scholarly journals Willingness to accept COVID-19 vaccine among the elderly and the chronic disease population in China

2021 ◽  
pp. 1-16
Author(s):  
Jiahao Wang ◽  
Beibei Yuan ◽  
Xinran Lu ◽  
Xiaoxue Liu ◽  
Li Li ◽  
...  
Keyword(s):  
Chronic Disease ◽  
The Elderly ◽  
Willingness To Accept

scholarly journals Long-term effectiveness of elderly health care voucher scheme strategies: a system dynamics simulation analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ka Chun Chong ◽  
Hong Fung ◽  
Carrie Ho Kwan Yam ◽  
Patsy Yuen Kwan Chau ◽  
Tsz Yu Chow ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Public Sector ◽  
System Dynamics ◽  
The Elderly ◽  
Healthcare Services ◽  
Dynamics Simulation ◽  
Public And Private ◽  
The Public ◽  
The Impact

Abstract Background The elderly healthcare voucher (EHCV) scheme is expected to lead to an increase in the number of elderly people selecting private primary healthcare services and reduce reliance on the public sector in Hong Kong. However, studies thus far have reported that this scheme has not received satisfactory responses. In this study, we examined changes in the ratio of visits between public and private doctors in primary care (to measure reliance on the public sector) for different strategic scenarios in the EHCV scheme. Methods Based on comments from an expert panel, a system dynamics model was formulated to simulate the impact of various enhanced strategies in the scheme: increasing voucher amounts, lowering the age eligibility, and designating vouchers for chronic conditions follow-up. Data and statistics for the model calibration were collected from various sources. Results The simulation results show that the current EHCV scheme is unable to reduce the utilization of public healthcare services, as well as the ratio of visits between public and private primary care among the local aging population. When comparing three different tested scenarios, even if the increase in the annual voucher amount could be maintained at the current pace or the age eligibility can be lowered to include those aged 60 years, the impact on shifts from public-to-private utilization were insignificant. The public-to-private ratio could only be marginally reduced from 0.74 to 0.64 in the first several years. Nevertheless, introducing a chronic disease-oriented voucher could result in a significant drop of 0.50 in the public-to-private ratio during the early implementation phase. However, the effect could not be maintained for an extended period. Conclusions Our findings will assist officials in improving the design of the EHCV scheme, within the wider context of promoting primary care among the elderly. We suggest that an additional chronic disease-oriented voucher can serve as an alternative strategy. The scheme must be redesigned to address more specific objectives or provide a separate voucher that promotes under-utilized healthcare services (e.g., preventive care), instead of services designed for unspecified reasons, which may lead to concerns regarding exploitation.

scholarly journals The impact of chronic disease and disability on the elderly

1999 ◽  
Vol 55 (3) ◽  
pp. 9-14
Author(s):  
C. J. Eales
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Health Care Systems ◽  
The Elderly ◽  
Therapeutic Interventions ◽  
Elderly Persons ◽  
Care Systems ◽  
And Function ◽  
The Impact

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.

Arterial hypertension + past stroke – a case report

2021 ◽  
Vol 14 (3) ◽  
pp. 324-326
Author(s):  
Maria Łukasiewicz ◽  
Marta Swarowska-Skuza
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Chronic Disease ◽  
Side Effects ◽  
Arterial Hypertension ◽  
Antihypertensive Therapy ◽  
Systolic Hypertension ◽  
The Elderly ◽  
Isolated Systolic Hypertension ◽  
Special Group

Arterial hypertension, as a very widespread chronic disease, and thus differing in both pathomechanism and course in patients, requires a significant individualization of pharmacotherapy. One such special group is the elderly. Both the low-renin pathomechanism of arterial hypertension and its phenotype (isolated systolic hypertension) imply the choice of a specific pharmacotherapy. Additionally, in this group, side effects should be observed much more vigilantly, while target blood pressure values should be treated more liberally. An example of antihypertensive therapy in a patient belonging to the group described is presented in the following case.

The intake of food and nutrient by the elderly with chronic disease in the Seoul area

2012 ◽  
Vol 45 (6) ◽  
pp. 531 ◽  
Author(s):  
Yoo Kyung Park ◽  
Yeon Joo Lee ◽  
Sang Sun Lee
Keyword(s):  
Chronic Disease ◽  
The Elderly

scholarly journals CRITICAL ANALYSIS OF NIDANA AND NIDANAPARIVARJANA IN HRIDROGA

2021 ◽  
Vol 9 (9) ◽  
pp. 2088-2092
Author(s):  
Namratha M V ◽  
Prashanth Jain ◽  
Geetha B Markande
Keyword(s):  
Chronic Disease ◽  
Cardiovascular Diseases ◽  
Cause Of Death ◽  
Critical Analysis ◽  
Physical Inactivity ◽  
Medical Science ◽  
Treatment Protocol ◽  
The Elderly ◽  
Causative Factors ◽  
Planning Treatment

