scholarly journals Inter-Generational Aspects of Health Care

2011 ◽  
pp. 869-889
Author(s):  
Louise Sheiner
Keyword(s):  
Health Care ◽  
Age Groups ◽  
Health Spending ◽  
The Elderly ◽  
Future Research ◽  
Health Care Spending ◽  
Health Care Consumption ◽  
Public Sector Health ◽  
The Government ◽  
Over Time

The distribution of health spending by age has important effects on inter-generational transfers. This association between age and health care consumption raises a number of issues related to inter-generational equity particularly allocation of society's resources across age groups and the affect of an increase in health spending on distribution over time. This article discusses the inter-generational implications of public sector health care spending and financing. Health spending has two attributes that raise the question of inter-generational transfers: first, health care spending varies by age and second, the government heavily subsidizes health care. This article addresses the ways by which increase in life expectancy and other improvements in health might affect the per capita health spending on the elderly. Finally, it mentions the need for future research as much remains to be learned about how each of these attributes of the health system will evolve over time.

Einkommenswachstum, steigende Gesundheitsausgaben und Finanzierung / Income Increase, Health Spending Growth and Financing

2007 ◽  
Vol 227 (5-6) ◽  
Author(s):  
Hans Adam
Keyword(s):  
Health Care ◽  
Gross Domestic Product ◽  
Health Spending ◽  
Domestic Product ◽  
Health Care Spending ◽  
Public Provision ◽  
Health Care Consumption ◽  
Out Of Pocket Payments ◽  
Per Capita ◽  
Spending Growth

SummaryIn 2005, total health spending in Germany amounted to € 239,4 billion or € 2900 per capita. Given the aging of the population in the next decades and the progress in medical technology there are some doubts about the affordability of health spending growth. One important criterion which has been proposed is that increasing health care spending should not lead to an absolute reduction of real per capita non-health care consumption. Calculations for the period 2005-2075 show that non-health consumption will not fall if per capita health care spending growth exceeds per capita gross domestic product growth by 1 percentage point. Health care spending as a share of the gross domestic product will rise from 10.4 percent in 2005 to 21 percent in 2075. An increase in the ratio of health care spending to the gross domestic product must be expected to change the funding of the German health care system. The public provision of health care will decline while the share of income devoted to private health spending (additional insurance, out-of-pocket-payments) will increase.

Cochlear implantation in elderly patients: stability of outcome over time

2016 ◽  
Vol 130 (8) ◽  
pp. 706-711 ◽  
Author(s):  
O Hilly ◽  
E Hwang ◽  
L Smith ◽  
D Shipp ◽  
J M Nedzelski ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Cochlear Implantation ◽  
Short Form ◽  
Age Groups ◽  
The Elderly ◽  
Long Term Results ◽  
Profound Hearing Loss ◽  
Younger Patients ◽  
Over Time

AbstractBackground:Cochlear implantation is the standard of care for treating severe to profound hearing loss in all age groups. There is limited data on long-term results in elderly implantees and the effect of ageing on outcomes. This study compared the stability of cochlear implantation outcome in elderly and younger patients.Methods:A retrospective chart review of cochlear implant patients with a minimum follow up of five years was conducted.Results:The study included 87 patients with a mean follow up of 6.8 years. Of these, 22 patients were older than 70 years at the time of implantation. Hearing in Noise Test scores at one year after implantation were worse in the elderly: 85.3 (aged under 61 years), 80.5 (61–70 years) and 73.6 (aged over 70 years;p= 0.039). The respective scores at the last follow up were 84.8, 85.1 and 76.5 (p= 0.054). Most patients had a stable outcome during follow up. Of the elderly patients, 13.6 per cent improved and none had a reduction in score of more than 20 per cent. Similar to younger patients, elderly patients had improved Short Form 36 Health Survey scores during follow up.Conclusion:Cochlear implantation improves both audiometric outcome and quality of life in elderly patients. These benefits are stable over time.

