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- Measuring active ageing: a Data Envelopment Analysis approachPublication . Amado, Carla; São José, José; Santos, Sérgio Pereira dosThe 'Active Ageing Index' was created with the purpose of helping policy makers implement and monitor active ageing policies both at European and national levels. However, this index has not fully achieved this purpose. In this article we propose a methodological approach based on Data Envelopment Analysis to enhance the measurement of active ageing in the European Union countries. We use a model with 22 indicators grouped into four domains. By introducing different types of virtual weight restrictions, we combine normative judgements with an optimisation procedure, showing each country in the best possible light. Furthermore, we undertake a sensitivity analysis regarding the effect of varying the limits of the relative contribution of each domain.The results show that the proposed approach has great potential in this context, allowing the comparison of countries and the identification of relevant targets and benchmarks, even when there is uncertainty regarding the relative importance of the indicators and domains considered. For most countries, the results are robust regarding different levels of flexibility for the relative contribution of each domain. We identify six countries that represent relevant benchmarks for the underperforming countries. The underperforming countries have some potential for improvement in terms of active ageing, whilst respecting their preferences and specificities for the processes that can be used to actively age. Based on a flexible evaluation of the countries, we contribute to develop a better tool to guide the European Union countries towards the formulation and monitoring of more effective policy measures to promote active ageing. (C) 2016 Elsevier B.V. All rights reserved.
- Ageism in health care: A systematic review of operational definitions and inductive conceptualizationsPublication . São José, José; Amado, Carla; Ilinca, Stefania; Buttigieg, Sandra Catherine; Larsson, Annika TaghizadehPurpose International and national bodies have identified tackling ageism in health care as an urgent goal. However, health professionals, researchers, and policy makers recognize that it is not easy to identity and fight ageism in practice, as the identification of multiple manifestations of ageism is dependent on the way it is defined and operationalized. This article reports on a systematic review of the operational definitions and inductive conceptualizations of ageism in the context of health care. Design and Methods We reviewed scientific articles published from January 1995 to June 2015 and indexed in the electronic databases Web of Science, PubMed, and Cochrane. Electronic searches were complemented with visual scanning of reference lists and hand searching of leading journals in the field of ageing and social gerontology. Results The review reveals that the predominant forms of operationalization and inductive conceptualization of ageism in the context of health care have neglected some components of ageism, namely the self-directed and implicit components. Furthermore, the instruments used to measure ageism in health care have as targets older people in general, not older patients in particular. Implications The results have important implications for the advancement of research on this topic, as well as for the development of interventions to fight ageism in practice. There is a need to take into account underexplored forms of operationalization and inductive conceptualizations of ageism, such as self-directed ageism and implicit ageism. In addition, ageism in health care should be measured by using context-specific instruments.
- Ageism in health care: a systematic review of operational definitions and inductive conceptualizationsPublication . São José, José; Amado, Carla; Ilinca, Stefania; Buttigieg, Sandra Catherine; Taghizadeh Larsson, AnnikaInternational and national bodies have identified tackling ageism in health care as an urgent goal. However, health professionals, researchers, and policy makers recognize that it is not easy to identity and fight ageism in practice, as the identification of multiple manifestations of ageism is dependent on the way it is defined and operationalized. This article reports on a systematic review of the operational definitions and inductive conceptualizations of ageism in the context of health care.Design and Methods We reviewed scientific articles published from January 1995 to June 2015 and indexed in the electronic databases Web of Science, PubMed, and Cochrane. Electronic searches were complemented with visual scanning of reference lists and hand searching of leading journals in the field of ageing and social gerontology. Results The review reveals that the predominant forms of operationalization and inductive conceptualization of ageism in the context of health care have neglected some components of ageism, namely the self-directed and implicit components. Furthermore, the instruments used to measure ageism in health care have as targets older people in general, not older patients in particular. Implications The results have important implications for the advancement of research on this topic, as well as for the development of interventions to fight ageism in practice. There is a need to take into account underexplored forms of operationalization and inductive conceptualizations of ageism, such as self-directed ageism and implicit ageism. In addition, ageism in health care should be measured by using context-specific instruments.
- On studying ageism in long-term care: a systematic review of the literaturePublication . São José, José; Amado, CarlaBackground: Ageism in long-term care is pervasive, but it is not easy to define, to identify and to fight it in practice. These difficulties could be overcome if we develop research capable to conceptualize, detect, measure, and understand the multidimensionality and complexity of ageism. Nevertheless, to achieve this, it is fundamental to know how ageism in long-term care has been previously studied. Methods: This paper systematically reviews studies on ageism in long-term care services published before October 2015 and indexed in Web of Science, PubMed, and Social Care Online electronic databases. Electronic searches were complemented with visual scanning of reference lists and hand searching of leading journals in the field of gerontology. Four specific review questions were addressed: Which analytical angles (aetiology, prevalence, manifestations, consequences, and interventions) have been explored? Which theories and concepts have been used? Which methods have been employed? Which variants of ageism have been covered? Results: Studies have focused mainly on the manifestations, etiology, and prevalence of ageism, neglecting its consequences and the interventions to tackle it; a significant number of studies used scales of ageism which, despite being appropriate considering the aims of the research, present important limitations; most studies have focused on residential services, neglecting non-residential services; some of the variants of ageism have been well covered, while implicit and self-ageism have been under-explored. Conclusions: Research on ageism in long-term care services is scarce but important. Much has been done but much remains to be done. An agenda for future research is presented.
- “I Was... Put in a Cage”: The Experience of COVID-19 Home Confinement among Older Adults Living Alone in Portugal*Publication . São José, José; Timonen, Virpi; Teixeira, Ana Rita; Amado, Carla; Santos, Sérgio Pereira dos; COELHO, PATRICIAThis article presents findings of a qualitative study reporting older adults' experiences of solitary home confinement during Portugal's first COVID-19 lockdown in 2020. Home confinement was marked by negative experiences, with the exception of one participant who had a particularly favorable combination of resources and circumstances. Negative experiences involved losses in several areas, such as being deprived of out-of-home activities, independence and face-to-face social interactions. Losing out-of-home activi-ties and independence promoted a sense of imprisonment, while losing face-to-face social interactions triggered a feeling of physical loneliness. Considering the potential negative implications of these losses, it is crucial to create innovative solutions that can mitigate them in future lockdowns.