Auswahl der wissenschaftlichen Literatur zum Thema „Population ageing“

The article discusses the issues of calculating the Active Ageing Index in Russia and its regions. It presents an overview of the existing approaches to assessment, highlights their advantages and disadvantages. The main drawback of the considered approaches is the unavailability of data for calculating the index — statistical observations and surveys used are carried out irregularly or not for all subjects of the Russian Federation. An alternative approach to assessment of the Active Ageing Index in the regions of Russia is proposed. The information base for calculating the index is data tracked on a regular basis annually for all subjects of the Russian Federation. The index calculating is based on five indicators grouped by three dominants (health, labor activity and safety). The index indicators are selected according to five criteria. Construction of the Active Ageing Index includes four consecutive stages. To obtain normalized indicators, threshold values are set — minimum and maximum. The proposed approach to the construction of the Active Ageing Index was tested on data for 2020. The results of the assessment showed that not all subjects of the Russian Federation have successfully implemented measures in the field of active ageing, and the results are uneven. No subject of the Russian Federation has reached the fixed threshold (target) values for all indicators of the Active Ageing Index. This approach to assessment allows, firstly, to regularly identify shortcomings of the regional target indicators and inconsistency of the regional policy goals with the national goals and requirements of international organizations; and, secondly, to compare regions by how they cope with achieving results in active ageing in order to identify the best practices.

As we all age, the demographic of the world changes. Looking after older people well can bring a huge amount of pleasure and satisfaction, not just to the individual, but also to their family, friends and indeed healthcare professionals. How we care for our elderly now is likely to set a precedent for our own care in the future. This article highlights some of the features of ageing and discusses the role of primary care in the management of the older population, within the context of the general practice curriculum.

The UK is undergoing a significant demographic change, due to a steadily ageing population. By 2040 nearly one-in-four people will be aged 65 years or over. This will have several implications for the individual, society, the healthcare system and the economy. This article aims to highlight some of the risk factors that contribute to increased morbidity and mortality in older people and to outline strategies aimed at reducing ill health and disability.

The majority of local areas in the UK are faced with an ageing population. Popular retirement destinations in coastal and more rural areas are particularly affected. The thesis aims to find out how local areas strategically tackle these demographic shifts. The British government has issued strategic guidance for local areas, but as yet little is known about how actual responses look. The literature has largely focused on good practice compilations. Consequently, the thesis attempts to analyse in depth local areas’ experiences in planning for an ageing population. The main research question is: How do local actors in the UK plan for population ageing? A grounded theory approach has been chosen to develop theoretical concepts from empirical data. Local governance and collective learning are used as sensitising concepts, i.e. wider theoretical perspectives. Due to the state of research and the aim to gather detailed knowledge regarding the planning for an ageing population in local areas, a qualitative research design has been chosen. More precisely, it is a multiple case study design, covering the three heterogeneous cases North Tyneside, Poole and Wealden. Empirical data has been assembled from qualitative interviews with local experts and documents such as local strategies or minutes of meetings. The results are threefold. Firstly, local governance arrangements are analysed. This covers the identification of involved actors, their action orientations and interactions. As approaches in planning for an ageing population differ across organisations, a typology of individual actors is developed. Moreover, it is observed that and analysed how traditional hierarchical steering by public bodies is complemented by more network-like forms of governance, for example multi-organisational older people’s partnerships. Secondly, local learning processes in planning for an ageing population are reconstructed. Four phases are differentiated: setting the agenda for the topic of ageing and older people followed by building up knowledge on the subject and collective learning in a narrower sense and, finally, strategy-making. Interrelations between governance arrangements and collective learning are analysed, particularly with respect to different forms of learning in different types of older people’s partnerships. Finally, central challenges and perspectives arising from the analysis of governance arrangements and learning processes are discussed. On the one hand, these pertain to the cross-cutting nature of ageing, on the other hand they are due to the ambivalent influence from national government on local areas. Ageing affects various spheres of local steering activity. Among the main implications for local areas in the UK are the continuous search for responsibility and the struggle to broaden the agenda beyond health and care. This has led to experimenting with governance structures, intensifying involvement of older people and developing inter-agency older people strategies and others as catalysts for further development. The strong influence from central government on local steering advances local reactions to ageing but provokes superficial and unsustainable answers at the same time. Overall, the thesis provides in-depth empirical knowledge on local planning for an ageing population. The theoretical lenses local governance and collective learning have been used to generalise from the practical experiences in the three case study areas. The thesis concludes with recommendations for practitioners locally and at the national level. These refer inter alia to local governance arrangements which come up to the issue’s cross-cuttingness and to national guidance and regulation which could facilitate their introduction or modification
