Care poverty among older adults in East Asia: A comparison of unmet care needs between China and Taiwan

Hu, Bo; Chou, Yueh-Ching

doi:10.1016/j.archger.2022.104738

Cited by 6 publications

(4 citation statements)

References 51 publications

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“…Physically, the fulfillment of their willingness to age in place requires support in daily life (49). This is consistent with other studies at home and abroad that receiving daily life care helps to improve the quality of life, thus increasing satisfaction (50)(51)(52). However, participants in this interview are unwilling to put all care burden on their offspring since they do not want to seem burdensome, similar to the surveys referring to the refusal to be troublesome and loss of control (53,54) but promoting the use of technology (55).…”

Section: Discussionsupporting

confidence: 82%

Perspectives on the popularization of smart senior care to meet the demands of older adults living alone in communities of Southwest China: A qualitative study

Kong

Liu²,

Hong³

et al. 2023

Front. Public Health

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BackgroundOlder adults who live alone face challenges in daily life and in maintaining their health status quo. Currently, however, their growing demands cannot be satisfied with high quality; therefore, these demands expressed by elders may be settled in the form of smart senior care. Hence, the improvement in smart senior care may produce more positive meanings in promoting the health and sense of happiness among this elderly population. This study aimed to explore the perceptions of demands and satisfaction with regard to the provision of senior care services to the community-dwelling older adults who live alone in Southwest China, thus providing a reference for the popularization of smart senior care.MethodsThis study adopted a qualitative descriptive approach on demands and the popularization of smart senior care. Semi-structured and in-depth individual interviews were conducted with 15 community-dwelling older adults who lived alone in Southwest China between March and May 2021. Thematic analysis was applied to analyze the data.ResultsThrough data analysis, three major themes and subcategories were generated: “necessities” (contradiction: more meticulous daily life care and higher psychological needs vs. the current lower satisfaction status quo; conflict: higher demands for medical and emergency care against less access at present), “feasibility” (objectively feasible: the popularization of smart devices and applications; subjectively feasible: interests in obtaining health information), and “existing obstacles” (insufficient publicity; technophobia; patterned living habits; and concerns).ConclusionsSmart senior care may resolve the contradiction that prevails between the shortage of medical resources and the increasing demands for eldercare. Despite several obstacles that stand in the way of the popularization of smart senior care, the necessities and feasibility lay the preliminary foundation for its development and popularization. Decision-makers, communities, developers, and providers should cooperate to make smart senior care more popular and available to seniors living alone, facilitating independence while realizing aging in place by promoting healthy aging.

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Section: Discussionsupporting

confidence: 82%

Perspectives on the popularization of smart senior care to meet the demands of older adults living alone in communities of Southwest China: A qualitative study

Kong

Liu²,

Hong³

et al. 2023

Front. Public Health

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“…Most respondents have a monthly income of more than 3000, and those with high income are more intelligent and have better life quality than those with low income [12,13].In addition, the age of participants was negatively correlated with PQOL, which was consistent with previous studies [14,15].Therefore, healthcare providers may opt for interventional treatment or therapy to minimize concerns about future side effects or to find more effective ways to reduce patients' suffering [16,17].…”

Section: Discussionsupporting

confidence: 80%

Explore the Mediating Effect of Health-Related Quality of Life in Patients with Maintenance Hemodialysis based on Resourcefulness

Zhong¹,

Zhou²

2023

HSET

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Objective: This study aimed to determine the determinants of depressive symptoms (DSS), sleep disorders, anxiety, and health-related quality of life (HRQOL) in maintenance hemodialysis patients. Methods: A descriptive, correlational design was used to evaluate 1330 maintenance hemodialysis patients. Participants were interviewed face-to-face to collect demographic information and disease characteristics, assess self-control schedules, and survey health status. Correlation analysis, t test, analysis of variance and regression analysis were used for analysis. Results: According to the recommended classification of DSS, 56.4% of the patients had mild (31.1%), moderate (18.9%) or severe (6.2%) depressive symptoms. The pain caused by illness was positively correlated with depression, and negatively correlated with resourcefulness (- 0.28), PQOL (-0.24) and MQOL (- 0.42). Education was negatively correlated with depression (-0.19), positively correlated with resourceiness (0.28), PQOL (0.16) and MQOL (0.28). Age was positively correlated with depression and resourceiness, and negatively correlated with PQOL (- 0.48) and MQOL (- 0.18). Highly educated participants were more likely to have better PQOL and MQOL. Lower DSS. Higher monthly household income is more likely to have better MQOL and lower DSS, and there is no correlation with PQOL. Higher education is associated with more sleep disturbances, resourcefulness, and anxiety; The higher the monthly income, the lower the anxiety and the higher the resourcefulness; Stage II patients have more sleep disorders, resourcefulness, anxiety; People with depression tend to have more sleep disturbances, resourcefulness, and anxiety. Conclusion: Nursing professionals need to spot mental illness and must be especially vigilant for those with mental retardation and sleep disorders. The impact of resourcefulness on health-related mental and physical quality of life was identified in maintenance hemodialysis patients, where resourcefulness played a beneficial role as a mediator of symptoms from pain to depression, PQOL, and MQOL, respectively. Resourcefulness has an effect on reducing depressive symptoms in maintenance hemodialysis patients.

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“…The re-configuration of patterns of care will not be costfree, however. Studies have reported that unmet needs can lead to an accelerated progression of mental health problems and functional disabilities, which in turn incurs health and long-term care costs [47,48]. In addition, the international literature has shown that intensive caregiving can have negative consequences for caregivers' mental health or force caregivers to leave employment, which is associated with costs for mental health care and a loss of productivity or earnings [49][50][51][52].…”

Section: Discussionmentioning

confidence: 99%

Projected costs of informal care for older people in England

Hu,

Cartagena-Farias,

Brimblecombe

et al. 2023

Eur J Health Econ

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Background Health economics research and economic evaluation have increasingly taken a societal perspective, accounting for the economic impacts of informal care. Projected economic costs of informal care help researchers and policymakers understand better the long-term consequences of policy reforms and health interventions. This study makes projections of the economic costs of informal care for older people in England. Methods Data come from two national surveys: the English Longitudinal Study of Ageing (ELSA, N = 35,425) and the Health Survey for England (N = 17,292). We combine a Markov model with a macrosimulation model to make the projections. We explore a range of assumptions about future demographic and epidemiological trends to capture model uncertainty and take a Bayesian approach to capture parameter uncertainty. Results We estimate that the economic costs of informal care were £54.2 billion in 2019, three times larger than the expenditure on formal long-term care. Those costs are projected to rise by 87% by 2039, faster than public expenditure but slower than private expenditure on formal long-term care. These results are sensitive to assumptions about future life expectancy, fertility rates, and progression of disabilities in the population. Conclusions Prevention schemes aiming to promote healthy aging and independence will be important to alleviate the costs of informal care. The government should strengthen support for informal caregivers and care recipients to ensure the adequacy of care, protect the well-being of caregivers, and prevent the costs of informal care from spilling over to other sectors of the economy.

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Care poverty among older adults in East Asia: A comparison of unmet care needs between China and Taiwan

Cited by 6 publications

References 51 publications

Perspectives on the popularization of smart senior care to meet the demands of older adults living alone in communities of Southwest China: A qualitative study

Perspectives on the popularization of smart senior care to meet the demands of older adults living alone in communities of Southwest China: A qualitative study

Explore the Mediating Effect of Health-Related Quality of Life in Patients with Maintenance Hemodialysis based on Resourcefulness

Projected costs of informal care for older people in England

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