocks and housing, and to rising householder indebtedness. Our results indicate that risk exposure has grown more for older householders than for younger ones, that demographic changes among older householders have contributed to additional increases in older householders' risk exposure, and that the growth of older householders' risk exposure is driven more by rising risky asset concentration and less by greater indebtedness.
    No preview · Article · Jul 2015 · Journal of Aging & Social Policy
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    ABSTRACT: Components of nursing home (NH) culture change include resident-centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and "culture change" NHs. We use mixed methods to examine the presence of culture change practices in the context of a NH's payer sources. Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices; and, quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation. Findings indicate that heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.
    No preview · Article · May 2015 · Journal of Aging & Social Policy
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    ABSTRACT: Although every culture follows its own indigenous elder care practices, Korea has retained a unique way of supporting elder parents, specifically, and older people in general. When the care of older people in Korea became significantly challenging, it was determined to launch a controversial law to promote the tradition of filial piety. The main content of the law consists of requiring the government to take action to encourage filial piety and to support those adult children who care for their parents. Although this legislation has the potential to promote the practice of filial piety, the nature of the law is largely rhetorical and symbolic rather than practical, and as a result, its workability and efficiency are limited.
    No preview · Article · May 2015 · Journal of Aging & Social Policy
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    ABSTRACT: Long-term care social insurance schemes exist in a number of countries while the introduction of such schemes enjoys some support in others. Israel's long-term care social insurance scheme has been operating since 1988. This article examines the emergence, goals, design, and impacts of this scheme and draws out some of the lessons that can be learned from Israel's quarter century experience of long-term care social insurance.
    No preview · Article · May 2015 · Journal of Aging & Social Policy
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    ABSTRACT: Using data from a survey in Ankang district of Shaanxi province of China in 2011, this paper examines the protective effect of the New Rural Social Pension (NRSP) on quality of life of rural elders, as well the moderating effect on association between family structure and quality of life. An instrumental variable approach is used. NRSP is shown significantly to improve the quality of life of rural elders, and a robustness check shows that this effect is consistent across different sets of subgroups. Compared with the elders who have at least one son, the quality of life of those who are childless or have only one child is significantly lower. The NRSP is more likely significantly to improve the quality of life of one-child elders. In addition, the associations between the NRSP and the different facets of quality of life of the elders are significant except for the facet of sensory abilities.
    No preview · Article · Oct 2014 · Journal of Aging & Social Policy
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    ABSTRACT: Older adults with major depression may underutilize consumer-directed long-term care. Systematic underutilization would create disparities in outcomes, undermining program effectiveness. The Medicare Primary and Consumer-Directed Care Demonstration included a consumer-directed indemnity benefit that paid for goods and services not financed by traditional Medicare. Overall and for most categories of goods and services there was little difference in use and expenditures between those with and without major depression. However, among those using the benefit to hire in-home workers, arguably the most important consumer-directed purchase, average spending on them was about 30% lower for depressed persons. While these findings are generally reassuring for public policy, future research is needed to verify that major depression is associated with less spending on in-home workers.
    No preview · Article · Oct 2014 · Journal of Aging & Social Policy
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    ABSTRACT: The current Medicare reimbursement for hip fractures lacks accountability and promotes cost cutting. A bundled payment system-analogous to the Medicare Acute Care Episodes Demonstration for Orthopedic and Cardiovascular Surgery-may help curtail costs, foster communication among healthcare providers, and improve their accountability for patient outcomes. In hip fracture care, bundled payment may spur development of multi-disciplinary best practice guidelines, quality assessment and reporting, and result in benchmarking and best practices sharing. However, its implementation may face challenges: the need for quality assessment criteria and risk adjustment methods and possible risks of pushing costs outside of Medicare boundaries.
    No preview · Article · Oct 2014 · Journal of Aging & Social Policy