A paradox in cancer research is that the majority of patients enrolled in clinical trials are relatively young and fit while typical patients in daily practice are elderly and have comorbidities and impaired organ fun...A paradox in cancer research is that the majority of patients enrolled in clinical trials are relatively young and fit while typical patients in daily practice are elderly and have comorbidities and impaired organ function. Given these differences, many major studies provide an imperfect guide to optimizing the treatment of the majority of patients. Since cancer incidence is highly correlated with age, and since the world's population is rapidly ageing, this problem can only increase. For this reason, oncologists and geriatricians need to collaborate in developing tools to systematically assess the health status of elderly patients and their fitness to receive cancer therapies of various intensity. Tailoring anti-cancer treatments and supportive care to individual needs should be seen as part of the move towards personalized medicine. Achieving this goal is as much of a challenge to developing and middle-income countries as it is to western nations. The 2015 annual conference of the International Society of Geriatric Oncology(SIOG) held in Prague, Czech Republic, November 2015 and had a global focus on advancing the science of geriatric oncology and supportive care. Central to this approach is the systematic assessment of life expectancy, independent functioning, and the physical and psychological health of older cancer patients. The assumption behind comprehensive geriatric assessment is that elderly cancer patients have complex needs. The implication is that effective intervention will require a multidisciplinary team. Examples of effective geriatric assessment, multidisciplinary working and supportive care were presented at the SIOG conference.展开更多
The purpose of this paper is to explain the determinants of migration in China with special concern for elderly support based on evidences from China Health and Retirement Longitudinal Study （CHARLS） pilot data. We ...The purpose of this paper is to explain the determinants of migration in China with special concern for elderly support based on evidences from China Health and Retirement Longitudinal Study （CHARLS） pilot data. We find parents＇ needs for care significantly affect adult children＇s participation in migrant labor market. Joint family decisions have also been made among adult siblings as far as elderly support is concerned. Different patterns of migrant labor force participation in Zhejiang and Gansu provinces largely reflect the differences between their respective migrant labor markets. Understanding of these new patterns of China＇s internal migration helps policy makers in China and other developing counties formulate effective social policies, and consequently, a more appropriate urbanization path.展开更多
The support elderly parents receive from their grown-up children and the care they provide for grandchildren reflect the intergenerational relationships in Chinese families.Using data on only-child families in urban C...The support elderly parents receive from their grown-up children and the care they provide for grandchildren reflect the intergenerational relationships in Chinese families.Using data on only-child families in urban China from a 2015 survey conducted by the Institute of Population and Labor Economics,Chinese Academy of Social Sciences,this paper studies the status of care provided for grandchildren by parents of first-generation only-child in urban China and considers the effects this support has on the elderly.The data shows that over 80%of only-children parents have cared for their grandchildren.Most only-children also provide support for their elderly parents.Care for grandchildren provided by grandparents increases the economic and housekeeping support for the elderly provided by only-children.Only-children are the main beneficiaries of the intergenerational support that comes from the care for grandchildren provided by elderly parents.If the elderly parents have adequate retirement income and have little or no need for financial support,such intergenerational support resembles“altruism”.However,if the elderly parents do not have adequate retirement income,the satisfaction of their needs depends on resources like time and money available to their only-children.展开更多
IN China's Mainland, there are more than 100 million people aged 60 or older, and their numbers are increasing by an average of three percent each year. Every day in China about 20,000 people celebrate their 60th ...IN China's Mainland, there are more than 100 million people aged 60 or older, and their numbers are increasing by an average of three percent each year. Every day in China about 20,000 people celebrate their 60th birthday. There are more elderly people living China than in the rest of the world, it is estimated that by the year 2000, China will become a country of the aged, inhabited by more than 130 million elderly. So the aging issue and how the country will support its old people is展开更多
With the shift in the economic paradigm,there has been a notable increase in the number of young herders in Xizang who have moved to urban areas in search of employment opportunities or have attained financial indepen...With the shift in the economic paradigm,there has been a notable increase in the number of young herders in Xizang who have moved to urban areas in search of employment opportunities or have attained financial independence and separated from their original families.These changes in family structure will gradually impact the elderly population who rely on familial support within traditional cultural contexts.Some elderly herdsmen have lost family support due to unfortunate family accidents or a lack of assistance resulting from the absence of biological descendants.The paper presents an argument about the transition of elder care in pastoral areas.It suggests a shift from the traditional family-based model to a dual mode that combines both family elder care and social elder care.This transformation was facilitated by economic growth at the regional level,which was a result of the overall development of the Chinese economy.This growth was particularly evident after the peaceful liberation of Tibet and the establishment of a modern national social elder service system in pastoral areas.The welfare system provides a way for elderly individuals who are living alone, widows, and disabled individuals toaccess practical institutional pension security. The national institutional pension model hasemerged as a way for marginalized elderly populations to instinctively perceive andcomprehend the assistance by the state.展开更多