Disparity and Dynamics of Social Distancing Behaviors in Japan: An Investigation of mobile phone mobility data (Preprint)

2021 ◽  
Author(s):  
Zeyu Lyu ◽  
Hiroki Takikawa
Keyword(s):  
Large Scale ◽  
Age Groups ◽  
Mitigation Strategies ◽  
Social Distancing ◽  
Demographic Groups ◽  
Fine Grained ◽  
Mobility Data ◽  
The Social ◽  
The Government ◽  
Over Time

BACKGROUND The availability of large-scale and fine-grained aggregated mobility data has allowed researchers to observe the dynamic of social distancing behaviors at high spatial and temporal resolutions. Despite the increasing attentions paid to this research agenda, limited studies have focused on the demographic factors related to mobility and the dynamics of social distancing behaviors has not been fully investigated. OBJECTIVE This study aims to assist in the design and implementation of public health policies by exploring the social distancing behaviors among various demographic groups over time. METHODS We combined several data sources, including mobile tracking data and geographical statistics, to estimate visiting population of entertainment venues across demographic groups, which can be considered as the proxy of social distancing behaviors. Then, we employed time series analyze methods to investigate how voluntary and policy-induced social distancing behaviors shift over time across demographic groups. RESULTS Our findings demonstrate distinct patterns of social distancing behaviors and their dynamics across age groups. The population in the entertainment venues comprised mainly of individuals aged 20–40 years, while according to the dynamics of the mobility index and the policy-induced behavior, among the age groups, the extent of reduction of the frequency of visiting entertainment venues during the pandemic was generally the highest among younger individuals. Also, our results indicate the importance of implementing the social distancing policy promptly to limit the spread of the COVID-19 infection. However, it should be noticed that although the policy intervention during the second wave in Japan appeared to increase the awareness of the severity of the pandemic and concerns regarding COVID-19, its direct impact has been largely decreased could only last for a short time. CONCLUSIONS At the time we wrote this paper, in Japan, the number of daily confirmed cases was continuously increasing. Thus, this study provides a timely reference for decision makers about the current situation of policy-induced compliance behaviors. On the one hand, age-dependent disparity requires target mitigation strategies to increase the intention of elderly individuals to adopt mobility restriction behaviors. On the other hand, considering the decreasing impact of self-restriction recommendations, the government should employ policy interventions that limit the resurgence of cases, especially by imposing stronger, stricter social distancing interventions, as they are necessary to promote social distancing behaviors and mitigate the transmission of COVID-19. CLINICALTRIAL None

Hospital information systems in developing countries: a state-of-the-art systematic review

Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jie Lei ◽  
Jianming Liu ◽  
Wu Li
Keyword(s):  
Health Care ◽  
Information System ◽  
Developing Countries ◽  
Health Care Services ◽  
Developed Countries ◽  
Future Research ◽  
Local Conditions ◽  
Content Type ◽  
The Government