Die Mehrzahl britischer Gemeinden ist mit einer alternden Bevölkerung konfrontiert. Küstengebiete und ländliche Räume sind besonders betroffen, da sie als Altersruhesitz bevorzugt werden. Ziel der Dissertation ist es, den strategischen Umgang der Gemeinden mit diesen demographischen Veränderungen zu beleuchten. Die britische Nationalregierung gibt den Gemeinden strategische Leitlinien vor, allerdings ist wenig darüber bekannt, wie die lokalen Ansätze tatsächlich aussehen. Bisher wurden vor allem Good Practice Sammlungen zum Thema veröffentlicht. Vor diesem Hintergrund beschäftigt sich die Dissertation detailliert mit der Stadtentwicklung für eine alternde Bevölkerung in solchen Gemeinden, die in sich zwar mit der Bevölkerungsalterung beschäftigen, aber nicht als Good Practice klassifiziert werden können. Die Hauptforschungsfrage ist: Wie planen lokale Akteure für eine alternde Bevölkerung? Die Arbeit folgt einem Grounded Theory Ansatz, der darauf zielt, theoretische Konzepte aus den empirischen Daten zu entwickeln. Lokale Governance und kollektives Lernen dienen als sensibilisierende Konzepte, d.h. weitergefasste theoretische Perspektiven. Aufgrund des Forschungsstandes und des Ziels, detailliertes Wissen über die Stadtentwicklung für eine alternde Bevölkerung zu gewinnen, folgt die Arbeit einem qualitativen Forschungsdesign. In den drei heterogenen Fallstudiengemeinden North Tyneside, Poole und Wealden wurden insbesondere qualitative Interviews mit lokalen Experten durchgeführt und Dokumente wie Strategiepapiere und Sitzungsprotokolle ausgewertet. Die Ergebnisse umfassen drei Themenbereiche. Zunächst werden lokale Governanceformen analysiert, was die Identifikation der beteiligten Akteure, ihre Handlungsorientierungen und Interaktionen umfasst. Da Ansätze zum Umgang mit der alternden Bevölkerung sich stark zwischen individuellen Akteuren unterscheiden, wurde auf dieser Basis eine Akteurstypologie erstellt. Darüber hinaus wird analysiert wie traditionale Steuerungsansätze staatlicher Akteure durch netzwerkartige Governanceformen ergänzt werden. Bedeutendstes Beispiel sind Arbeitsgruppen, in denen Akteure verschiedener Organisationen und Sektoren zusammenkommen, um Ansätze zum Umgang mit Senioren und der Bevölkerungsalterung zu entwickeln. Anschließend werden lokale Lernprozesse in der Planung für eine alternde Bevölkerung rekonstruiert. Dabei werden vier Phasen unterschieden: Agenda-Setting, Wissensaufbau, kollektives Lernen im engeren Sinne und Strategieerstellung. Es werden die Wechselwirkungen zwischen Governanceformen und kollektivem Lernen analysiert, insbesondere bezüglich der Lernformen in verschiedenen Typen von Arbeitsgruppen. Schließlich werden Herausforderungen und Perspektiven der Stadtentwicklung für eine alternde Bevölkerung diskutiert, die aus der Analyse von Governanceformen und Lernprozessen hervorgehen. Einerseits beziehen diese sich auf den Querschnittcharakter des Themas Alterung, andererseits auf den ambivalenten Einfluss der Nationalregierung. Die Alterung betrifft verschiedenste Bereiche lokaler Steuerung. Dies führt zu einer anhaltenden Suche nach lokalen Verantwortungsträgern und zu Schwierigkeiten, die Agenda über Gesundheit und Pflege Älterer hinaus zu erweitern. Darüber hinaus hat der Querschnittcharakter ein Experimentieren mit Governanceformen angeregt, sowie die Schaffung von mehr Partizipationsmöglichkeiten für ältere Bürger und die Erstellung ressortübergreifender lokaler Alterungsstrategien. Die starken Eingriffe der Nationalregierung in lokale Steuerungstätigkeiten befördern einerseits die Auseinandersetzung mit der Alterung, andererseits führen sie auch zu oberflächlichen und wenig nachhaltigen Reaktionen. Insgesamt bietet die Dissertation detailliertes empirisches Wissen zur Stadtentwicklung für eine alternde Bevölkerung. Die theoretischen Perspektiven lokale Governance und kollektives Lernen wurden genutzt um generalisierbare Ergebnisse aus den Erfahrungen in den drei Fallstudiengemeinden zu gewinnen. Abschließend werden Handlungsempfehlungen für Praktiker auf der lokalen und nationalen Ebene abgeleitet

Mestrado em Economia Monetária e Financeira
O envelhecimento da população altera a dinâmica das principais variáveis macroeconómicas com implicações para a condução da política monetária e estabilidade dos preços. O presente trabalho pretende analisar as principais tendências demográficas e de que forma influenciam o ambiente económico onde a política monetária é conduzida, causando direta ou indiretamente movimentos indesejados nas taxas de inflação. Recorrendo a uma técnica polinomial, estimamos a relação empírica entre a estrutura etária e a inflação para um painel de 24 países da OCDE durante o período 1961-2014. Encontramos uma correlação significativa entre demografia e inflação, consistente com a hipótese de que um aumento da população ativa causa pressões deflacionistas, enquanto uma maior parcela de dependentes e reformados está associada a taxas de inflação mais elevadas. Os resultados sugerem que o potencial impacto do processo de envelhecimento a nível global sobre a inflação deve ser tido em conta nas decisões de política monetária.
The ongoing demographic changes can affect the dynamic of economics in several ways, with implications for the conduct of monetary policy and price stability. This paper analyses the future prospects on demographic changes and how they are expected to influence the macroeconomic environment where monetary policy is conducted, which can directly or indirectly generate unwanted inflation dynamics. By adopting a polynomial technique, an estimation is carried out to determine the relationship between the age structure and inflation in a panel of 24 OECD countries over the 1961-2014 period. A significant correlation is found between demography and inflation, consistent with the hypothesis that an increase in the share of working-age population causes deflationary pressures, while a larger scale of dependents and young retirees are associated with higher inflation rates. The results suggest that the potential impact of the global ageing process on inflation should be taken into consideration in the decision making processes of monetary policy.

