Aged Services Research Articles

Development Layout and Countermeasures of Urban Elderly Cultural Facilities in Xishan District, Kunming

This paper analyzes and studies the construction of urban elderly cultural facilities in Xishan District, and provides a theoretical basis for the construction of urban elderly culture and the construction of elderly cultural service systems in Xishan District. Focus on the research and establish the following aspects: 1) Based on the principle of “Balanced, Appropriately Dispersed” to form a “15-minute” cultural pension service circle; 2) Build a spatial pattern that combines “network” and “divergent”; 3) Select areas with convenient transportation, medical care and good environment to arrange cultural facilities for the elderly.

Determinants of Integrated Services Post Programme Utilization in Elderly Empowerment in Medan Amplas District

There is an increase in the elderly population at this time, making the morbidity rate in the elderly also increase. In 2021, the number of elderly people who experienced illness in the past month was around 34.48%. Meanwhile, in 2022, the morbidity rate increased to 41.3%, The purpose of this study was to determine the determinants of the use of posyandu programs in empowering the elderly in Harjosari I Village, Medan Amplas District. The method used is a quantitative approach cross-sectional research design by surveying as many as 30 people as representatives of the population by accidental sampling by conducting interviews using online-based questionnaires, after the interview the data was analyzed statistically using univariate, bivariate and multivariate tests with a multi-stage model Analisys model to obtain crude values and adjusted oods ratio with an alpha significance of 5% (p<0.05). The results showed that the greatest influence on the utilization of the posyandu program was a distance of >100 meters with an exp value (B) of 2.56. The conclusion is that overall variables have a significant relationship with the utilization of elderly posyandu services with risks ranging from 1.43 to 2.56 times.

Usability measures used to enhance user experience in using digital health technology among elderly: a systematic review

In 2030, it is expected that 15% of the country's population will be classified as elderly and there is driving up demand for elderly healthcare services. The evolution of digital health technology has emerged as a solution to this issue. However, there has been a recent decline in the elderly adoption of digital health technologies. This issue is worsened by the emergence of interfaces and interaction styles in newly developed technologies. A systematic review was conducted in this article to investigate the usability measures used to improve the user experience of digital health technology among the elderly. This study includes articles selected from the Web of Science and Scopus databases, both of which are well-established. Using thematic analysis, data from 29 articles were analyzed, yielding four main themes: i) effectiveness; i) efficiency; iii) satisfaction; and iv) learnability. The four main themes generated 12 sub-themes. The appearance, functionality, and structure of new digital health technology are the primary barriers to adoption. User interface (UI) design should take into account the limitations of elderly users. Additionally, elderly users require motivation, support, and training to utilize digital health technologies effectively. This study's findings make significant contributions to digital health and gerontechnology fields.

Remote Health Screening for the Elderly at the Posyandu during the Covid-19 Pandemic

Anxiety, cognitive impairment function, hypertension, obesity, cardiovascular disease, and stroke in elderly is increasing in Covid-19 pandemic. This can lower their quality of life. Meanwhile, Integrated elderly health service (posyandu) have been temporary suspended to prevent infection on elderly who are high risk for severe illness Covid-19. The aim of this activity is to facilitate elderly to access health service and connected the role of some institutions for providing appropriate intervention. The method of this activity was a discussion with related institutions in online health screening of elderly integrated health service. Then, we conduct health screening using online questionnaire. Based on data, we analyze elderly with health problems to get home visit for further examination and give therapy and education. Result of these activity, we found 58 persons (16,02%) with health problem, 42 (11,6%) persons are having mental emotional disorder, 205 (69,05%) with risk of fall, and 53 (14,6%) are having cognitive impairment, 37 and 133 are low nutrition and obesity. Only health institutions give intervention for those elderly with health problem and have to gain awareness and advocation for planning action for elderly based on their roles.

Research on the Construction of Social support System Framework of Sports Service for the Aged in the New Era

Through the documents, logic analysis and other methods of the study of the sports service social support system for the elderly in our country, the paper thinks that the sports service social support system for the elderly refers to by the government, social organizations or individuals through the formal and informal way, for the elderly sports services to provide social support, according to a certain order and contact formed the whole. Relevant responsibility subjects cover the government, communities, sports non-profit organizations, social workers, volunteer service teams. They mainly include formal social support system, informal social support system, professional social support system and community support system. In the future, philosophy reform should be adopted as soon as possible to guide the formulation of relevant policies, and on the basis of giving full play to the leading role of the government, a social support system for sports services for the elderly with Chinese characteristics should be constructed. Through multiple cooperation, an effective supply of sports services for the elderly in China should be realized.