Ayurveda is the oldest medical science of human civilization which helps in preventing diseases and promoting health and longevity. Cardiovascular diseases are chronic disease pathology with acute manifestation and is a major cause of death in both the elderly and middle-aged. Nidana is the foremost component of Nidana Panchaka, which not only gives knowledge about causative factors of diseases but also helps in planning treatment protocol. Cardi- ovascular disorders as per Ayurveda can be studied under the spectrum of Hridroga. Over nourishment accompa- nied with physical inactivity leading to Santarpana state is well known to cause plethora of diseases like Hridroga. Consumption of food having mutual contradictory qualities results in morbid accumulation of Kapha and Meda in Raktamarga heralding Margavarana. It is said that the best treatment is Nidanaparivarjana i.e, to abstain from the causative factors. This paper deals with all the Nidanas of Hridroga and the importance of Nidanaparivarjana in preventing them. Keywords: Hridroga, Cardiovascular diseases, Nidana, Nidanaparivarjana

scholarly journals A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic disease

2018 ◽  
Vol 1 (1) ◽  
pp. 24-34
Author(s):  
Bahtiar Bahtiar ◽  
Sahar Sahar ◽  
Junaiti Junaiti ◽  
Wiarsih Wiarsih ◽  
Wiwin Wiwin
Keyword(s):  
Chronic Disease ◽  
Chronic Illness ◽  
Chronic Diseases ◽  
The Elderly ◽  
Nursing Intervention ◽  
Prolonged Treatment ◽  
Descriptive Phenomenology ◽  
Grieving Process ◽  
Disease Condition ◽  
Psychological Reaction

Background: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness. Keyword: grieving, chronic illness, elderly, family

scholarly journals Diagnosing Asthma Expert System with Case Base Reasoning Methods

2020 ◽  
Vol 2 (2) ◽  
pp. 187-190
Author(s):  
Margaritha M. Kune ◽  
Erwin Panggabean
Keyword(s):  
Chronic Disease ◽  
Expert System ◽  
Data Collection ◽  
The Elderly ◽  
Simple Application ◽  
Analysis And Design ◽  
Know How ◽  
Patient Health ◽  
Case Base Reasoning

Asthma is a disease that is Often found in society, especially in the elderly. Asthma is a long-term chronic disease, if left to be fatal and can cause death. Limited access and costs, to patient health information, it is difficult, to know how much influence the disease. So to find out it needs to be built a simple application that can help and Facilitate the community. The purpose of this application is to identify asama disease in older people with 15 symptoms. For the development of expert systems, Several stages are needed items, namely: Analysis and Design of the data collection. This expert system application complies with asthma used by experts and users.

STUDY OF CLINICALAND HAEMATOLOGICAL PROFILE OF ANEMIA IN GERIATRIC PATIENTS AT A TERTIARY LEVEL CENTRE IN HARYANA

2021 ◽  
pp. 17-19
Author(s):  
Priya Dalal ◽  
Atindra Narayan ◽  
Auditi Narayan ◽  
D.K. Sharma
Keyword(s):  
Chronic Disease ◽  
Elderly Patients ◽  
Social Services ◽  
Negative Impact ◽  
Health Resources ◽  
The Elderly ◽  
Differential Count ◽  
Anemia Of Chronic Disease ◽  
Haematological Profile ◽  
Rbc Indices

Background: The demographic transition with ageing of population is a global phenomenon and in recent years there has been an increasing international awareness of health issues relating to aging population. Anemia represents an emerging global health problem producing a negative impact in the quality of life among the elderly and requiring greater allocation of health resources. Aims: To identify elderly patients with anemia and study the etiology, clinical parameters, laboratory parameters in these patients. Methods: A total of 100 patients were enrolled in this study. The entire medical history were obtained from each of the cases including previous medical reports and imaging studies. Complete blood counts , RBC indices,total WBC count, differential count, platelet count, haematocrit, ESR, peripheral smears ,reticulocyte count, ferritin, iron and TIBC were recorded for each patient. The data was compiled and analyzed using Statistical Package for social services (SPSS vs 20). Results: Among the etiologies, iron deciency anemia was seen in 43% of patients, anemia of chronic disease in 32%, anemia of chronic kidney disease and unexplained anemia in 11 % patients. Among clinical features the commonest symptom was easy fatiguability and commonest sign was pallor. Peripheral smear study showed that normocytic normochromic anemia was commonest type. Conclusion: This study showed that the commonest cause for anemia among elderly patients is iron deciency anemia followed by anemia due to chronic disease. Geriatric anemia is a disease that often goes unreported hence every effort should be made to identify the disease and evaluate the cause.

Anaemia of inflammation

2020 ◽  
pp. 5402-5407
Author(s):  
Sant-Rayn Pasricha ◽  
Hal Drakesmith
Keyword(s):  
Chronic Disease ◽  
Iron Supplementation ◽  
Iron Absorption ◽  
Specific Treatment ◽  
Intravenous Iron ◽  
The Elderly ◽  
Underlying Disease ◽  
Limited Evidence ◽  
Iron Stores ◽  
Anaemia Of Chronic Disease

The anaemia of inflammation is one of the commonest causes of anaemia, particularly in the elderly and in those with extensive comorbidities. Dysregulation of the hepcidin axis is central to its pathophysiology, with upregulation of hepcidin both limiting iron absorption from the gut and preventing effective mobilization of iron stores for erythropoiesis. However, hepcidin-independent mechanisms of the anaemia of chronic disease exist and must be considered in assessing the underlying aetiology of otherwise unexplained anaemia. Interactions between the anaemia of chronic disease and other forms of anaemia are common. The management of the anaemia of inflammation rests in large part on the treatment of the underlying disease(s) where possible. In cases where anaemia-specific treatment is required, iron supplementation—particularly intravenous iron—may have a role. There is limited evidence for the use of erythropoiesis-stimulating agents in certain circumstances.

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