The majority of local areas in the UK are faced with an ageing population. Popular retirement destinations in coastal and more rural areas are particularly affected. The thesis aims to find out how local areas strategically tackle these demographic shifts. The British government has issued strategic guidance for local areas, but as yet little is known about how actual responses look. The literature has largely focused on good practice compilations. Consequently, the thesis attempts to analyse in depth local areas’ experiences in planning for an ageing population. The main research question is: How do local actors in the UK plan for population ageing? A grounded theory approach has been chosen to develop theoretical concepts from empirical data. Local governance and collective learning are used as sensitising concepts, i.e. wider theoretical perspectives. Due to the state of research and the aim to gather detailed knowledge regarding the planning for an ageing population in local areas, a qualitative research design has been chosen. More precisely, it is a multiple case study design, covering the three heterogeneous cases North Tyneside, Poole and Wealden. Empirical data has been assembled from qualitative interviews with local experts and documents such as local strategies or minutes of meetings. The results are threefold. Firstly, local governance arrangements are analysed. This covers the identification of involved actors, their action orientations and interactions. As approaches in planning for an ageing population differ across organisations, a typology of individual actors is developed. Moreover, it is observed that and analysed how traditional hierarchical steering by public bodies is complemented by more network-like forms of governance, for example multi-organisational older people’s partnerships. Secondly, local learning processes in planning for an ageing population are reconstructed. Four phases are differentiated: setting the agenda for the topic of ageing and older people followed by building up knowledge on the subject and collective learning in a narrower sense and, finally, strategy-making. Interrelations between governance arrangements and collective learning are analysed, particularly with respect to different forms of learning in different types of older people’s partnerships. Finally, central challenges and perspectives arising from the analysis of governance arrangements and learning processes are discussed. On the one hand, these pertain to the cross-cutting nature of ageing, on the other hand they are due to the ambivalent influence from national government on local areas. Ageing affects various spheres of local steering activity. Among the main implications for local areas in the UK are the continuous search for responsibility and the struggle to broaden the agenda beyond health and care. This has led to experimenting with governance structures, intensifying involvement of older people and developing inter-agency older people strategies and others as catalysts for further development. The strong influence from central government on local steering advances local reactions to ageing but provokes superficial and unsustainable answers at the same time. Overall, the thesis provides in-depth empirical knowledge on local planning for an ageing population. The theoretical lenses local governance and collective learning have been used to generalise from the practical experiences in the three case study areas. The thesis concludes with recommendations for practitioners locally and at the national level. These refer inter alia to local governance arrangements which come up to the issue’s cross-cuttingness and to national guidance and regulation which could facilitate their introduction or modification.:Figures and tables.......................................................................................................11 List of Abbreviations...................................................................................................13 1 Introduction..........................................................................................................15 1.1 Rationale and aims of the research.............................................................15 1.2 Study design...............................................................................................18 1.3 Thesis structure...........................................................................................20 2 Planning for an ageing population – a UK-wide overview...................................23 2.1 The UK’s ageing population........................................................................23 2.2 Local governance and planning in transition................................................30 2.3 Reactions to ageing in the UK.....................................................................38 2.4 Questions raised.........................................................................................46 3 Conceptual framework.........................................................................................49 3.1 Local planning for an ageing population – linked to various research areas.............................................................................................49 3.2 Grounded theory perspective......................................................................53 3.3 Sensitising concepts....................................................................................55 3.3.1 Local governance..................................................................................56 3.3.2 Collective learning.................................................................................62 3.4 Presuppositions guiding the analysis............................................................67 4 Research design and methods..............................................................................71 4.1 Overall research design................................................................................71 4.2 Exploratory interviews – national level.........................................................74 