The COVID-19 Pandemic and Older Adults

The rapid onset of the COVID-19 pandemic presented a multi-faceted challenge to older adults, carers, and care institutions globally. Despite a wide range of policies that achieved some success in protecgting older adults from serious illness and death from COVID-19, older adults continue to bear the burden of risk for these most severe outcomes. Additionally, some early efforts to protect older adults, often via extreme isolation measures both within care facilities and in the community, yielded unanticipated health and psychosocial impacts on older adults and care and service networks and revealed systemic ageism in health and social policies worldwide. This book compiles research conducted both during and after the height of the COVID-19 pandemic on the impacts of immediate response efforts, while delving into the longer-term differential effects across population subgroups and organizations. Four main areas examined in the volume's 25 chapters: Flexibility and innovation in early responses; ageism and isolation; long-term care and the direct care workforce; and disparities in access and experiences. Governments, agencies, and aging services organizations will benefit from fully considering lessons learned and incorporating them into future emergency response efforts, accounting for similarities and differences in manifestations and consequences across different subpopulations and organization and policy contexts.

Edward Alan Miller is Professor and Chair of the Department of Gerontology, and a Fellow in the Gerontology Institute, Donna M. and Robert J. Manning College of Nursing and Health Sciences, University of Massachusetts Boston, and Adjunct Professor of Health Services, Policy and Practice at the School of Public Health, Brown University. His research focuses on understanding the determinants and effects of public policies and practices affecting older adults in need of long-term services and supports. He is author/co-author/editor/co-editor of more than 153 journal articles, 21 book chapters, and 8 books. Dr. Miller is a Fellow of the Gerontological Society of America and 2024 awardee of the Maxwell A. Pollack Award for Contributions of Healthy Aging, which recognizes an individual who has distinguished themselves by bridging the worlds of research, policy, and practice. He is Editor-in-Chief of the Journal of Aging & Social Policy.

Introduction: Continuing Implications of the COVID-19 Pandemic for Older Adults I. Flexibility and Innovation in Early Reponses 1. A COVID-19-Dedicated Facility for the Care of Older Adults During a Health Emergency: An Italian Experience 2. Practicalities and Yield from Mass Swabbing for COVID-19 in Residential Care Facilities in the South of Ireland 3. Implementing a Telehealth Support Tool for Community-Dwelling Older Adults During the COVID-19 Pandemic: A Qualitative Investigation of Provider Experiences 4. Meeting Older Adults' Food Needs During the COVID-19 Pandemic: Lessons and Challenges from Washington State 5. Social Service Providers' Perceptions of Older Adults' Food Access During COVID-19 II. Ageism and Isolation 6. Toward Age-Friendly Policies: Using the Framework of Age-Friendliness to Evaluate the COVID-19 Measures from the Perspectives of Older People in the Netherlands 7. The Short and Long-Term Correlates of Change in Loneliness Status: The Role of Epidemic Control Measures During the COVID-19 Pandemic 8. Older adults' experiences of restrictive measures during the early stages of the COVID-19 Pandemic in Southern Switzerland: Evidence from the Corona Immunitas Ticino study 9. The Impact of Public Health Restrictions in Residential Aged Care on Residents, Families, and Staff During COVID-19: Getting the Balance Right 10. Inconsistent and Arbitrary Age-Based Policies During the First Wave of the COVID-19 Pandemic 11. The Impact of Age-Based COVID-19 Pandemic Regulations on Older People in Turkey: A Capability Approach 12. Older people's Contributions During the COVID-19 Pandemic Response III. Long-Term Care and the Direct Care Workforce 13. Who Helped Long-Term Care Facilities and Who Did Not During COVID-19? A Survey of Administrators in Israel 14. Understanding Organizational Resilience of Care Homes for Older People During COVID-19 in China: A Qualitative Study with Post-Pandemic Policy Implications 15. 'Going Above and Beyond': Residential Aged Care Staff Experiences of Providing Care During the Changing Context of COVID-19 16. "You Killed the Hospital, They Have No Place Left": The Experience of Nursing Home Multidisciplinary Staff in Israel during the COVID-19 Pandemic 17. The Impact of Assisted Living Organizational Structure and Process Characteristics on Staff Absence During COVID-19 18. COVID-19 Exacerbated Long-standing Challenges for the Home Care Workforce 19. Nursing Home Oversight Trends During COVID-19 and the Current Survey Backlog in the United States IV. Disparities in Access and Experiences 20. Sociodemographic Factors and Adjustment of Daily Activities During the COVID-19 Pandemic - Findings from the SHARE Corona Survey 21. Financial Consequences of COVID-19 in Germany: Living Standards of Older People During the First Year of the Pandemic 22. Racial and Ethnic Disparities in the Effects of COVID-19 on Employment Disruption and Financial Precarity 23. Impact of the First-Wave COVID-19 Pandemic on Medical Expenditure for Older Adults in China: Lessons from a Natural Experiment 24. Engagement and Advocacy of Community-Based Organizations Serving Older Adults in Native American, Rural, and Homeless Communities During the COVID-19 Pandemic 25. Predictors of older adults' Attitudes Toward Various COVID-19 Vaccine Mandates

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