scholarly journals COMPARISON OF CAREGIVERS FROM DIVERSE COMMUNITIES WHO IMMIGRATED TO OR WERE BORN IN THE US

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S955-S955
Author(s):  
Lauren Stratton ◽  
David Bass ◽  
Rachel Schaffer ◽  
Sara Powers ◽  
Ocean Le ◽  
...  

Abstract The Diverse Elders Coalition, in partnership with its six member organizations and the Benjamin Rose Institute on Aging, completed a national survey of 840 family and friend caregivers from diverse racial, ethnic, and sexual orientation communities to understand their unique caregiving issues and challenges. Data from a subsample of 369 caregivers identifying as Hispanic/Latino, Asian, Southeast Asian or multiple ethnicities were analyzed to understand similarities and differences between caregivers born in the US and who immigrated to the US. The Stress Process Conceptual Model guided selection of characteristics used for comparative analysis. Results of logistic regression revealed that caregivers born in the US were younger (B=-.08, p<.001), had higher educational degrees (B=.42, p<.001), and higher incomes (B=.34, p=.002). They assisted care receivers with more health-related tasks (B=.27, p=.013), but fewer culture-related tasks (B=-.51, p=.002); reported higher levels of strain in their relationship with care receivers (B=.66, p=.038); and were less satisfied with the quality of care receivers’ healthcare (B=-.62, p=.042). In terms of reasons for being a caregiver, there were no significant differences in cultural commitment to caring for older family members, however those born in the US were more likely to report providing care because it was more convenient for them than for other family and friends (B=.99, p=.002). Understanding the needs of diverse caregivers has implications for healthcare and service providers, such as providing training on diverse needs. Additionally, the differences between US born and immigrant caregivers highlights implications on the dynamic between caregivers and their care receiver.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S953-S954
Author(s):  
Rachel Schaffer ◽  
David Bass ◽  
Sara Powers ◽  
Jenna McDavid ◽  
Ocean Le

Abstract The Diverse Elders Coalition, in partnership with its six member organizations and the Benjamin Rose Institute on Aging, completed a national survey of 840 family and friend caregivers from diverse racial, ethnic, and sexual orientation communities to understand their unique caregiving issues and challenges. Data from a subsample of 404 caregivers identifying as Hispanic/Latino, Asian, Southeast Asian or from multiple ethnicities were examined to determine the relationship between difficulties performing culture-related care tasks (i.e., assisting with immigration issues and language barriers) and a variety of caregiver outcomes. Regression analysis controlling for background and context characteristics showed caregivers experiencing more culture-related task difficulties had significantly higher levels of several negative caregiving consequences, including health strain (B=.19, p=.001), relationship strain (B=.17, p=.005), work strain, (B=.24, p=.000) isolation (B=.17, p=.002), and symptoms of depression (B=.29, p=.000). Moreover, higher levels of strain and depression among caregivers who reported high levels of culture-related task difficulties ranged from 26%-54%. More difficulties with culture-related tasks also were significantly related to dissatisfaction with support resources, including lower ratings of the quality of care receivers’ healthcare (B=-.20, p=.001), and lower satisfaction with support they and their care receivers received from family and friends (B=-.17, p=.006 and B=-.16, p=.011, respectively). Results suggest caregivers from diverse communities struggling with culture-related tasks experience more negative consequences of caregiving and less helpful social support. Service providers working with caregivers from diverse communities should assess for culture-related task difficulties, recognizing these problems may be a window into a variety of adverse caregiving effects.


2020 ◽  
Vol 23 ◽  
pp. S731
Author(s):  
N. Afroz ◽  
J. Marvel ◽  
C. Naujoks ◽  
D. Ossa ◽  
F. Patalano

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Ecler Jaqua ◽  
Terry Jaqua ◽  
Van Nguyen