4.3 Sampling procedures...................................................................................75 4.3.1 Sampling of case study areas.................................................................76 4.3.2 Sampling of interviewees.......................................................................79 4.4 Data collection............................................................................................81 4.5 Data analysis...............................................................................................83 5 The case study areas.............................................................................................89 5.1 North Tyneside............................................................................................90 5.1.1 North Tyneside in profile.......................................................................90 5.1.2 Planning for an ageing population in North Tyneside............................91 5.2 Poole...........................................................................................................94 5.2.1 Poole in profile......................................................................................94 5.2.2 Planning for an ageing population in Poole...........................................96 5.3 Wealden/East Sussex...................................................................................98 5.3.1 Wealden/East Sussex in profile..............................................................98 5.3.2 Planning for an ageing population in Wealden/East Sussex.................100 5.4 Summary and arising questions.................................................................103 6 Local governance and planning for an ageing population...................................105 6.1 The involved actors...................................................................................105 6.1.1 Actors belonging to the public sector..................................................106 6.1.2 Actors belonging to the private sector.................................................116 6.1.3 Actors belonging to the voluntary and community sector....................117 6.1.4 Connecting the sectors: The Local Strategic Partnership......................122 6.2 A typology of actors..................................................................................125 6.3 Governance arrangements: from working in silos to partnerships...............130 6.4 Summary...................................................................................................139 7 Local learning processes in planning for an ageing population..........................141 7.1 Setting the ageing agenda.........................................................................143 7.1.1 Awareness of the ageing population...................................................143 7.1.2 From awareness to action....................................................................146 7.2 Building up knowledge of ageing..............................................................149 7.2.1 Basing planning on (demographic) evidence.......................................149 7.2.2 Older people’s participation.................................................................155 7.2.3 Reacting to stimuli from national government.....................................158 7.3 Collective learning to plan for an ageing population..................................160 7.3.1 Collective learning in the local area.....................................................160 7.3.2 Learning in older people’s partnerships................................................164 7.4 Strategy-making for an ageing population.................................................171 7.4.1 Local strategies for dealing with population ageing.............................171 7.4.2 National trends reflected in local strategies..........................................178 7.4.3 The functions of strategies and strategy-making.................................187 7.5 Summary...................................................................................................191 8 Central challenges and perspectives in planning for an ageing population........193 8.1 The cross-cutting nature of ageing............................................................193 8.1.1 Searching for responsibility..................................................................194 8.1.2 Struggling to broaden the agenda.......................................................195 8.1.3 Experimenting with governance structures..........................................196 8.1.4 Involving older people.........................................................................197 8.1.5 Using strategies as catalysts................................................................198 8.2 Ambivalent influence from national government.......................................199 8.2.1 Influence via funding, instruments, targets and supervision.................200 8.2.2 Skipping the regional level..................................................................203 8.2.3 National government stimulating local areas to plan for an ageing population...............................................................................204 8.2.4 Local areas’ superficial reactions to national government influence......205 8.3 Regional and local challenges and perspectives..........................................207 9 Discussion of the results and implications..........................................................209 9.1 Summary of results....................................................................................209 9.2 Reflection of the results and the research design with respect to the state of research..............................................................................213 9.2.1 Discussion of the results......................................................................214 9.2.2 Discussion of the research design........................................................217 9.3 Open questions and need for further research...........................................219 9.4 Recommended action................................................................................221 9.5 Looking beyond the UK.............................................................................228 Literature..................................................................................................................231 Appendix..................................................................................................................251 A Interviewees and their positions..........................................................................251 B Exemplary e-mail to get into contact with potential interviewee and accompanying project outline..............................................................................252 C Interview guideline..............................................................................................254 D Transcription rules according to GAT 2 (modified)...............................................259