Community Service Staff Capacity Building and Elders’ Willingness to Age in Place

It is uncertain how building the elderly service staff’s capacity sustains the elder’s willingness to age in place. This uncertainty concerns how the staff’s capacity building (i.e., capacitation) meets the elder’s care needs. The uncertainty prompts this study to administer a survey of 1,023 elders and a survey of their 138 community service providers in Hong Kong, China. Results show that staff capacitation sustained the elder’s willingness to age in place, particularly when the staff provided more care or the elder used daycare or home care instead of other community services. This sustenance indicates that meeting the elder’s need for care fosters the elder’s willingness to age in place. Results imply that staff capacitation effectively met elders’ care needs to secure their willingness to age in place. Such capacitation can apply particularly to elder caregiving services.

Government spending preferences over the life cycle

AbstractDo seniors have different public spending preferences than younger people? The literature on this topic has been limited so far to a few policies or to short periods of time, which makes it difficult to provide a comprehensive answer to this question. Using data from Canadian surveys conducted between 1987 and 2019 and covering fifteen policies, this paper shows that seniors, as compared to younger adults, are slightly more favourable to the status quo when it comes to government spending. Results also show that support for education spending decreases extensively over the life cycle, while support for environment spending decreases until middle age, then stabilizes. In contrast, support for transportation spending is more widespread in older age, while support for elderly services takes an inverted U-shape over the life cycle. These findings broaden our understanding of the influence of age on government spending preferences and allow us to reflect on the consequences of a growing senior electorate on government budgets.

Research on the Construction of Social Service System for the Elderly in Urban and Rural Areas

At the beginning of 2023, the news of delayed retirement sparked heated discussions. The main reason behind this is that the degree of aging in China has further aggravated, making the construction of the elderly service system an important task for social development. In this context, this paper takes Zibo City, Shandong Province, where the aging phenomenon is prominent, as the research area. The current situation and problems in the construction and development of the social service system for the elderly in the city were compared through on-site investigation and literature review, corresponding countermeasures and suggestions are put forward in response to the aging population to build an aging society where wealth and prosperity are shared.

Morbidity Pattern and Health Seeking Behavior of Elderly People in Surnaya Rural Municipality, Baitadi, Nepal

Background: The number of older persons in the world has increased substantially in recent years and the growth is projected to accelerate in the coming decades. With an increase in the proportion of aged population, the elderly with ailments is also on the rise. The aged population has special health problems that are different from those of adults or young. This study aims to assess the morbidity patterns and health seeking behavior of elderly people. Methods: A community-based, cross-sectional study was conducted among 197 elderly people in Surnaya Rural Municipality, Baitadi. Data was collected through face-to-face interview using a pre-tested structured questionnaire. Ethical approval was received, and ethical issues were addressed. Data were processed using IBS SPSS v.25.0. Descriptive statistics and chi-square test was used. Results: The prevalence of morbidity was 71.6%. Respiratory condition was most reported, followed by digestive, musculoskeletal, and cardiovascular diseases. Further, 17.0% sustained injury. Healthcare seeking by 77.3% and 76.1% had treatment compliance. The morbidity condition was significantly associated with economic status (p=0.041), spiritual activity (p=0.032), and difficulty falling asleep (p=0.003). Distance to reach the nearest health facility (p=0.022) and presence of chronic health problems (p<0.001) was significantly associated with healthcare seeking behavior of the elderly. Conclusion: The high prevalence of multiple morbidities was reported among the elderly and respiratory condition was leading. Still, large numbers of elderly do not seek healthcare and have low treatment compliance. Elderly-friendly health services, an extension of health insurance, and elderly health screening services are recommended to enhance health seeking behavior of the elderly.