文摘A paradox in cancer research is that the majority of patients enrolled in clinical trials are relatively young and fit while typical patients in daily practice are elderly and have comorbidities and impaired organ function. Given these differences, many major studies provide an imperfect guide to optimizing the treatment of the majority of patients. Since cancer incidence is highly correlated with age, and since the world's population is rapidly ageing, this problem can only increase. For this reason, oncologists and geriatricians need to collaborate in developing tools to systematically assess the health status of elderly patients and their fitness to receive cancer therapies of various intensity. Tailoring anti-cancer treatments and supportive care to individual needs should be seen as part of the move towards personalized medicine. Achieving this goal is as much of a challenge to developing and middle-income countries as it is to western nations. The 2015 annual conference of the International Society of Geriatric Oncology(SIOG) held in Prague, Czech Republic, November 2015 and had a global focus on advancing the science of geriatric oncology and supportive care. Central to this approach is the systematic assessment of life expectancy, independent functioning, and the physical and psychological health of older cancer patients. The assumption behind comprehensive geriatric assessment is that elderly cancer patients have complex needs. The implication is that effective intervention will require a multidisciplinary team. Examples of effective geriatric assessment, multidisciplinary working and supportive care were presented at the SIOG conference.
文摘The purpose of this paper is to explain the determinants of migration in China with special concern for elderly support based on evidences from China Health and Retirement Longitudinal Study （CHARLS） pilot data. We find parents＇ needs for care significantly affect adult children＇s participation in migrant labor market. Joint family decisions have also been made among adult siblings as far as elderly support is concerned. Different patterns of migrant labor force participation in Zhejiang and Gansu provinces largely reflect the differences between their respective migrant labor markets. Understanding of these new patterns of China＇s internal migration helps policy makers in China and other developing counties formulate effective social policies, and consequently, a more appropriate urbanization path.
文摘The support elderly parents receive from their grown-up children and the care they provide for grandchildren reflect the intergenerational relationships in Chinese families.Using data on only-child families in urban China from a 2015 survey conducted by the Institute of Population and Labor Economics,Chinese Academy of Social Sciences,this paper studies the status of care provided for grandchildren by parents of first-generation only-child in urban China and considers the effects this support has on the elderly.The data shows that over 80%of only-children parents have cared for their grandchildren.Most only-children also provide support for their elderly parents.Care for grandchildren provided by grandparents increases the economic and housekeeping support for the elderly provided by only-children.Only-children are the main beneficiaries of the intergenerational support that comes from the care for grandchildren provided by elderly parents.If the elderly parents have adequate retirement income and have little or no need for financial support,such intergenerational support resembles“altruism”.However,if the elderly parents do not have adequate retirement income,the satisfaction of their needs depends on resources like time and money available to their only-children.
文摘IN China's Mainland, there are more than 100 million people aged 60 or older, and their numbers are increasing by an average of three percent each year. Every day in China about 20,000 people celebrate their 60th birthday. There are more elderly people living China than in the rest of the world, it is estimated that by the year 2000, China will become a country of the aged, inhabited by more than 130 million elderly. So the aging issue and how the country will support its old people is
文摘With the shift in the economic paradigm,there has been a notable increase in the number of young herders in Xizang who have moved to urban areas in search of employment opportunities or have attained financial independence and separated from their original families.These changes in family structure will gradually impact the elderly population who rely on familial support within traditional cultural contexts.Some elderly herdsmen have lost family support due to unfortunate family accidents or a lack of assistance resulting from the absence of biological descendants.The paper presents an argument about the transition of elder care in pastoral areas.It suggests a shift from the traditional family-based model to a dual mode that combines both family elder care and social elder care.This transformation was facilitated by economic growth at the regional level,which was a result of the overall development of the Chinese economy.This growth was particularly evident after the peaceful liberation of Tibet and the establishment of a modern national social elder service system in pastoral areas.The welfare system provides a way for elderly individuals who are living alone, widows, and disabled individuals toaccess practical institutional pension security. The national institutional pension model hasemerged as a way for marginalized elderly populations to instinctively perceive andcomprehend the assistance by the state.