Die Mehrzahl britischer Gemeinden ist mit einer alternden Bevölkerung konfrontiert. Küstengebiete und ländliche Räume sind besonders betroffen, da sie als Altersruhesitz bevorzugt werden. Ziel der Dissertation ist es, den strategischen Umgang der Gemeinden mit diesen demographischen Veränderungen zu beleuchten. Die britische Nationalregierung gibt den Gemeinden strategische Leitlinien vor, allerdings ist wenig darüber bekannt, wie die lokalen Ansätze tatsächlich aussehen. Bisher wurden vor allem Good Practice Sammlungen zum Thema veröffentlicht. Vor diesem Hintergrund beschäftigt sich die Dissertation detailliert mit der Stadtentwicklung für eine alternde Bevölkerung in solchen Gemeinden, die in sich zwar mit der Bevölkerungsalterung beschäftigen, aber nicht als Good Practice klassifiziert werden können. Die Hauptforschungsfrage ist: Wie planen lokale Akteure für eine alternde Bevölkerung? Die Arbeit folgt einem Grounded Theory Ansatz, der darauf zielt, theoretische Konzepte aus den empirischen Daten zu entwickeln. Lokale Governance und kollektives Lernen dienen als sensibilisierende Konzepte, d.h. weitergefasste theoretische Perspektiven. Aufgrund des Forschungsstandes und des Ziels, detailliertes Wissen über die Stadtentwicklung für eine alternde Bevölkerung zu gewinnen, folgt die Arbeit einem qualitativen Forschungsdesign. In den drei heterogenen Fallstudiengemeinden North Tyneside, Poole und Wealden wurden insbesondere qualitative Interviews mit lokalen Experten durchgeführt und Dokumente wie Strategiepapiere und Sitzungsprotokolle ausgewertet. Die Ergebnisse umfassen drei Themenbereiche. Zunächst werden lokale Governanceformen analysiert, was die Identifikation der beteiligten Akteure, ihre Handlungsorientierungen und Interaktionen umfasst. Da Ansätze zum Umgang mit der alternden Bevölkerung sich stark zwischen individuellen Akteuren unterscheiden, wurde auf dieser Basis eine Akteurstypologie erstellt. Darüber hinaus wird analysiert wie traditionale Steuerungsansätze staatlicher Akteure durch netzwerkartige Governanceformen ergänzt werden. Bedeutendstes Beispiel sind Arbeitsgruppen, in denen Akteure verschiedener Organisationen und Sektoren zusammenkommen, um Ansätze zum Umgang mit Senioren und der Bevölkerungsalterung zu entwickeln. Anschließend werden lokale Lernprozesse in der Planung für eine alternde Bevölkerung rekonstruiert. Dabei werden vier Phasen unterschieden: Agenda-Setting, Wissensaufbau, kollektives Lernen im engeren Sinne und Strategieerstellung. Es werden die Wechselwirkungen zwischen Governanceformen und kollektivem Lernen analysiert, insbesondere bezüglich der Lernformen in verschiedenen Typen von Arbeitsgruppen. Schließlich werden Herausforderungen und Perspektiven der Stadtentwicklung für eine alternde Bevölkerung diskutiert, die aus der Analyse von Governanceformen und Lernprozessen hervorgehen. Einerseits beziehen diese sich auf den Querschnittcharakter des Themas Alterung, andererseits auf den ambivalenten Einfluss der Nationalregierung. Die Alterung betrifft verschiedenste Bereiche lokaler Steuerung. Dies führt zu einer anhaltenden Suche nach lokalen Verantwortungsträgern und zu Schwierigkeiten, die Agenda über Gesundheit und Pflege Älterer hinaus zu erweitern. Darüber hinaus hat der Querschnittcharakter ein Experimentieren mit Governanceformen angeregt, sowie die Schaffung von mehr Partizipationsmöglichkeiten für ältere Bürger und die Erstellung ressortübergreifender lokaler Alterungsstrategien. Die starken Eingriffe der Nationalregierung in lokale Steuerungstätigkeiten befördern einerseits die Auseinandersetzung mit der Alterung, andererseits führen sie auch zu oberflächlichen und wenig nachhaltigen Reaktionen. Insgesamt bietet die Dissertation detailliertes empirisches Wissen zur Stadtentwicklung für eine alternde Bevölkerung. Die theoretischen Perspektiven lokale Governance und kollektives Lernen wurden genutzt um generalisierbare Ergebnisse aus den Erfahrungen in den drei Fallstudiengemeinden zu gewinnen. Abschließend werden Handlungsempfehlungen für Praktiker auf der lokalen und nationalen Ebene abgeleitet.:Figures and tables.......................................................................................................11 List of Abbreviations...................................................................................................13 1 Introduction..........................................................................................................15 1.1 Rationale and aims of the research.............................................................15 1.2 Study design...............................................................................................18 1.3 Thesis structure...........................................................................................20 2 Planning for an ageing population – a UK-wide overview...................................23 2.1 The UK’s ageing population........................................................................23 2.2 Local governance and planning in transition................................................30 2.3 Reactions to ageing in the UK.....................................................................38 2.4 Questions raised.........................................................................................46 3 Conceptual framework.........................................................................................49 3.1 Local planning for an ageing population – linked to various research