Elderly Knowledge About Lancia Posyandu in Sinar Sabungan Village, Bonatua Lunasi District, Tobasa Regency

Elderly Posyandu is an integrated service post for the elderly in a certain area that has been agreed upon, which is driven by the community where they can get health services. This study aims to determine the knowledge of the elderly about the elderly Posyandu in the Village of Sinar Sabungan, District of Bonatua Lunasi, Tobasa Regency. This research method is descriptive, where the elderly population is 57 people, the sampling technique is done by total sampling, and the sample that meets the research criteria and fills out a questionnaire is 57 respondents. Data collection was carried out from 21 April 2021 to 24 May 2021 using a questionnaire which consisted of two parts: the first was about demographic data, the second part was Knowledge of the elderly about the Elderly Posyandu in Sinar Sabungan Village, Bonatua Lunasi District, Tobasa Regency. From the data analysis it is known that out of 57 respondents there are 51 respondents (89.5%) who have good knowledge, 6 respondents (10.5%) who have sufficient knowledge and no respondent (0%) who has less knowledge. This shows that the knowledge of the elderly about the elderly posyandu is good. It is recommended that health center staff continue to improve the elderly posyandu program and provide health education as well as socialize the existence and benefits of elderly posyandu services.

A Study on Smart Medical Product Service System for the Elderly With Chronic Disease at Home

This study aims to improve the service quality and management level of smart medical products for the in-home elderly with chronic diseases. Based on the existing health and elderly care products, services related to the products are added to build a sustainable intelligent medical product service system for the in-home elderly with chronic diseases, consisting of intelligent elderly care products, health services and support facilities. Adopting the product service system theory, the current situation of self-management and health service needs of the elderly with chronic diseases in china were investigated through stakeholder analysis, user interviews and role models. Combined with the KJ method, the problem points and needs were classified, a strategy was proposed to extend the value of the smart medical product service system for the elderly with chronic diseases. Results can be used to solve the contradiction between the demand and supply of medical and health services for the in-home elderly with chronic diseases, to promote the healthy, orderly and sustainable development of the in-home elderly services, and improve the living quality of the chronically ill elderly in their old age.

Towards data-driven tele-medicine intelligence: community-based mental healthcare paradigm shift for smart aging amid COVID-19 pandemic.

Telemedicine are experiencing an unprecedented boom globally since the beginning of the COVID-19 pandemic. As the most vulnerable groups amid COVID-19, the digital delivery of healthcare poses great challenges to the elderly population, caregiver, health service providers, and health policy makers. To bridge the service delivery gaps between the telemedicine demand side and supply side, explore evidence-based approach for integrated care, address challenges for aging policy, and build foundation for the development of data-driven and community-based telemedicine, our R&D team applied translational research to design and develop telemedicine "SMART" for enhancing elderly mental health wellbeing amid COVID-19. Our aim is to investigate the preparedness mechanisms of mental health disease including response, intervention, and connection these three healthcare delivery pipelines with the collection, consolidation, and synergy of heath parameters and social determinants, using data analytics approach to achieve Evidence-Based Medicine (EBM). A mix of quantitative and qualitative research design for scientifically rigorous consultation and analysis was conducted from Jan 2020 to June 2021 in Hong Kong. An exploratory and descriptive qualitative design was used in this study. The data were collected through focus group discussions conducted from elderly and their caregivers living in 10 main districts of Hong Kong. Our research pilot tested "SMART" targeting for elderly with mental health improvement needs. Baseline questionnaire with 110 tele-medicine product users includes questions on demographic information, self-rated mental health digital adoption. The follow-up five focus group discussions with 57 users (elderly and their caregivers) further explore the social determinants of telemedicine transformation and help propose the integrated telemedicine paradigm shift framework establishment, development, and enhancement. Grounded on the baseline needs assessment and feedbacks collected, it is evident that multi-dimensional health information from the four various streams (community, clinic, home, remote) and customized digital health solutions are playing a key role in addressing elderly mental health digital service needs and bridging digital divide. The designed tele-medicine product lines up health service provider (supplier side) and elderly specific needs (demand side) with our three-level design, enables elderly and their families to follow and control their own health management and connect with the service provider, community of practice (CoP), and health policy makers. It's beneficial to involve elderly and gerontechnology stakeholders as part of Community-Based Participatory Research (CBPR) before and throughout the developing and delivery phases an integrated and age-friendly digital intervention. The challenges in applying and disseminating telemedicine reflected by the elderly and caregivers can be used as important input for further development and indicators for thesustainable and integrated elderly primary care framework. The online version contains supplementary material available at 10.1007/s13755-022-00198-4.

