老年健康照顾需求评估与个案管理——基于昆明市实证调查

随着社会经济的发展和医疗卫生条件的改善,高龄化及慢性病的快速增长,老年多元照顾的需求使“个案管理”成为中国社会工作急需解决的课题。本文在对昆明市独居、丧偶、空巢及高血压老人做健康照顾需求评估的基础上,就“个案管理”的制度建设及运作,提出“政府主导、NGO（NPO）资源整合、强化老人（家庭、社区）支援”的建议。     

Keeping Australia's Older Workers in the Labour Force. A Policy Perspective

As in other western industrialised countries the structural ageing of the Australian population has significant labour market implications. Government has responded with a range of policies to persuade older workers to abandon early retirement and/or remain in the workforce past traditional retirement ages. But whether this generation of workers will be prepared to change their retirement plans in response to policy encouragement, and whether current policy measures will translate into significant numbers of older workers extending their labour force participation is uncertain. Using the Australian Survey of Retirement Attitudes and Motivations (ASRAM) a recently completed, nationally representative survey of Australian workers aged 40 – 59 years we find that while the Government message about working longer is getting through, older workers are relatively unresponsive to current policy measures. Other policies, especially policies outside the financial realm, are needed to maximise the number of older Australians in the labour force.     

Older People and Permanent Care: Whose Decision?

This paper looks at decision making when older people enterpermanent care, and focuses on power issues. The recent pastis reviewed and related to aspects of the current picture. Dementiaand capacity are a specific focus. The complexities of the workfor practitioners, together with their sometimes difficult workingenvironments, engender a climate which can be counter productiveto protecting the self-determination of older people.     

Models of accepting an early retirement incentive

The presence of special early retirement incentives has changed the work environment for older workers. It is of interest to know how existing models of the timing of the pension acceptance decision function in an incentive environment. Furthermore, it is of interest to note the similarities or differences between males and females with regard to retirement behaviors. In this study, a basic utility maximization model, an expanded model, and an interactive model are applied to the acceptance of an early retirement pension incentive; probabilities of acceptance range from .18 to .39. Acceptance behavior without the incentive is simulated, with probabilities of acceptance ranging from .11 to .33. Addition of a set of socioeconomic and psychological variables and a vector of interactive variables is found to improve the basic model.The author would like to thank W. Keith Bryant, Olivia Mitchell and several anonymous reviewers for comments on earlier drafts. Any remaining errors are, of course, my own. Acknowledgement is also given to the Cornell University Agricultural Experiment Station for funding assistance.Jeanne M. Hogarth is an associate professor in the Department of Consumer Economics and Housing, Cornell University, Ithaca, NY 14853. Dr. Hogarth received her Ph.D. from The Ohio State University, Department of Family Resource Management and includes retirement decision making, such as the timing of retirement and use of financial resources during retirement, among her current research interests.     

An Examination of Coping Resources of Very Old Men and Women:

This paper explores the stressors, hassles and coping processes of very old men and women in relation to their physical and instrumental functioning. Sex differences exist in relation to hassles, coping processes and instrumental functioning. Results of regression analyses show that the relationships between stresses and hassles and two types of function, instrumental and physical, are mediated by the elder's personal resources and coping strategies. Although when sex is considered as an independent measure, it has no significant relationship to either type of function.     

The Relationship of Social Support to Functional Limitations,Pain, and Well Being Among Men and Women

The purposes of this study were to assess the relationships of functional limitations, pain and well being to social support (emotional, tangible, informational and integrative) and to assess gender differences in these relationships. Except for integrative support, significant positive relationships were found between types of functional limitations and specific types of social supports among 15 men and 15 women (M = 67 years) with end stage joint disease. Pain was not significantly associated with any social support, but well being was related to informational and emotional supports. As compared to men, the relationships of tangible and integrative supports to well being, pain and functional impairment were signficantly greater for women as was the association of emotional support to limitations in mobility and physical activity. In contrast, women had signif~cantlys maller relationships of emotional support to limitations in ADL and household activities.     

“墙”的哲理与政治——《补墙》和《我长大的时候》中“墙”的意象赏析

通过对罗伯特·弗罗斯特《补墙》和兰斯顿·休斯的《我长大的时候》两首诗中“墙”的人性哲理与政治意义的赏析 ,揭示了西方现代文明、种族隔离政策对人性的异化、扭曲和抑制。一方面 ,人们从安全出发需要“墙” ;另一方面 ,人们渴望推倒“墙”以建立一种自由交往、种族平等的美好生活。通过对“墙”给人们生活带来的负面影响和推倒“墙”的必要性的分析 ,揭示了诗人追求人人平等、和睦相处的良好愿望和反对种族隔离政策的政治抱负。