areas.............................................................................................49 3.2 Grounded theory perspective......................................................................53 3.3 Sensitising concepts....................................................................................55 3.3.1 Local governance..................................................................................56 3.3.2 Collective learning.................................................................................62 3.4 Presuppositions guiding the analysis............................................................67 4 Research design and methods..............................................................................71 4.1 Overall research design................................................................................71 4.2 Exploratory interviews – national level.........................................................74 4.3 Sampling procedures...................................................................................75 4.3.1 Sampling of case study areas.................................................................76 4.3.2 Sampling of interviewees.......................................................................79 4.4 Data collection............................................................................................81 4.5 Data analysis...............................................................................................83 5 The case study areas.............................................................................................89 5.1 North Tyneside............................................................................................90 5.1.1 North Tyneside in profile.......................................................................90 5.1.2 Planning for an ageing population in North Tyneside............................91 5.2 Poole...........................................................................................................94 5.2.1 Poole in profile......................................................................................94 5.2.2 Planning for an ageing population in Poole...........................................96 5.3 Wealden/East Sussex...................................................................................98 5.3.1 Wealden/East Sussex in profile..............................................................98 5.3.2 Planning for an ageing population in Wealden/East Sussex.................100 5.4 Summary and arising questions.................................................................103 6 Local governance and planning for an ageing population...................................105 6.1 The involved actors...................................................................................105 6.1.1 Actors belonging to the public sector..................................................106 6.1.2 Actors belonging to the private sector.................................................116 6.1.3 Actors belonging to the voluntary and community sector....................117 6.1.4 Connecting the sectors: The Local Strategic Partnership......................122 6.2 A typology of actors..................................................................................125 6.3 Governance arrangements: from working in silos to partnerships...............130 6.4 Summary...................................................................................................139 7 Local learning processes in planning for an ageing population..........................141 7.1 Setting the ageing agenda.........................................................................143 7.1.1 Awareness of the ageing population...................................................143 7.1.2 From awareness to action....................................................................146 7.2 Building up knowledge of ageing..............................................................149 7.2.1 Basing planning on (demographic) evidence.......................................149 7.2.2 Older people’s participation.................................................................155 7.2.3 Reacting to stimuli from national government.....................................158 7.3 Collective learning to plan for an ageing population..................................160 7.3.1 Collective learning in the local area.....................................................160 7.3.2 Learning in older people’s partnerships................................................164 7.4 Strategy-making for an ageing population.................................................171 7.4.1 Local strategies for dealing with population ageing.............................171 7.4.2 National trends reflected in local strategies..........................................178 7.4.3 The functions of strategies and strategy-making.................................187 7.5 Summary...................................................................................................191 8 Central challenges and perspectives in planning for an ageing population........193 8.1 The cross-cutting nature of ageing............................................................193 8.1.1 Searching for responsibility..................................................................194 8.1.2 Struggling to broaden the agenda.......................................................195 8.1.3 Experimenting with governance structures..........................................196 8.1.4 Involving older people.........................................................................197 8.1.5 Using strategies as catalysts................................................................198 8.2 Ambivalent influence from national government.......................................199 8.2.1 Influence via funding, instruments, targets and supervision.................200 8.2.2 Skipping the regional level..................................................................203 8.2.3 National government stimulating local areas to plan for an ageing population...............................................................................204 8.2.4 Local areas’ superficial reactions to national government influence......205 8.3 Regional and local challenges and