Supply and demand are amongst the essential requirements before starting up a business. Understanding the quantity of a commodity wished to be sold by producers based on different prices and the item needed by consumers wish purchasing is essential in coming up with ideas. Based on the understanding of this and background research on costs in healthcare, specifically family medicine, it is found that healthcare is amongst the essential requirements, and thus the critical focus of the business idea in a physician’s practice focusing on family medicine care in the US. Starting up the business is based on healthcare demands in the market and further the pricing strategy utilized by most family medicine clinics. Through a connection to the business based on visits in hospitals and the quality offered by these service providers, it is noted that the demand is high and is the most expensive sector in the world, but care is ineffective (The Peterson Center on Healthcare, n.d.) thus leading to searching for effective alternatives by consumers. This creates a potential for offering the most effective services to cater to the demands, and as noted by the Peterson Center on Healthcare (n.d.), the US healthcare system is the most expensive, and costs are projected to grow dramatically in the coming years thus creating the most significant business opportunity to entrepreneurs. By adjusting the resources and trying to cater to the demand in various locations, the key idea is to cater to the need and profit from the sector. The concern of gaining information in the market is research on different healthcare websites and the prices offered and the quality of their services. This will aid in adjusting the prices effectively and thus retaining the demand and supply chain.


2021 ◽  
pp. 1358863X2110429
Author(s):  
Samuel Z Goldhaber ◽  
Elizabeth A Magnuson ◽  
Khaja M Chinnakondepalli ◽  
David J Cohen ◽  
Suresh Vedantham

Catheter-directed thrombolysis (CDT) has been utilized as an adjunct to anticoagulant therapy in selected patients with deep vein thrombosis (DVT) for approximately 30 years. CDT used to be limited to patients with DVT causing acute limb threat and those exhibiting failure of initial anticoagulation, but has expanded over time. Randomized trials evaluating the first-line use of CDT for proximal DVT have demonstrated that CDT does not produce a major reduction in the occurrence of post-thrombotic syndrome (PTS) and that it is poorly suited for elderly patients and those with limited thrombus extent or major risk factors for bleeding. However, CDT does offer selected patients with acute iliofemoral DVT improvement in reducing early DVT symptoms, in achieving reduction in PTS severity, and in producing an improvement in health-related quality of life (QOL). Clinical practice guidelines from medical and surgical societies are now largely aligned with the randomized trial results. This review offers the reader an update on the results of recently completed clinical trials, and additional guidance on appropriate selection of patients with DVT for catheter-directed thrombolytic therapy.


2020 ◽  
Vol 6 (2) ◽  
pp. 93
Author(s):  
NFN Bahroni

Pramoedya Ananta Toer’s Korupsi and Tahar Ben Jelloun’s Korupsi are two literary works of world writers who have similarities in terms of titles and themes. This study aims to find out and describe the structure, describe the similarities and differences, and knowing and describing the suitability between Pramoedya Ananta Toer’s Korupsi and Tahar Ben Jelloun’s Korupsi as material for literary learning at school. The object of this research is Pramoedya Ananta Toer’s Korupsi and Tahar Ben Jelloun’s Korupsi. Through the qualitative research paradigm, this research was conducted using descriptive methods of comparative analysis and objective approaches based on the literature itself. The data collection technique of this study uses library research. In connection with the comparative literary work step, research applies structural analysis by applying Robert Stanton's structuralism theory to reveal the similarities and differences contained in the two novels. Based on the results of comparative analysis of textual structures, we obtain a description of differences and similarities from two data sources so that it can be concluded that the Pramoedya Ananta Toer’s Korupsi influences to Tahar Ben Jelloun’s Korupsi as indicated by the use of titles, themes, characters and characterizations. The results of a comparative study of the Pramoedya Ananta Toer’s Korupsi and Tahar Ben Jelloun’s Korupsi are used as recommendations for literary learning in schools. The Corruption novel by Pramooedya Ananta Toer is suitable as a literary learning material in schools, while the Corruption novel Tahar Ben Jelloun is not appropriate because it does not meet 3 criteria and aspects of the selection of teaching materials, namely aspects of language, culture, and psychology.


2012 ◽  
pp. 1332-1348
Author(s):  
Dimosthenis Kyriazis ◽  
Andreas Menychtas ◽  
Theodora Varvarigou

This chapter focuses on presenting and describing an approach that allows the mapping of workflow processes to Grid provided services by not only taking into account the quality of service (QoS) parameters of the Grid services but also the potential business relationships of the service providers that may affect the aforementioned QoS parameters. This approach is an integral part of the QoS provisioning, since this is the only way to estimate, calculate, and conclude to the mapping of workflows and the selection of the available service types and instances in order to deliver an overall quality of service across a federation of providers. The added value of this approach lays on the fact that business relationships of the service providers are also taken into account during the mapping process.


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