Purpose Hospital information system (HIS) can be examined as a vital factor for developing the quality of health care and cost managing. There exists abundant literature on HISs, but implementation-based literature of HIS is rare, typically about progressive countries. However, a study that can comprehensively review published articles is scarce. Therefore, this paper aims to examine the systematic and comprehensive study of HIS in developed countries. Together, the benefits and harms relevant to HIS’s different mechanisms have been considered, and the fundamental challenges of them are addressed to design more efficient HIS in the future. Design/methodology/approach HIS has been used globally for numerous years and is now being used in a wide area. HIS is broadly used in clinical settings. Information technology (IT) and information system have been suggested as a required piece to solve the health-care-related issues. Hence, to improve HIS’s ability, this paper conducted a review method concentratating on research related to HIS until 2019. A total of 21 papers were recognized and examined as principal research for the summary. Findings The authors found that HIS can help in reduction of medical mistakes, enhancement doctors’ performance and increase in the quality of the care provided. HIS management can be used to provide better health-care services. Therefore, HIS must be sensible and use clear structures. The authors conclude that, generally, with an increase in awareness, acceptability and the need for HIS worldwide, there will be more strategies and approaches available. Research limitations/implications First, this paper provides an outline of the status of HIS. Second, it identifies some distinct research gaps that could be worth studying. Some flawless work may be removed because of applying some filters to select the original articles. Surveying all the papers on the topic of HIS is impossible, too. Practical implications Design and sustainability of HIS is still a big issue for most developing countries, despite its wide usage in the developed countries. The technology is changing rapidly, so the field should be reviewed regularly. This paper suggests a suitable framework that will guide HIS in the local conditions of developing countries. Social implications The government will be assisted by the suggested solving ways in its performance and design of electronic health-care projects. Originality/value The study brings the viewpoints on the state of HIS mechanisms in developing countries. The paper’s results can offer visions into future research requirements. By providing comparative information and analyzing the current growths in this area, this study will support researchers and professionals to understand the progress in HIS mechanisms better.

scholarly journals Gendered Articulations of Control and Care on Social Media During the COVID-19 Pandemic in Hungary

2021 ◽  
Vol 3 ◽  
Author(s):  
Katinka Linnamäki
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Elderly Population ◽  
The Elderly ◽  
System Of Care ◽  
Care Work ◽  
Unpaid Care ◽  
Work Related ◽  
Care Workers ◽  
The Government

The purpose of this paper is to examine the Hungarian Fidesz-KDNP government´s discursive practices of control and care during the first wave of the COVID-19 pandemic. The paper researches the Hungarian government’s communication on the official Hungarian COVID-19 Facebook page during the first wave of the pandemic. Its aim is to answer the question how the Hungarian government articulated control and care to reinforce sedimented gendered division of care work and institutions of control to tackle the potential disruption of the system of care before the widespread vaccination of the elderly population was available in the country. The paper argues that the pandemic has allowed the government to exert control in areas, such as the crisis in the workforce market and health care system, as well as in the destabilized system of care work. The main finding is that in the material the government performs control over care work, whose intensified discussion during the pandemic could lead to a potential disruption within the illiberal logic on two different levels. First, physical care work related to immediate physical needs, like hunger, clothing, pain enacted by female shoppers, female health care workers and female social workers, is newly defined during the pandemic as local, family-bound and a naturally female task. Second, the government articulates care work, either as potentially harmful (for the elderly population and thus indirectly to the government’s familialist politics), or as vulnerable and in need of protection from outside influences (portrayed through the interaction of health care workers and “hospital commanders”). This enables the government to perform full state control over care workers through the mobilization of police and military masculinity and to strengthen and re-naturalize the already existing hierarchies between traditional gender roles from a new perspective during the pandemic. This state of affairs highlights the vulnerability both of the elderly population, on whom its familialism builds, and of the system of informal care work, which builds on the unpaid care work of female citizens, who paradoxically are also articulated as potential harm for the elderly and for the system.

Maintenance of public hospital buildings in Nigeria – an assessment of current practices and policy options

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Andrew Ebekozien ◽  
Okechukwu Saviour Dominic Duru ◽  
Okhatie Emmanuel Dako
Keyword(s):  
Health Care ◽  
Public Hospital ◽  
Practical Implication ◽  
Design Stage ◽  
Future Research ◽  
Policy Options ◽  
Content Type ◽  
Hospital Administrators ◽  
Automation Systems ◽  
The Government

