Projects / Programmes
CREATING SOCIAL VALUE WITH AGE-FRIENDLY HOUSING STOCK MANAGEMENT IN LIFETIME NEIGHBORHOODS
| Code |
Science |
Field |
Subfield |
| 5.02.00 |
Social sciences |
Economics |
|
| Code |
Science |
Field |
| S182 |
Social sciences |
Actuarial science |
| Code |
Science |
Field |
| 5.02 |
Social Sciences |
Economics and Business |
sheltered housing, lifetime neighborhoods, healthy life expectancy, supply systems, social value, actuarial science, investments
Researchers (18)
Organisations (5)
Abstract
The proposal belongs to priority 6: MYBL. As the final goal, we shall develop a new account of the social value that needs to be created when investing in age-friendly housing facilities within lifetime neighborhood communities. Many articles in the scientific journals and national plans write about needs to have such tools which do not exist yet.
The main objective of the proposed project is: (a) to develop a model for assessment of the social value of investments in social infrastructure, which is reflected primarily in lower health and other operational costs of care ; and (b) to propose the design of a database, which will enable a more accurate evaluation of the social value as well as a better plan for investing. We will propose also fundraising for these investments.
Municipalities are responsible for organizing and financing of long-term-care services. These expenditures will triple (for example: to 9.5% of GDP in Norway). The aim is to investigate the exposure to risk in cities of older adults and disabled inhabitants, expenditures for care and benefits of the built environment in (a) Senior Villages, (b) Independent Living Communities, (c) Assisted Living Facilities, (d) Nursing Home, (e) CCRC and (f) challenge of investments in better Aging in Place. The spatial planning, development and management of safety in the lifetime neighborhoods, as a risk mitigation strategy is of specific interest. We wish to evaluate how the particular solutions from (a) to (e) can be implemented in (f) and how it mitigates the risk of accidents and social exclusion, creating the social value for the community. The creation of social value will be measured, using the multi-state competing risk approach, which is a novelty in this research area. Multi-state competing risk model used in the disability insurance has never been used for evaluation of investments. The actuarial present value will provide the scientific evidence of benefits of development and management of various lifetime neighborhoods and housing arrangements. We shall collect the available data from 5 countries, mostly EU member states and from Florida, USA as well as some data from Australia, where the sheltered housing in very well developed. In the survey, we shall include 1000 residents from 20 neighborhoods. The social value will be measured as the difference between the actuarial present value of housing and services in the age friendly or life-time neighborhood and the neighborhood which is not age friendly.
In the proposed project we shall join three different scientific areas: (a) study of quality of build environment for use of senior citizens, (b) reliability engineering and (c) actuarial science - the analysis of time-to-event data ('survival analysis'). The studies of (a) and (b) will be used to develop a proper database for the analysis of risk drivers in the competing risk multi-state model of transitions from community living to nursing home with options to return in the assisted living communities.
We shall complete the following working packages: (1.) write the literature review on (a)-(f), (2.) collecting the residents’ opinion; (3) analyse health-care data and geo-spatial databases; (4.) develop the actuarial model of multi-state transitions and calculation of actuarial present value for evaluation of each arrangement and from these evaluations enable calculation of the social value of the analysed investments; (5.) introduce a new profile of Facility Manager involved in service provisions; (6.) determine the minimum data-set on the European level and propose it to the EUROSTAT.
The methodology will contribute to the state-of-the-art with the newly developed multi-state competing risk model in which the neighborhood, health, longevity and functional capacities of its residents have an important role in the criterion function - actuarial present value of long term care on the national level. The decision support model will
Significance for science
The proposal belongs to call priority 6: More Years Better Life – MYBL.
In the proposed project we shall start by breaking silos between five different scientific areas: (a) the study of quality of build environment, (b) the reliability engineering (c) the nursing and (d) the actuarial science - the analysis of time-to-event data ('survival analysis').
Adequate and appropriate housing constitutes the core of housing rights. By losing their functional capacities, older persons can find themselves unable to live in their current homes anymore. Ensuring the rights to integrity and independence of seniors with declining functional capacities is substantially reduced when they move from community-based facilities to institutional care.
