Clothing as an environment for older adults' successful ageing

This research tested a conceptual model for proximity of clothing to self (PCS) in relation to age identity, self‐actualization, psychological well‐being, self‐assessed health, sex and chronological age among older adults, aged 65 and over, within the human ecological perspective. A mail survey was sent to a national random sample of 1700 older adults in the US resulting in 195 usable respondents in the final sample. The respondents returned two completed questionnaires, which were (1) Clothing: A Resource for Successful Aging? (to measure PCS, age identity and demographic variables) and (2) Personal Orientation Inventory (to measure self‐actualization). The results indicated that older adults' psychological well‐being, one component of successful ageing, was directly affected by their self‐assessed health, age identity and self‐actualization. PCS indirectly influenced individuals' psychological well‐being in a slightly negative way in later life. In sum, clothing may be used as a needs satisfier for different levels of needs or related more closely with needs in addition to self‐actualization needs for older adults. Further research should be conducted to explore relationships among PCS, different levels of human needs, clothing‐related variables and psychological well‐being for this age group. In practice, the effort should be given to teach the use of clothing (or other human‐built objects) as a tool or need satisfier to contribute to success in a person's later life by offering some educational or training programmes through local senior community centres or universities.     

"Quicker and sicker" under Medicare's prospective payment system for hospitals: new evidence on an old issue from a national longitudinal survey

Medicare's prospective payment system for hospitals (PPS), introduced in the USA in 1983, replaced cost reimbursement with a system of fixed rates which created incentives for hospitals to control costs. Previous studies found that elderly patients were discharged from hospital "quicker and sicker" under PPS and concluded that families were coping at home. We analyse a national longitudinal survey, the first National Health and Nutrition Examination Survey and its Epidemiologic Followup Study, which includes data on more outcomes over a longer period than earlier studies. We find that the rate of admission to nursing homes from the community in the first weeks after a hospital discharge more than tripled under PPS, suggesting that families were not always able to cope. As another response to sicker patients, discharges directly to nursing homes from hospitals, which jumped initially under PPS, may have risen further when payment rates were tightened in the early 1990s. Hospital readmissions fell after the first few years. Our findings are strengthened by the fact that we control for patients' health using health information collected independently of hospital admission.     

Illustrating the importance of Austrian business cycle theory: A reply to Murphy,Barnett, and Block; A call for quantitative study

Murphy et al. (2009) criticize Young’s (2005) test of Austrian business cycle theory (ABCT) using US industry-level quarterly job reallocation data and the federal funds rate as a monetary policy indicator. I argue that not only are Murphy et al.’s specific criticisms misguided; more importantly, they all but completely rule out the type of empirical study that Young (2005) advocates: specifically, one that (1) is quantitative and distinguishes between statistical and economic significance and (2) attempts to exploit a hypothesis that is both a prediction of ABCT and not a prediction of competing monetary theories of the cycle. I argue that empirical studies embodying (1) and (2) are critical to ABCT as a research program. Furthermore, I review the existing econometric studies of ABCT from the last 10 years and conclude that there is much room for improvement along these lines.     

Nursing home choice,family bargaining,and optimal policy in a Hotelling economy

We develop a model of family bargaining to study the impact of the distribution of bargaining power within the family on the choice of nursing homes by families, and on the locations and prices chosen by nursing homes in a Hotelling economy. In the baseline (static) model, where the dependent parent cares only about the location of the nursing home, the markup of nursing homes is increasing in the bargaining power of the dependent parent, and nursing homes are located at the extreme periphery. We compare the laissez‐faire with the social optimum (which involves more central locations of nursing homes), and examine its decentralization in first‐best and second‐best settings. We explore the robustness of our results to introducing a bequest motive in a dynamic overlapping generations model, which allows us to study the joint dynamics of wealth accumulation and nursing home prices. If the bequest motive is strong, the markup is decreasing in the bargaining power of the dependent. However, wealth accumulation, by reducing interest rates, raises markup rates and nursing homes prices.     

The role of other customers during self-service technology failure

Service recovery through inter-customer helping is especially meaningful in the self-service technology (SST) failure context because SSTs are associated with a high risk of failure due to the lack of face-to-face contacts with employees. In understanding the phenomenon of inter-customer helping, two fundamental questions are investigated in the current research: (1) does social influence play a role in customers’ helping decisions? and (2) what are the motives for helping? Through two experimental studies, we provide evidence that two different forms of social influence play a role in helping others during SST failures, and customers have self-centered (vs. other-centered) motives. Results from Study 1 showed that individuals in the private environment indicated more willingness to help than individuals in the public environment did due to heightened perceived responsibility. Study 2 revealed that tie strength influenced willingness to help via a dual pathway: perceived responsibility and social approach motives. Finally, we discuss and highlight the positive influence that self-centered motives can exert in the SST failure scene.     

Cultural Consonance in Leisure,Leisure Satisfaction,Life Satisfaction,and Self-Rated Health in Urban Taiwan

The purpose of this study threefold: to determine whether a shared cultural model of the importance of a set of leisure activities to a good leisure life existed in urban Taiwan, the degree to which cultural consonance in leisure mediates the relationship between leisure constraints and leisure satisfaction, and the degree to which leisure satisfaction affects life satisfaction and self-rated health. Results indicate that a cultural model of the importance of leisure activities to a good leisure life existed among sample members. Second, higher levels of self-reported participation in leisure activities that are culturally agreed upon as more important for a good leisure life are more strongly associated with leisure satisfaction than are activities culturally agreed upon as less important. Finally, leisure satisfaction strongly predicts both life satisfaction and self-rated health.