Moving to a Continuing Care Retirement Community or Staying in the Community? A Comparison Between American and Israeli Older Adults

Shinan-Altman, Shiri; Gum, Amber M.; Ayalon, Liat

doi:10.1177/0733464819879015

Cited by 7 publications

(3 citation statements)

References 32 publications

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“…The data used in this longitudinal observational cohort study was collected from a Beijing continuing care retirement community (CCRC) (15)(16)(17), which could provide friendly living environment, convenient medical services, and strong social support for the residents. The independent residents were assessed by community physicians before living in the CCRC active area.…”

Section: Study Design and Participantsmentioning

confidence: 99%

Trajectory and Correlation of Intrinsic Capacity and Frailty in a Beijing Elderly Community

et al. 2021

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Objectives: The World Health Organization proposed intrinsic capacity (IC) model to guide the implementation of person-centered care plan aimed at preserving or reserving functional ability, especially in frail older adults. We aimed to show the trajectory of IC and the overlap between IC impairment and frailty and investigate the correlation between IC domains and frailty status transitions.Method: Longitudinal observational study covering 230 community-dwelling older adults (mean age 84.0 ± 4.5 years) at baseline, and transition information at 2-year follow-up (n = 196). IC was measured by five domains: locomotion, cognition, vitality, psychological, and sensory. Frailty was defined by FRAIL Scale. IC and frailty status transitions were assessed. Logistic regression, odds ratios (OR) and 95% confidence interval (CI) were used for the analysis.Results: The prevalence of frailty was 23.0% and increased up to 41.8% over two years. Regarding frailty transitions, 38.3% of older adults progressed to more frailty status, and 8.6% regressed to lesser frailty status. The prevalence of IC impairment was 67.9% and increased to 81.6% over two years. Regarding IC transitions, 49.2% of adults with no IC impairment at baseline kept stable, and 50.8% developed new IC impairment. Among individuals with IC impairment at baseline, 57.9% worsened, and 13.5% improved. Importantly, IC impairment at baseline existed in 42.4% robust adults, 83.3% pre-frail adults, and 93.3% frail adults. 47.1% individuals who kept non-frail status within two years experienced IC worsened transition. Univariable analysis illustrated that new impaired locomotion, vitality, cognition, and sensory domains increased the risk of non-frail progressed to frail status. After adjusting for covariables, new impaired locomotion (OR = 3.625, 95% CI: 1.348–9.747) and vitality domains (OR = 3.034, 95% CI: 1.229–7.487) were associated with a higher possibility of non-frail progressed to frail status.Conclusion: IC impairment and frailty overlap and co-exist in older adults. IC impairment, especially new impairment in locomotion and vitality are associated with the transitions from non-frail to frail status. It is important that geriatricians tightly monitor IC trajectory and find the new impaired domains to take early action to minimize the public health burden of frailty.

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Section: Study Design and Participantsmentioning

confidence: 99%

Trajectory and Correlation of Intrinsic Capacity and Frailty in a Beijing Elderly Community

et al. 2021

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“…The consideration of future needs is one of the most important factors contributing to older adults’ relocation to CCRCs, such as seeking continuing care, releasing the burden of household upkeep and maintenance and reducing the burden to family members (Krout et al , 2002). Nevertheless, it should be noted that the factors influencing different older adults’ relocation to CCRCs are varied given their different cultural background (Shinan-Altman et al , 2020). Historical studies have reported various benefits of living in CCRCs.…”

Section: Background Literaturementioning

confidence: 99%

Social sustainability of continuing care retirement communities in China

2023

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Purpose China’s population is ageing. Continuing care retirement communities (CCRCs) are an emerging living arrangement of older Chinese. Incorporating social sustainability features into CCRCs helps to create age-friendly residential environments for residents. However, it is still unclear what kinds of social sustainability features are incorporated into the residential environments of CCRCs in China. Therefore, this study aims to address this research gap. Design/methodology/approach Qualitative content analysis is adopted to analyse the retrieved business information of representative CCRC developers in China. Findings This study revealed 36 social sustainability features in CCRCs, with the top-ranked ones being health care and management, social connection and engagement, high-quality and diverse services and daily life support and assistance. Additionally, a preliminary social sustainability framework of CCRCs was proposed, and this framework includes the five components of care and health, environment and management, service and facility, age-friendly life philosophy and social support and inclusion. Originality/value In theory, this research’s findings clarify the meaning of social sustainability within the context of CCRCs, which supports future relevant explorations in the CCRC research community. In practice, these findings enhance stakeholders’ understanding of the social sustainability in CCRCs, which promotes the development of age-friendly living environments for older people in an ageing society.

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“…Compared with other residential settings, the CCRCs provide at least some autonomy for older residents, at least upon their rst entering as independent residents [9]. When people age, become progressively incapacitated and lose their independence, they can move to more intensive levels of care in the same setting [10]. However, CCRCs are still in their infancy in China, in contrast to those in western countries, which are rmly established, widely marketed and well-regulated housing options for older adults [8].…”

Section: Introductionmentioning

confidence: 99%

A social network analysis model approach to understand continuing care retirement community policies in China

Wang,

Xia,

Chen

et al. 2024

Preprint

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Background China experiences rapid population aging. Continuing Care Retirement Communities (CCRCs) are an emerging institutional living arrangement in China for providing older residents with care services. Although the authorities have issued a multitude of supportive policies, it lacks a comprehensive overview nor in-depth analysis of these policies. This study aims to investigate the dynamical trends of policy hotspots and the progression of coordination between departments. Methods We conducted a thorough content analysis of 186 central-level policies from 2000 to 2022. The temporal distribution and features of CCRCs policies over time were examined, followed by co-word analysis and Social Network Analysis (SNA) to identify policy hotspots and cooperation among promulgating departments in each phase. Gephi-supported visualization was used to create graphical maps, highlighting policy focuses and the relationships among government departments. Results China’s CCRCs policy has transitioned from an exploratory phase (2000-2013) to an industrialization phase (2014-present). SNA analysis reveals that during the initial phase, policy themes focused on market-based elder care, support measures, supervision, government-market cooperation, and talent introduction. In contrast, the industrialization phase emphasized health, technical innovation, senior care industry growth, and pilot projects and reform. Of the eleven departments initially involved, the Ministry of Civil Affairs (MCA) was the most active, with participation eventually growing to 36 departments, resulting in 191 interdepartmental collaborations and forming three departmental cooperation clusters. Conclusions CCRCs are moving towards increased commercialization, with the market increasingly sharing the responsibility for providing services for older adults. Moreover, the participatory governments proceed to increase, but there is still a lack of coordination amongst them.

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Moving to a Continuing Care Retirement Community or Staying in the Community? A Comparison Between American and Israeli Older Adults

Cited by 7 publications

References 32 publications

Trajectory and Correlation of Intrinsic Capacity and Frailty in a Beijing Elderly Community

Trajectory and Correlation of Intrinsic Capacity and Frailty in a Beijing Elderly Community

Social sustainability of continuing care retirement communities in China

A social network analysis model approach to understand continuing care retirement community policies in China

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