Using the 1994 Canadian General Social Survey, this study examines the economic effects of retiring because of poor health. When men and women who have retired for reasons of poor health are compared to those who have retired for other reasons, the health retirees are disadvantaged on measures of their health, on human capital variables, in terms of their work history, and ultimately, in their retirement income whether personal or household. The men who retired because of ill health were less likely to receive income from a private pension or from interest and dividends. Almost half of the men reported that their financial situation was worse since their retirement. The women retirees suffered from the same disadvantages as the men although their incomes in retirement were much lower. In the multivariate analyses, health had a significant and negative effect on men's household and personal incomes but there was no effect on the incomes of women. For them, any effect that poor health might have had on household income was offset by factors associated with marriage, and the women's own socio-demographic characteristics. The findings suggest reason for policy-makers to be cautious when contemplating blanket reductions in disability/invalidity and pension rates.

Over the last fifty years, the pattern of family life in Turkey has been seriously affected by migration. Despite this, there remains a high degree of solidarity typified by transfers of income, material goods and cultural mores between and within family generations. This article is based on the life histories of fifteen migrant families living in Ankara, the capital city of Turkey. In-depth interviews were used to collect information about at least three generations in each family. Information was collected about occupational, educational and migration histories, property ownership, care of dependents, and parent-child relations covering three generations.

There is growing recognition of the need for outcome measures which reflect the aims of services for people with dementia. The development and application of existing outcome measures has often marginalised people with dementia. ‘Experts’ and carers have been viewed as primary sources when identifying relevant outcomes or domains of quality of life, and proxy respondents have often been responsible for rating outcomes on the resulting measures. This paper reports a small consultation with people with dementia and their carers to identify the desired outcomes of community care. While there was considerable overlap in the outcomes identified by people with dementia and their carers, a number of limitations of relying solely on carers as proxy respondents were identified. A key outcome, which has been relatively neglected in previous work, was maximising a sense of autonomy. A range of outcomes related to the ways in which services are delivered were also identified. Future evaluative studies should encompass both quality-of-life outcomes and service-process outcomes (the impacts of the ways in which services are delivered) in addition to other outcome measures relevant to the aims and objectives of the service.

The aim of this article is to illustrate the changes in the Swedish system of old-age care during the 20th century by tracing and analysing the history of the job of supervisor or manager of this care. The main sources that have been researched are public and educational documents as well as articles from the occupation's professional journal. Development through different periods is described. During the first decades of the century, supervisors had a controlling function in strictly disciplined poor-relief institutions. The period 1920–1950 was dominated by a strong belief in institution-based old-age care, and the supervisor's role had a variety of profiles, e.g. matrons of home-like institutions, geriatric nurses, and manageresses of increasing numbers of care-staff. The decades 1950–1980, were characterised by expansion and new arenas, chiefly the home-help services. In the 1990s, with a strained public economy, the financial control became a central feature of the work of the managers. Finally, some of the changes and trends are analysed and discussed.

Private residential care homes in the United Kingdom have undergone a variety of management changes in recent years, many resulting from the impacts of national policy changes. During the 1980s, the private residential sector for older persons enjoyed substantial financial support for the care of residents. However, since the 1990 National Health Service and Care in the Community Act was implemented in 1993, homes have had to compete with each other in a market, for a finite number of clients funded by limited local budgets held by local authority purchasers. Based on a three-stage quasi-longitudinal survey of over 100 residential care homes in one county, this paper considers changes in the overall size and structure of a local sector and discusses the specific management strategies that have been adopted by proprietors. The withdrawal of guaranteed state support has impacted heavily on residential home businesses. Indeed, many homes have multiple vacancies and have been facing financial hardships. The paper concludes with a discussion of the ethical and moral issues associated with certain management decisions and their possible effects on residents.

It was timely that the 1999 International Year of Older Persons (IYOP) occurred in the last year of the century because the purpose of the year is to celebrate ageing achievements as well as to produce positive sustainable change for the future. Thus it affords an opportunity to assess the status of ageing in Australia as a result of developments up to that point, as well as providing an indication of where ageing research, policy and practice is headed in the new century. This paper examines the IYOP in Australia as a measure of achievements to date, and then focuses on its major output, the proposed National Strategy for an Ageing Australia, as a look ahead. This follows a brief review of some socio-demographic data on ageing in Australia at the end of the century, and a summary of research on ageing as recorded in the Australian Ageing Research Directory (Office for the Aged 1993, 1996).