Purpose The recent COVID-19 pandemic has exposed the declining conditions of many of the hospital buildings, especially in developing countries. Past studies have shown inadequate maintenance practices but how far regarding Nigerian public hospital buildings is yet to receive empirical research. This paper aims to investigate the underlying issues leading to inadequate maintenance practices and proffers policy options to improve Nigerian public hospital buildings via an unexplored dimension. Design/methodology/approach The study used a mixed research design method involving both qualitative and quantitative data. First, results from the qualitative phase were analysed and verified at the quantitative phase through a well-structured questionnaire, developed from the qualitative findings across hospital maintenance experts (work/maintenance department, health-care provider, design team and health-care building/service contractor) in Abuja, Lagos and Benin City. Findings Insufficient funds for maintenance works, absence of planned maintenance programmes, inadequately trained personnel, etc., emerged as the maintenance inadequacies in the public hospital buildings across the cities covered. The paper categorised the cause of inadequate maintenance practices of public hospital buildings into six groups: statutory requirements, design stage, construction stage, budget for maintenance task, managing maintenance unit activities and user’s perception regarding maintenance management. Research limitations/implications This paper is limited to maintenance practices of Nigerian public hospital buildings. Future research is needed to evaluate factors that will enhance outsourcing maintenance and the use of the 4th industrial revolution (building information modelling for refurbishment and building automation systems) amongst others in maintenance practices of public hospital buildings. Practical implications As part of the practical implication, the government and hospital administrators should make provision for adequate funding and accountability of annual maintenance budgetary allocation. Also, the government should establish a national maintenance policy for public infrastructure with an emphasis on preventive maintenance and contractor’s reputation, outstanding pedigree, technical and financial soundness during build maintenance contract award, etc., were recommended. Originality/value This paper reveals that the stakeholders, especially hospital administrators, policymakers and political office holders that are concern with maintenance budget, approval and disbursement concerning maintenance practices in public hospital buildings need to reawaken to her responsibility because of the inadequate implementation across the cities covered.

Public-Sector Health Care Financing

2011 ◽  
pp. 256-284 ◽  
Author(s):  
Åke Blomqvist
Keyword(s):  
Health Care ◽  
Social Insurance ◽  
Health Care Financing ◽  
The Elderly ◽  
Related Issue ◽  
Social Insurance System ◽  
The Public ◽  
Care For The Elderly ◽  
General Revenue ◽  
Public Sector Health

This article discusses the share of expenses that should be covered by the public plan and looks at how those revenues should be raised. It deals with a fundamental issue that must be addressed in a system where government takes a major role in health care financing. This issue is about the relative importance of the public plan and private payments as sources of funding. Another related issue is how the revenue to pay for public spending on health care should be raised. The article discusses financing through general revenue and compares it with various forms of social insurance. A related issue is the financing of health care for the elderly in a social insurance system. The third fundamental question, finally, concerns the way money should be spent. The article discusses the nature of the contracts between providers and the public plan.

scholarly journals The Contribution of Public Health Investments to the Economic Growth of Cameroon

2017 ◽  
Vol 4 (1) ◽  
pp. 12-21 ◽  
Author(s):  
Ismaila Amadu ◽  
Ngoe Fritz Eseokwea ◽  
Marcel Ngambi
Keyword(s):  
Public Health ◽  
Economic Growth ◽  
Health Care ◽  
Health Care Services ◽  
Health Spending ◽  
World Health ◽  
Quality Health Care ◽  
Health Investments ◽  
The World ◽  
The Government

The goal of this paper is to determine the contribution of public health investments to the economic growth of Cameroon. The study used the human capital model of Lucas (1988) within the framework of endogenous growth theories. The Vector Error Correction Model (VECM) was employed in the estimations procedure using the World Development Indicators (WDI, 2013) data from the World Bank over the period spanning from 1988 to 2013.The findings show that government health expenditures contribute to economic growth only in the long run. From our results, we recommend that: first, the government should increase health spending to 10 or 15 percent of its GDP as initially suggested by the African Union and the World Health Organization respectively; second, government should enhance the provision of health care services by the private sector by putting in place incitation measures; third, competitive awards should be granted to those health units that render quality health care services.Int. J. Soc. Sc. Manage. Vol. 4, Issue-1: 12-21

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