perspectives..........................................207 9 Discussion of the results and implications..........................................................209 9.1 Summary of results....................................................................................209 9.2 Reflection of the results and the research design with respect to the state of research..............................................................................213 9.2.1 Discussion of the results......................................................................214 9.2.2 Discussion of the research design........................................................217 9.3 Open questions and need for further research...........................................219 9.4 Recommended action................................................................................221 9.5 Looking beyond the UK.............................................................................228 Literature..................................................................................................................231 Appendix..................................................................................................................251 A Interviewees and their positions..........................................................................251 B Exemplary e-mail to get into contact with potential interviewee and accompanying project outline..............................................................................252 C Interview guideline..............................................................................................254 D Transcription rules according to GAT 2 (modified)...............................................259

As the population ages, public care and support for older people has been seen as a significant challenge. This thesis highlights the importance of considering private family intergenerational exchanges, their continuities and changes over time. It seeks to understand from the perspective of families, how care, need and support works out across generations, and why it is practised in this way. The key research question is: In the context of an ageing population, what can be understood by examining the connection between family multigenerational care, need and support networks and intergenerational relationships? Drawing on recent innovative methodologies, this study explores temporalities and uses this framework to gain insights into understanding family practices. I look through time to see how past, present and future contexts play a part in the way that intergenerational support is worked out. I consider the ways family members support one another, and how and why it alters between family generations, across the life course and through historical time. In order to gain in-depth knowledge about intergenerational support across time, the research employed qualitative life history interviews with four-generation families, i.e. a child, parent, grandparent and great-grandparent generation. The thesis finds new patterns of care emerging under different social, cultural and policy contexts across time. However, some practices flow down generations as part of the meanings and relationships between generations. Moreover, a life-course analysis reveals cyclical patterns of support. Complex pictures of continuity and changes in family life emerge and reveal the diverse ways that support plays out.

The main objective of this thesis is to analyze the problem of population ageing in terms of the cessation of professional activity (and especially premature labour market withdrawals) and non-medical care needs of persons who are dependent or have lost their autonomy, in order to provide the various public and private administrations active in these fields with some food for thought.
Doctorat en Sciences économiques et de gestion
info:eu-repo/semantics/nonPublished

The diet of the ageing population is known to deteriorate which is in part due to loss of taste sensation. Lack of interest in food leads to nutritional deficiencies, dehydration and reduced quality of life. The maintenance of taste function is dependent on the presence and function of saliva. Saliva bathes the taste buds and coats the oral mucosa to enable processing of foods and to provide a trophic stimulus for taste bud function. In the ageing population salivary flows tend to decrease for several reasons including disease, reduced water intake and the side-effects of some medications. This project firstly established the connection between quantity or alteration in quality of saliva and loss of taste sensitivity by comparing taste perception and physicochemical properties of saliva in older (60-90 years) and younger (18-30 years) groups. Saliva samples were collected in response to taste stimulation and rheological properties, viscoelasticity and viscosity, were assessed as well as composition particularly of proteins including mucins, cystatin S and carbonic anhydrase VI (CAVI). The second part of this study was to develop in vitro cellular models to investigate saliva-mediated modulation of specific taste receptor responses. Transfected TR146 cells over-expressing the TAS2R38 receptor and the SCC090 cell line that endogenously expresses TAS2R10 were used to measure intracellular calcium responses to bitter taste compounds. Models were tested using a fluorophore and confocal microscopy as well as a florescent plate reader. Saliva samples collected during the volunteer study were used to create a salivary layer over a confluent epithelial cell monolayer and the effects of saliva from older and younger groups were compared with regard to tastant diffusion and receptor activation. Reduced calcium responses to bitter taste compounds were observed when saliva from older adults was added to the confluent cells compared to saliva from younger adults. Responses to bitter tastants in vivo could be correlated to the calcium response in the in vitro model in the presence of saliva from younger subjects but not with saliva from older subjects. Levels of certain salivary proteins including mucins and the viscoelasticity of saliva samples correlated with taste receptor activation in the cell models and as such, the effect of physical properties of saliva on taste function was demonstrated in vitro.