Blockchain-enabled cross-chain collaboration model for elderly health information from a whole process perspective.

Due to people having less children and the aging population, the demand for elderly health services is increasing, which leads to an increase in demand for elderly health information. However, there is a gap between elderly medical health information and elderly care information due to different storage institutions and storage methods, which makes it difficult for the medical service industry and the elderly service industry to fully grasp and utilize the health information of the elderly. Therefore, it is difficult to provide whole process services that combine elderly medical health and elderly care. To solve the problem of the poor collaborative utilization of elderly healthcare information, this paper, based on blockchain cross-chain technology and the literature and field research, studies the specific contexts that are needed to realize elderly health information collaboration. Based on the system theory viewpoint, the component-based modular design concept is used to identify the attributes and types of current health information of the elderly from health information related to the five modules of prevention, detection, diagnosis, treatment, and rehabilitation in the process of elderly healthcare. This paper explores the structure, elements, and interactions between the medical health information chains and the elderly care information chains. We build a blockchain-enabled cross-chain collaboration model of elderly health information from the perspective of the whole process with the help of the underlying logic of virtual chain, and to realize the applicability and flexibility of cross-chain collaboration for health information for the elderly in the whole process. The research results show that the proposed cross-chain collaboration model can realize the cross-chain collaboration of health information for the elderly with easy implementation, high throughput, and strong privacy protection.

Specialized fitness trainer business mix for the elderly in Thailand

This research aims to 1. To study the exercise behavior of the elderly in Thailand. 2. To study the relationship between personal factors and the marketing mix of a specialized fitness trainer business for the elderly in Thailand and 3. To study the marketing mix of a specialized fitness trainer business for the elderly in Thailand. Sample selection by hierarchical random sampling (Stratified sampling) according to the proportion of population in each region get all samples 400 people. Tools used for research was a questionnaire. Statistics used were percentages Mean and Frequency. The results showed that the elderly use fitness services for exercise. 1–3time day per week 42.6 percentage and exercise 1-2 hours per time 60.4 percentage. Frequency of using fitness services in 1 month ago is More 7 times, calculated as an 84.5 percentage. And a way to know information about using fitness services from online media such as Facebook 56.3 percent. The ingredients for a specialized fitness trainer business for the elderly in the country are overlooked every time. The relationship between personal factors and the marketing mix of specialized fitness trainers for the elderly in Thailand depending on age. education level, occupation, and average monthly income.

Problems Existing in The Construction of Bengbu Pension Service System and Measures to Solve It

With the continuous growth of the number of the elderly population in China, to effectively deal with the problems brought by the aging of the population, the construction of the elderly service system has gradually become the focus and research hotspot of the government, society and academic circles. As a prefecture-level city in Anhui Province, Bengbu city was GDP208273 billion yuan in 2020, with a total registered population of 3.863 million, and a permanent resident population of 3.2964 million. The population aged 60 and above accounted for 18.03%, and the population aged 65 and above accounted for 14.40%. From 2010 to 2020, the proportion of the population aged 65 and above increased by 3.78 percentage points, compared with the previous decade, the increase of the population aged 65 and above increased by 6.5 percentage points, and the degree of aging accelerated significantly in the past decade. The annual per capita disposable income of all residents was 39,116 yuan, which has a typical feature of getting old before getting rich. In the process of coping with the aging of the population, Bengbu city has made a series of explorations, but there are still many obstacles in the construction of the current old-age service system in Bengbu. To study the current situation and problems of the construction of pension service system in Bengbu, analyze the existing problems and reasons, and put forward targeted countermeasures and suggestions, which can provide reference for the construction of pension service system in Bengbu and other cities.

