Thesis (Ph. D.)--Victoria University (Melbourne, Vic.), 2007. / Includes bibliographical references.

Thesis (Ph. D.)--State University of New York at Binghamton, Decker School of Nursing, Rural Nursing, 2009. / Includes bibliographical references.

No description available.

Elders who are living independently in the community (independent elders refers to all seniors who are living in the community as opposed to in an institution) often require support services, housing and transportation services. Unfortunately, research on North American elders repeatedly points to deficiencies in the health and human services that are available in small towns when compared to those available in urban centres. A lack of specialized medical and social services, few housing options and no public transportation services are characteristic of most small towns. For this thesis, seniors, municipal officials and formal care-givers in sixteen small towns in British Columbia were surveyed in order to determine the needs of small town elders in this province and the effectiveness of the present system in addressing these needs. The results of the seniors' survey indicated that significant proportions of the elderly living in small B.C. towns require assistance in maintaining their homes and with transportation. While the elders who reported difficulties coping with housework tended to be receiving assistance, not all those who had difficulty with yardwork, repairs and transportation were being helped. The interdependence between the support service, housing and transportation related needs of the elderly was apparent from the survey results. An inventory of the community-based services available in the sixteen B.C towns revealed that size of town is related to the number of services. In general, the larger the town, the greater the array of services for the elderly. However, size of town was not the only determining factor. Towns in which the local community had become involved in the issue of community-based services for the elderly typically had services that were not available in towns of comparable size. Under the Canadian Constitution, the provincial government is primarily responsible for the provision of health and social services. However, there are constraints or obstacles inherent to small towns which prevent services from being provided by the province. These include the fact that in a small town there is generally a shortage of personnel and organizational resources which enable a community to secure needed services from senior levels of government. As well, the distances among people and between people and services in rural environments, as compared to in urban environments, require special consideration. The results of this examination of the small town elderly in B.C. and the community-based services available to them suggest that there is a need for improvement to the present system. Enhancing the involvement of the local community in the provision of community-based services for the elderly is suggested as a possible strategy. As well, services which are at an appropriate scale and accessible to the rural elderly need to be developed. / Applied Science, Faculty of / Community and Regional Planning (SCARP), School of / Graduate

Thesis (M.A.) - Simon Fraser University, 2005. / Theses (Dept. of Gerontology) / Simon Fraser University.

Thesis (M.A.) - Simon Fraser University, 2005. / Theses (Dept. of Gerontology) / Simon Fraser University.

Thesis (Ph.D.)--Duquesne University, 2006. / Title from document title page. Abstract included in electronic submission form. Includes bibliographical references (p. 163-172) and index.

Older people can be defined in different ways depending on the country’s social policies and also their health status. The health interventions overlook the vulnerability of older people regarding their individual health needs and their general susceptibility to chronic illnesses. Increasing economic disparities between races and inequalities in access to health services despite a large expansion in government social grants is another growing challenge. The major socio-economic changes has also contributed and enhanced the health challenges of older people in rural areas. This study aims to investigate the health perceptions and experiences of older people in rural areas and explore the factors that influence the quality of health of older people in South Africa. The study relied on focus group interviews (FGIs) and in-depth interviews (IDIs) to acquire an in-depth assessment and overall understanding of the life course and health perceptions of older people. Results reveal that even though health has evolved in South Africa over time, more challenges continue to affect the health of older people in rural areas where there are constant issues of low socio-economic status, poverty, migration and poor education attainment. The findings also suggest that, under the new political power there has been a change in the management of health care systems. Older people in KwaDumisa also face challenges with access to health care facilities.

朱穎. / "2010年8月". / "2010 nian 8 yue". / Thesis (M.Phil.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 91-100). / Abstracts in Chinese and English. / Zhu Ying. / 目錄 --- p.3 / 論文摘要 --- p.5 / Abstract. --- p.6 / Chapter 第一章 --- 引言 --- p.7 / Chapter 1.1 --- 文獻綜述 --- p.10 / Chapter 1.1.1 --- 子女分工 --- p.10 / Chapter 1.1.2 --- 性別分工 --- p.11 / Chapter 1.1.3 --- 理想和現實的落差 --- p.13 / Chapter 1.1.4 --- 老人的養老期望 --- p.15 / Chapter 1.2 --- 研究方法 --- p.15 / Chapter 1.3 --- 文章架構 --- p.22 / Chapter 第二章 --- 當代農村家庭中的養老內容 --- p.25 / Chapter 2.1 --- 經濟支持 --- p.26 / Chapter 2.1.1 --- 農村家庭中老人的收入來源 --- p.26 / Chapter 2.1.2 --- 農村家庭中老人的經濟需求 --- p.28 / Chapter 2.2 --- 日常照料 --- p.29 / Chapter 2.2.1 --- 老年父母的需求 --- p.29 / Chapter 2.2.2 --- 農村養老與社區情理 --- p.32 / Chapter 2.2.3 --- 居住安排 --- p.34 / Chapter 2.2.4 --- 由現今居住棋式所引發的養老問題 --- p.37 / Chapter 2.3 --- 情感支持 --- p.40 / Chapter 2.3.1 --- p.40 / Chapter 2.3.2 --- "“主與我同在"" " --- p.44 / 討論 --- p.45 / Chapter 第三章 --- 子女間的分工合作 --- p.46 / Chapter 3.1 --- 養老分工的傳統理想模式 --- p.46 / Chapter 3.2 --- 養老分工理想模式的轉變 --- p.55 / Chapter 3.3. --- 理想與現實的落差 --- p.59 / Chapter 3.3.1 --- 當女兒付出了比期望多 --- p.59 / Chapter 3.3.2 --- 子女出去打工了 --- p.63 / 討論 --- p.66 / Chapter 第四章 --- "“家庭策略與家庭迷思""一家庭關係中的權力變動與日常生活中的協商 " --- p.67 / Chapter 4.1 --- 性別策略 --- p.68 / Chapter 4.1.1 --- "對“男女平等""的解釋:""耙子""和""匣子""" --- p.68 / Chapter 4.1.2 --- """考順女兒""的權力象徵" --- p.70 / Chapter 4.1.3 --- 兒媳的策略:利益結盟和自立門派 --- p.73 / Chapter 4.2 --- 留守子女:依照空間劃分的責任 --- p.75 / Chapter 4.3 --- 父母的策略 --- p.77 / Chapter 4.2.1 --- "“息事寧人""的矛盾調停者 " --- p.77 / Chapter 4.2.2 --- "“兇狠的兒媳,懦弱的兒子"" " --- p.78 / Chapter 4.2.3 --- 自力更生的態度 --- p.79 / Chapter 4.2.4 --- 風險分擔:參與保險 --- p.81 / 結論 --- p.81 / Chapter 第五章 --- 結論 --- p.83 / 參考文獻 --- p.91

The aging experience of men and women in rural America is different than that of their urban counterparts. In this study, I identified key disparities in access to health care, mortality, and utilization of health care that result from geographic location. Foundational theories are discussed to illustrate that disparities can originate from historical societal behaviors. Secondary data and literary reviews create a combined qualitative and quantitative approach to explore the rural/urban divide, concluding that the potential for increased disparities as the aging population grows is very real and rural residents remain vulnerable to a poor(er) aging experience. Recommendations for policy and practice, as well as additional research, are made to address the conclusion.