Residential Arrangements for Sustainable Cities and Communities
Aug 01, 2019
To promote UN SDG 11 goal for,Work with local authorities to address planning issues and development, including ensuring that local residents are able to access affordable housing,National Chung Cheng University has worked on the following research.
Objectives: Increasing demand for long-term health and social care has emerged since a heightened prevalence of disability of older Taiwanese over 65 from 2.9% in 1999 to 15.5% in 2020. Despite the implementation of a long-term care plan since 2006 and objectives emphasizing on the equity of utilization, little is known about the adequacy of services to meet the needs of the individuals. This paper explores unmet need for services among older adults to address inequity in access to sufficient social care and their adverse consequences. Implications for current and emerging health and long-term care policies that assess equity in resource allocation and design care models are discussed. Methods: Using data from the Taiwan Longitudinal Study on Aging, the study sample consists of 3,778 community-dwelling older persons age 57 or older in 2003. Six types of unmet needs were included: living arrangement, visiting a doctor, ADL and IADL assistance, emotion and instrumental support. The specific question about unmet need for living arrangements is as follows: “How much do you like this house you live in now?”: had (dislike extremely, dislike very much, and neither like nor dislike) or did not have (like very much and like extremely) the unmet need. For unmet need for visiting a doctor, the question is as follows: “How convenient do you think convenient do you think is to visit a physician?”: had (inconvenient and very inconvenient) or did not have (convenient) the unmet need for visiting a physician. Similar strategy to measure unmet need was applied for ADL and IADL assistance, and self-reported emotional and instrumental support. Covariates included socio-demographics, deviation from normal BMI and number of chronic conditions, health behavior, number of children living together, and lagged values of five health outcomes in 2003. Dynamic ordered probit specifications were used to produce estimates. Results: For most of health outcomes, we observe a deleterious effect of unmet need on the next period’s health. For example, for those reporting unmet needs of living arrangements, we expect a significant increase in probability of poorer self-reported health (adj-β=0.23), greater psychological stress (adj-β=0.18), more depressive symptoms (adj-β=0.16), lower levels of life satisfaction (adj-β=-0.07), and higher mortality (adj-OR=1.18). The respondents reporting unmet needs on visiting a doctor (adj-β=-0.12), emotional support (adj-β=-0.10), and IADL (adj-β=-0.27) were significantly associated with decreased life satisfactions. Furthermore, the results indicate significant associations between cumulative number of unmet need and self-report health, mental stresses, depression, and life satisfaction. Conclusion: Understanding the effects of unmet needs on health outcomes will facilitate to assess equity in access to services and to design strategies for resource allocation that meet the needs of the people.
Units：
Time：
2019-08-01~2020-07-31
Place：
The digital conference in Oslo, Norway
Organizer：
European Health Economics Association
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May 17, 2019
YA-CAT’s production: Dear God
This activity provides people who want to know more about theater or who are interested in performance an opportunity to perform on stage, and understand how to perform by their own body, voice, and acting. Through drama, it brings some inspiration of life to students, teachers of CCU, and local people, and comes alive the artistic atmosphere.