Elderly people find new Medicare information materials useful in navigating the maze of health plan choices

2002 ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 32888
Author(s):  
Henrique Souza Barros de Oliveira ◽  
Fernanda Fenner ◽  
Maria Elisa Gonzalez Manso

AIM: This study aims to assess the life quality of a group of elderly people linked to a health plan in the city of São Paulo and to verify which variables affect this construct. METHODS: This is an exploratory cross-sectional study carried out in 2017 with a group of elderly people over 60 years of age and without cognitive deficits, linked to a health plan operator, all residents of the city of São Paulo, SP. The WHOQOL-BREF and WHOQOL-Old self-filled questionnaires were applied and the elderly participants also answered questionnaires relating to sociodemographic, morbidities and the usage of services developed by the researchers.  RESULTS: The research group evaluates their quality of life as good and is satisfied with their health, but some points stand out. For said group, living by themselves, having cardiocirculatory diseases or having more than one chronic disease influenced negatively their quality of life, whereas being in a stable unionship and having access to consultations with intervals below six months interfered positively. It was observed that the group was concerned about issues related to independence, communication capacity, social life, and death. The environment and intimacy were shown as highlights for this group. CONCLUSIONS: It was verified in this group of elderly people that the best quality of life performance was obtained in the Environment and Social Relations domains and in the Intimacy and Past, Present and Future aspects. In addition, sociodemographic, morbidity and health service use variables significantly affected this construct. The characteristics of the research group do not allow us to generalize the findings, but it is hoped to have contributed with the look on a group as diverse as the Brazilian elderly.


2008 ◽  
Vol 18 (1) ◽  
pp. 27-32
Author(s):  
Sandra Schwartz ◽  
Janet McCarty

Abstract Challenging health plan denials for voice treatment through appeals or advocacy efforts can pay off. This article describes the process of obtaining authorization for voice therapy, filing claims, establishing goals, preparing needed documentation, appealing claims through various levels including independent review, and developing an advocacy campaign if coverage is not offered or is very limited.


Ob Gyn News ◽  
2008 ◽  
Vol 43 (15) ◽  
pp. 38
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  

2006 ◽  
Vol 40 (9) ◽  
pp. 58
Author(s):  
JANE SALODOF MACNEIL
Keyword(s):  

2008 ◽  
Vol 39 (4) ◽  
pp. 54
Author(s):  
ALICIA AULT
Keyword(s):  

2008 ◽  
Vol 39 (7) ◽  
pp. 60
Author(s):  
JANE ANDERSON
Keyword(s):  

2006 ◽  
Vol 76 (6) ◽  
pp. 359-366 ◽  
Author(s):  
Rodríguez-Rodríguez ◽  
Ortega ◽  
López-Sobaler ◽  
Aparicio ◽  
Bermejo ◽  
...  

This study investigated the relationship between the intake of antioxidant nutrients and the suffering of cataracts in 177 institutionalized elderly people (61 men and 116 women) aged ≥ 65 years. Dietary intake was monitored for 7 consecutive days using a "precise individual weighing" method. Subjects, who during their earlier years were exposed by their work to sunlight, had a greater risk of suffering cataracts (OR = 3.2; Cl: 1.1–9.3, P < 0.05) than those who worked indoors. A relationship was found between increased vitamin C intake and a reduced prevalence of cataracts (i.e., when comparing those above P95 for vitamin C intake with those below P5; (OR = 0.08; Cl: 0.01–0.75, P 0.05). Among subjects with cataracts, 12.1% had vitamin C intakes of < 61 mg/day (P10) and only 2.2% had intakes of > 183 mg/day (P95) (p < 0.01). Subjects who consumed > 3290 μg/day (P95) of lutein were less likely to have cataracts (OR = 0.086; Cl: 0.007–1.084; p < 0.05) than those whose consumption was < 256 μg/day (P5). In men, high intakes of zeaxanthin seemed to provide a protective effect against the problem (OR = 0.96; Cl: 0.91–0.99; p < 0.05). The results suggest an association exists between exposure to sunlight and the development of cataracts, and that vitamin C, lutein, and zeaxanthin offer some protection against this disorder.


Pflege ◽  
2001 ◽  
Vol 14 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Anja Schopp ◽  
Theo Dassen ◽  
Maritta Välimäki ◽  
Helena Leino-Kilpi ◽  
Gerd Bansemir ◽  
...  

Ziel dieser Untersuchung war die Autonomie, Privatheit und die Umsetzung des Prinzips der «informierten Zustimmung» aus der Perspektive des institutionell zu betreuenden, älteren Menschen zu beschreiben. Die Untersuchung ist ein Teil des durch die EU-Kommission unterstützten BIOMED 2 Projektes «Patient’s autonomy and privacy in nursing interventions»1. Interviewdaten (n = 95) wurden in deutschen Kliniken der Geriatrie und Pflegeheimen gesammelt. Ergebnisse zeigten, dass die Teilnehmer in geringem Maß selbstbestimmte Entscheidungen treffen konnten. Das Prinzip der «informierten Zustimmung» wurde wenig umgesetzt. Ihre Privatheit sahen die Teilnehmer in Mehrbettzimmern sowie in Situationen des Ankleidens und bei der Verrichtung der Ausscheidungen nicht respektiert. Es ist anzunehmen, dass ältere Menschen wegen Informationsdefiziten, durch ihren Hilfsbedarf und durch die festgelegten Organisationsstrukturen der Pflegeeinrichtungen eine passive Krankenrolle übernehmen. Es wäre denkbar, dass die Autonomie der älteren Menschen gefördert werden könnte, wenn die Pflegekräfte sie in der Rolle des Fürsprechers bei selbstbestimmten Entscheidungen unterstützen würden. Bei den pflegerischen Interventionen würde die Umsetzung des Prinzips der «informierten Zustimmung» sowohl die Autonomie als auch die Respektierung der Privatheit fördern. Es ist außerdem anzunehmen, dass durch Flexibilisierung der Organisationsstrukturen der Pflegeeinrichtungen die Autonomie und Lebensqualität der älteren Menschen gefördert werden könnte.


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