Impact of China's Aging Population on Economic Development and Possible Solutions

China's economic structure has been unbalanced for a long time, and now it faces the severe challenge of the aging population. This article will deeply analyze the impact of population aging from the aspects of social impact, labor force and medical security. With the unexpected arrival of an aging society, the government, society, and individuals should remain calm. They should recognize the negative and positive aspects of its effect on social development. The reduction of cheap labor will undoubtedly harm the development of labor-intensive enterprises. However, it can force these businesses to increase their labor productivity rate, move into the field of high technology and high added value, and increase the employment rate of college students and another high-quality talent. Moreover, the aging population will drive the growth of the elderly economy and related service industries such as home Economy. In this article, we will also list several ways to solve the economic crisis caused by the aging population

Embedded Intelligent Elderly Care System Based on Deep Learning

At present, the elderly care service industry has the problems of low information integration and low data utilization. To solve the above problems, building an embedded pension service platform is one of the most effective means. This paper constructs an embedded pension service model based on deep learning. In this paper, a multi-objective optimization recommendation algorithm based on artificial immune is used to generate service recommendation candidate sets. Develop an embedded personalized elderly care service platform according to the candidate set. This paper makes a detailed demand analysis and functional module design of the elderly service recommendation system, and finally designs and implements the embedded elderly service system. The experimental results show that compared with the user based collaborative filtering algorithm and the improved collaborative filtering, the highest accuracy of this method is improved by 0.09 and 0.07 respectively, and the highest service satisfaction is improved by 2.05 and 2.4 respectively. This method has certain reference value for the research of embedded intelligent elderly care system based on deep learning.

The short-term effects of fixed copayment policy on elderly health spending and service utilization: evidence from South Korea's age-based policy using exact date of birth.

A large number of the poor elderly in Korea have been exposed to the risk of insufficient proper medical treatments because of financial restrictions. South Korea launched policies to reduce the cost-sharing burden on the elderly, including one compelling the elderly to pay a fixed out-of-pocket amount for outpatient treatments. The impacts of such policies, however, have yet to be elucidated. In this paper, we estimate the short-term effects of the fixed outpatient copayment policy on the health-related behavior of the elderly. We employed a regression discontinuity design by using the exact days before and after the sample's 65th birthdate as the assignment variable, along with the restricted individual-level 2012 and 2013 National Health Insurance claims data. Results show that the policy increased the elderly's health service utilization numbers and reduced out-of-pocket spending for insured services. Moreover, the effects on prescription spending and the insurer's burden differed depending on beneficiaries' characteristics.

Construction and verification of a quantitative index system to evaluate the medical and nursing care for the elderly service needs.

To construct a quantitative index system with the integrated medical and nursing care assessment for the elderly service needs, this system can assess the cost of medical and care services accurately and objectively, so as to provide scientific basis for the allocation of old-age service resources in China. Based on the survival needs of the Existence, Relation and Growth theory, an index system is constructed through literature analysis, group discussion, and expert correspondence. Analytic hierarchy process was used to determine the weights of indicators at all levels. The 3-grades service items corresponding to each index were quantified through the measurement of working hours, and the medical and nursing care needs of 624 disabled/demented elderly people over 60 years old in Changsha were investigated to evaluate their reliability and validity. The authoritative coefficients of the 2 rounds of expert correspondence were 88.5% and 88.6%, respectively, and the opinion coordination coefficients were 0.159 and 0.167, respectively. The final quantitative evaluation index system included 4 first-level indicators, 17 second-level indicators, and 105 third-level indicators. The service time of doctor ranged from 6.01 to 22.64 min, the service time of nurses ranged from 0.77 to 24.79 min, and the service time of caregiver ranged from 0.12 to 51.88 min. The Cronbach's αcoefficient was 0.73, the split-half reliability was 0.74, the content validity was 0.93, and the calibration validity was 0.781. The quantitative evaluation index system of medical and nursing service need for the elderly can be used to accurately evaluate the medical and nursing service need.

Fall risk screening and balance rehabilitation in elderly: a missing healthcare intervention in Pakistani healthcare system.

Elderly are one of the fastest-growing population globally and require significant healthcare services due to age-related deterioration in physiological systems. Poor postural control due to aging results in impaired balance leading to increase in frequency of falls, poor quality of life, and rise in disability and mortality rates. In Pakistan, due to lack of awareness, and resources, fall prevention and screening programmes for the elderly are lacking. Regular fall risk screening utilizing balance assessment tools, integration of fall prevention programmes and balance rehabilitation approach as part of elderly healthcare services can serve as tools to lower the incidence of falls in the elderly population of Pakistan. Moreover, integration of latest technology as part of balance rehabilitation can also be considered. The review aims to highlight appropriate strategies for fall risk screening and balance rehabilitation in an effort to promote an important healthcare intervention for elderly in Pakistan.