The European Disability strategy 2010–2020 provides the framework in which people with disabilities can be empowered to fully participate in society and ensure that they can enjoy their fundamental rights. The strategy reiterates that the EU is committed to promoting the participation of disabled people in leisure activities, employment, education, health, social services and to achieving the transition from institutional to community-based care.
The building stock in Europe today is not fit to support adults with declining functional capacities who choose to stay on independently in their community, nor does it support the shift from institutional care to a home-based independent living model due to the accessibility barriers. 90% of houses in the UK and more than 70% of those in Germany are not suitable (EC, 2015 c). The same report estimates that only in Germany, the need of the adaptation of the current housing stock to become appropriate for seniors with emerging functional impairments exceed 2.5 million age-friendly houses. In Slovenia we have no data. Up till now, research on the relationship between built environments and health has provided empirical evidence on mobility and some other physical activities, but these research results are very partial, without giving any model for evaluation of investments in better housing and the built environment. Claudia Wood (2017) has presented the savings of UK National Health System by providing proper housing. The UK House of Commons exposed the need to build a model for evaluation of social value of investments in the housing and built environment for seniors, which is the subject of our proposal. Therefore, also the proper data structure has become the subject of the debate.
In the literature review of Age-Friendly Cities, we have identified the following gaps:
2.1 Model for the database for supporting the development of lifetime neighborhoods and housing with care using a multi-state competing risk approach;
2.2 Model of social value creation with the development of lifetime neighborhoods and housing with care to be able to evaluate the investments in a social infrastructure;
2.3 Financial and fiscal mechanisms supporting the development of lifetime neighborhoods and housing with care.
These will be subjects of our research.
Significance for the country
The proposal belongs to call priority 6: More Years Better Life – MYBL.
In the proposed project we shall start by breaking silos between five different scientific areas: (a) the study of quality of build environment, (b) the reliability engineering (c) the nursing and (d) the actuarial science - the analysis of time-to-event data ('survival analysis').
Adequate and appropriate housing constitutes the core of housing rights. By losing their functional capacities, older persons can find themselves unable to live in their current homes anymore. Ensuring the rights to integrity and independence of seniors with declining functional capacities is substantially reduced when they move from community-based facilities to institutional care.
The European Disability strategy 2010–2020 provides the framework in which people with disabilities can be empowered to fully participate in society and ensure that they can enjoy their fundamental rights. The strategy reiterates that the EU is committed to promoting the participation of disabled people in leisure activities, employment, education, health, social services and to achieving the transition from institutional to community-based care.
The building stock in Europe today is not fit to support adults with declining functional capacities who choose to stay on independently in their community, nor does it support the shift from institutional care to a home-based independent living model due to the accessibility barriers. 90% of houses in the UK and more than 70% of those in Germany are not suitable (EC, 2015 c). The same report estimates that only in Germany, the need of the adaptation of the current housing stock to become appropriate for seniors with emerging functional impairments exceed 2.5 million age-friendly houses. In Slovenia we have no data. Up till now, research on the relationship between built environments and health has provided empirical evidence on mobility and some other physical activities, but these research results are very partial, without giving any model for evaluation of investments in better housing and the built environment. Claudia Wood (2017) has presented the savings of UK National Health System by providing proper housing. The UK House of Commons exposed the need to build a model for evaluation of social value of investments in the housing and built environment for seniors, which is the subject of our proposal. Therefore, also the proper data structure has become the subject of the debate.
In the literature review of Age-Friendly Cities, we have identified the following gaps:
2.1 Model for the database for supporting the development of lifetime neighborhoods and housing with care using a multi-state competing risk approach;
2.2 Model of social value creation with the development of lifetime neighborhoods and housing with care to be able to evaluate the investments in a social infrastructure;
2.3 Financial and fiscal mechanisms supporting the development of lifetime neighborhoods and housing with care.
These will be subjects of our research.
Most important scientific results
Interim report
Most important socioeconomically and culturally relevant results
Interim report