Population ageing has received much attention as a contributing cause of spiralling healthcare expenditure. This study primarily aims to estimate the impact of population ageing on key diseases, and to develop a flexible modelling framework that can inform policy decisions. This research provides a proof-of-concept model where individual Discrete Event Simulation models for three diseases (heart disease, Alzheimer’s disease, and osteoporosis) were extended from existing published models to simulate the general UK population aged 45 years and older, and combined within a single model. Using external population projection data incorporating potential demographic changes, the methods for projecting future healthcare expenditures for the three diseases were demonstrated and the relative benefits of improving treatment of each of the diseases evaluated. Secondary outcomes include the development of a pragmatic literature search method which can be used for literature within diffuse topic areas, and a literature repository for future researchers to explore the existing literature on ageing and healthcare expenditure. Expenditure for the three diseases is projected to increase from £16 billion in 2012 to £28 billion in 2037. A key finding from this work is that the estimates of costs, quality-adjusted life years (QALYs), and the projected expenditure for healthcare services can differ when multiple diseases are modelled in a single model compared with the summed results from single disease models. This implies that policy decisions on the allocation and planning of healthcare resources based on the results from individual disease models can be different from those based on linked models. The novel approach of linking multiple disease models with correlations incorporated provides a new methodological option primarily for modellers who undertake research on comorbidities. It also has potential for wider applications in informing decisions on commissioning of healthcare services and long-term priority setting across diseases and healthcare programmes, hence ultimately contributing to the improvement of population health.

Purpose – ageing population causes a number of economic and social problems related to changes in the labour market. This study aims to evaluate the effect of the ageing population on the labour force which is the main indicator of the labour market in EU member states. Research methodology – in order to achieve the aim of the study we applied the following methods: i) trend analysis to estimate and present population and changes of labour force over period, and ii) decomposition method to examine the effects of population and labour force structure in terms of age changes on size of labour force. Findings – over the 2003–2017 period volume of the labour force has declined in Romania, Lithuania, Portugal, Latvia and Greece. This negative effect is influenced by both depopulation and structural changes in the workforce, including population ageing. Size of the labour force has increased in 23 countries, but in 11 of them, these positive changes were influenced by the rising of population activity, while depopulation it influenced negatively. Research limitations – research results support the theoretical approach that ageing population may negatively affect the labour market but do not provide ways to solve this problem and this is the implication for further research. Practical implications – the obtained results are useful for policymakers of the labour market (including pension reforms). Originality/Value – the study contributes to scientific literature by sufficient understanding of ageing population problems that occur in labour market and fills the gap in research of ageing population impact on the labour market, using data of EU member states.

This article aims to discuss the scope and value of the conventional metrics used to assess and compare levels of ageing between different populations. The age brackets for classifying if the population is ageing or aged are typically based on chronological age and are very close to the stages of the economic tripartite life cycle: the school/education phase; the labour market participation phase; the retirement phase. Those conventional metrics produce distortions in capturing the levels of demographic ageing. If the change in the age structure is rooted in social development, not in a social crisis, having more people in older ages should be related to that. Living longer, on average, does not only mean living more years but also a change in people's social profile, which the usual metrics for measuring ageing do not capture. Because of the central place that demographic ageing occupies in the framework of social, political and scientific reflection on the present and future of societies, Demographic Science should contribute with new metrics reflecting the real social improvements in populations age structures. This reflection supports the need to undertake a critical analysis of the way demographic ageing has usually been presented; stresses the need to advance ageing metrics that match societies' development by considering the life expectancy; and presents a new indicator for measurement demographic ageing that compares what we observe with what we can expect from the age structure at any given mortality level.

This report focuses on the concept of the silver economy, which has emerged as a response to population ageing in Europe in recent years. The silver economy refers to all economic activities linked to older age groups. The concept is based on the notion that many older people continue to make valuable economic and societal contributions after retirement, and that older citizens can provide significant economic and societal benefits, particularly if they are healthy and active. This report examines policies and initiatives to promote the silver economy and the closely related concepts of healthy ageing, active ageing and age-friendliness. The report seeks to uncover what are the preconditions for expanding the Nordic silver economy, and how cross-border collaboration can help enhance the potential of the silver economy in border regions.