Population ageing: the timebomb that isn't?

Spijker, Jeroen; MacInnes, John

doi:10.1136/bmj.f6598

Cited by 100 publications

(87 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Advancements in medical disease treatment and control of fertility rate during recent decades have been led to a continuously increasing number of older adults (1). World health organization introduced the chronological age 60 and over for less developed and the age 65 and over for developed countries, as the onset of late life (2).…”

Section: Contextmentioning

confidence: 99%

Protective Psychosocial Factors of Geriatric Depression in Community Dwelling Older Adults: A Review Article

Roudsari

Foroughan

Shahboulaghi

et al. 2018

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

Context: Depression is a major health problem in geriatric population and has many adverse consequences. The aim of this study was to review the existing literature on psychosocial factors that protect against depression in later life.Evidence Acquisition: A MEDLINE systematic search was done via Pubmed and Sciencedirect web pages to gather the published articles on psychosocial factors of late life depression First, the titles and abstracts reviewed and relevant articles were selected according to the inclusion criteria. Then full texts of the selected articles obtained, read, and data were extracted and categorized.Results: There were 204 articles on psychosocial factors of late life depression in community dwelling older adults and among them 29 articles included protective factors. Reading them carefully, protective factors were extracted and organized into 5 main categories: Demographic factors, psychological factors, social factors, health related factors and also spiritual factors. Conclusion:Psychosocial factors protecting older adults against depression are diverse. Identification of the modifiable ones and provision of appropriate interventions to enhance them, can be helpful in preventing geriatric depression.

show abstract

Section: Contextmentioning

confidence: 99%

Protective Psychosocial Factors of Geriatric Depression in Community Dwelling Older Adults: A Review Article

Roudsari

Foroughan

Shahboulaghi

et al. 2018

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

show abstract

“…Policymakers worry about an increasing demand for public services, coupled with a reduction in tax revenues (Spijker and MacInnes, 2013). During the post 2008 financial crises, turned economic crises, pension cuts have been omnipresent on austerity programs (Walsh et al, 2015).…”

Section: Demographics Of Ageing: a New Take On Apocalyptical Demography?mentioning

confidence: 99%

A Critical Approach to the Demographics of Ageing: The Case of Oslo

Sugahara¹

2017

CCT

View full text Add to dashboard Cite

Demographic analysis is on the basis of every city plan. It is often regarded as a technical and indisputable tool to inform policy making. In a strongly contested political environment, information on population is crucial to set priorities and define goals. However, the frequently misinterpretation, or overinterpretation, of demographic information, might also support inadequate public policy design. The increased interest on ageing in the urban context has already resulted in various initiatives all-over the world. The idea of an unsustainable "elderly boom" is a powerful narrative that is frequently used to argue for the need of improved policies for older persons. The article argues that city planners and urbanists inadequate use of demographic assessment of ageing might generate policies that can ultimately work against the interests of the older persons. I use the city of Oslo as an example of the varieties of approaches that can be used to assess ageing on a specific population. Contrary to the general assumption that Oslo will face an "elderly boom", the study shows that the city's ageing process today is less intense than the observed in the past. A particular attention is paid to the varieties of demographic trends observed within Oslo's different scales.

show abstract

“…Spijker and MacInnes, have shown that the 'real' old age dependency ratio is lower than previously predicted as older people are increasingly 'younger' than previous cohorts. 7 Furthermore, all pensioners are no longer poor pensioners. According to the Institute for Fiscal Studies (IFS), median pensioner incomes are now similar to those of the working-age population.…”

Section: Unification Is Possiblementioning

confidence: 99%

The future funding of health and social care in England

Gillam

2014

Br J Gen Pract

View full text Add to dashboard Cite

These are embarrassing times for baby boomers. As beneficiaries of the Attlee settlement, we have enjoyed affordable health care, decent housing, free higher education and a generous welfare state. Notoriously, these are blessings that could be denied the next generation. The NHS is facing yet another funding crisis and social care is under increasing strain. The confusing border between the two has long been a source of administrative waste and frustration for users. Patterns of ill health, life expectancy, family structures, and medical technologies have changed considerably since 1948 when Beveridge and Bevan established the current system. A King's Fund commission, chaired by the economist Kate Barker, proposes a new settlement fit for today's circumstances. 2 An interim report used five criteria to assess future options: equity, transparency, efficiency, the split between collective and individual responsibility, and affordability. 3 The evidence suggests that the present arrangements fail on all of these criteria. systeMic failingsThe contrast between a health service free at the point of use and a social care service that is means tested and publicly funded only for those with heavy needs, means that the type of ailment you have determines the financial support you receive. Compare the personal cost consequences to our patients of developing cancer or dementia. The outcome of this 'lottery' is inequitable; similar needs do not receive equal treatment.The current lack of funding for social care is little understood by the public; greater transparency is badly needed. Sir Andrew Dilnot's proposed reforms to the funding of social care, due to be implemented in 2017, are a step forward. 4 The higher threshold for the means test will allow people to keep £118 000 of assets, rather than the current £23 250, and still receive local authority funding. Above that, however, those who can will still have to meet the first £72 000 of the cost of their social care. Efficiency is hampered by a lack of organisational integration, health is run by the NHS and social care by local authorities, with the two commissioned separately. While the NHS is often perceived as monolithic and unchanging, there have been a number of shifts in the boundary between public and private funding in the post-war period. In general, these have restricted free access to social care and increased private payment for health care. Large amounts of Continuing Healthcare have been moved out of the NHS. More social care is now provided by unpaid carers. unification is PossiBleThe commission proposes moving towards one ring-fenced budget for health and social care, with a single commissioner and within which entitlements are much more closely aligned. Bringing the Attendance Allowance into this budget would create a more graduated pathway of support. The key issue is that of affordability.Many believe that the health costs of the rising number of older people are simply unaffordable. In fact, it is largely advances in medical knowledge and technology...

show abstract

Population ageing: the timebomb that isn't?

Cited by 100 publications

References 21 publications

Protective Psychosocial Factors of Geriatric Depression in Community Dwelling Older Adults: A Review Article

Protective Psychosocial Factors of Geriatric Depression in Community Dwelling Older Adults: A Review Article

A Critical Approach to the Demographics of Ageing: The Case of Oslo

The future funding of health and social care in England

Contact Info

Product

Resources

About