Rethinking Risk and Ageing: Extending Working Lives

Powell, Jason L.; Taylor, Paul J.

doi:10.1017/s1474746416000270

Cited by 14 publications

(20 citation statements)

References 17 publications

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“…Alternatively, the analysis of governmentality recognizes these discourses and social practices as the outcome of something more ordered. Not ordered in the sense of designed and managed but the consequence of what Foucault described as strategy: loosely connected sets of discourses and practices that follow a broad trajectory with no necessary correspondence between the different elements [11].…”

Section: Linking Care Management With Trust and Governmentallymentioning

confidence: 99%

“…Public perceptions of failures of professional self-regulation articulate as institutionalized self-interest [3], paralleled by the increasing power, or resistance, of health service users and welfare consumers to discipline professional activity. Managerialist techniques such as contracts and demands for transparency in exchanges unite managerial and user based discourses in an uncomfortable marriage [11], frustrating the radical voice of user movements [7]. Alongside, a massive increase in the access to the information, particularly through the internet, further complicates the situation.…”

Section: Linking Care Management With Trust and Governmentallymentioning

confidence: 99%

“…Once again, revealing the paradox of autonomy and increasing regulation in the relationship between the state and professional activity. Returning to the earlier quotation from Foucault, what has occurred in this period is the re-articulation of government objectives and a re-structuring of the realms of professional jurisdiction and authority [11]. Regulation and control of expertise through audits and contracts are disciplinary techniques that have modernized the tricky issue of governing professional activity.…”

Section: Linking Care Management With Trust and Governmentallymentioning

confidence: 99%

“…Individuals produce trust through experience and over time. It cannot be immediately and with purpose be produced by organizations or governments without dialogical interaction with people on issues affecting their lifestyles and life-chances such as care, pensions, employment and political representation [5,6] takes the relational theme further by distinguishing between trust in contracts between individuals and the State in areas such as pension provision; trust in friendships across intergenerational lines; trust in love and relationships, and trust in foreign issues associated with national identity. There is a multiplicity of ways that trust has been defined but the central paradox is how to creation of the conditions of building conditions of trust across personalorganisational-structural tiers in an increasingly uncertain world.…”

Section: Introductionmentioning

confidence: 99%

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Care and trust: A new understanding

Powell¹,

Chen²

2017

Health Edu Care

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The paper is a critical review of the problems and implications of trust and in managing diversity in the British community care system. It is a system in need of strong diversity management in the light of the world economic downturn in recent years. Despite raft of policies on leadership in social care in the UK, the structural issues for why the needs of diverse groups are not met are difficult to understand at particular levels of analysis. The central problem has been lack of 'trust'. The paper detangles the implications of different forms of trust in order to understand care relations in health contexts.

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Section: Linking Care Management With Trust and Governmentallymentioning

confidence: 99%

Section: Linking Care Management With Trust and Governmentallymentioning

confidence: 99%

Section: Linking Care Management With Trust and Governmentallymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Care and trust: A new understanding

Powell¹,

Chen²

2017

Health Edu Care

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“…Thus, both between and within involved entities such as authorities, industry, and employees, one may find subgroups opposing or supporting age‐based mandatory retirement . The ambivalence of this issue is mirrored in the larger‐scope societal disputes about the requirement (privilege) to continue working (retire) at old ages …”

mentioning

confidence: 99%

Aging and Cardiometabolic Risk in European HEMS Pilots: An Assessment of Occupational Old‐Age Limits as a Regulatory Risk Management Strategy

2017

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Old-age limits are imposed in some occupations in an effort to ensure public safety. In aviation, the "Age 60 Rule" limits permissible flight operations conducted by pilots aged 60 and over. Using a retrospective cohort design, we assessed this rule's validity by comparing age-related change rates of cardiometabolic incapacitation risk markers in European helicopter emergency medical service (HEMS) pilots near age 60 with those in younger pilots. Specifically, individual clinical, laboratory, and electrocardiogram (ECG)-based risk markers and an overall cardiovascular event risk score were determined from aeromedical examination records of 66 German, Austrian, Polish, and Czech HEMS pilots (average follow-up 8.52 years). Risk marker change rates were assessed using linear mixed models and generalized additive models. Body mass index increases over time were slower in pilots near age 60 compared to younger pilots, and fasting glucose levels increased only in the latter. Whereas the lipid profile remained unchanged in the latter, it improved in the former. An ECG-based arrhythmia risk marker increased in younger pilots, which persisted in the older pilots. Six-month risk of a fatal cardiovascular event (in or out of cockpit) was estimated between 0% and 0.3%. Between 41% and 95% of risk marker variability was due to unexplained time-stable between-person differences. To conclude, the cardiometabolic risk marker profile of HEMS pilots appears to improve over time in pilots near age 60, compared to younger pilots. Given large stable interindividual differences, we recommend individualized risk assessment of HEMS pilots near age 60 instead of general grounding.

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