scholarly journals A Wearable Tele-Health System towards Monitoring COVID-19 and Chronic Diseases

2021 ◽  
pp. 1-1
Author(s):  
Wei Jiang ◽  
Sumit Majumder ◽  
Sophini Subramaniam ◽  
Xiaohe Li ◽  
Ridha Khedri ◽  
...  
Keyword(s):  
Health System ◽  
Chronic Diseases

scholarly journals A tool to guide the process of integrating health system responses to public health problems

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Tilahun Nigatu Haregu ◽  
Geoffrey Setswe ◽  
Jullian Elliott ◽  
Brian Oldenburg
Keyword(s):  
Public Health ◽  
Health System ◽  
Chronic Diseases ◽  
Evidence Base ◽  
Health Problems ◽  
Model System ◽  
System Level ◽  
Horizontal Integration ◽  
Double Burden ◽  
Integrated Architecture

An integrated model of health system responses to public health problems is considered to be the most preferable approach. Accordingly, there are several models that stipulate what an integrated architecture should look like. However, tools that can guide the overall process of integration are lacking. This tool is designed to guide the entire process of integration of health system responses to major public health problems. It is developed by taking into account the contexts of health systems of developing countries and the emergence of double-burden of chronic diseases in these settings. Chronic diseases – HIV/AIDS and NCDs – represented the evidence base for the development of the model. System level horizontal integration of health system responses were considered in the development of this tool.

scholarly journals A Conceptual Framework for Chronic Disease Prevention Based on Multilevel Approach

2018 ◽  
Vol 10 (5) ◽  
pp. 175
Author(s):  
Fadumo Abdi Noor ◽  
Gabriel Gulis ◽  
Jens Soendergaard
Keyword(s):  
Chronic Disease ◽  
Disease Prevention ◽  
Health System ◽  
Conceptual Framework ◽  
Chronic Diseases ◽  
Chronic Disease Prevention ◽  
Structural Level ◽  
Grey Zone ◽  
Multilevel Approach ◽  
Multiple Levels

AIM: The aim of this paper is to present a conceptual framework for the analysis of chronic disease prevention work according to the principles of a multilevel approach to T2DM in Denmark.METHOD: We conducted a review of published papers using PubMed, EMBASE, Web of Science, Google, Google Scholar, NICE Evidence Search, and we extended our search to include grey zone literature. We chose to focus our literature review on the collaboration between the different actors in the health system and the prevention and management of type 2 diabetes. We reviewed abstracts, and our search yielded a final total of 52 papers, of which we retained 18 and eliminated papers which were not related explicitly to the subject.RESULTS: Results showed that prevention and management of type T2DM must address multiple factors at multiple levels (intrapersonal, interpersonal and structural level) and within multiple settings (medical settings, communities/municipalities, regions and government). To analyze chronic disease prevention from a multilevel approach perspective, a conceptual framework was developed, which would guide the analytical process. Interventions should tackle specific risk factors within specific populations and by different actors who need to act in a coordinated manner.CONCLUSION: It is becoming increasingly clear that a multilevel approach is needed to prevent chronic diseases. Working at multiple levels with multiple actors in the health system will hopefully help fight the increasing numbers of chronic diseases.

Evaluating Elders' Bio-Psycho-Social Health Dimensions Using Their Smartphones

2020 ◽  
pp. 166-177
Author(s):  
Enrique Moguel ◽  
José García-Alonso ◽  
Javier Berrocal ◽  
Juan M. Murillo
Keyword(s):  
Health System ◽  
Functional Status ◽  
Chronic Diseases ◽  
Health Professionals ◽  
The Elderly ◽  
Developed Countries ◽  
Mobile Technologies ◽  
Social Health ◽  
Coordinated Care ◽  
Elder People

The percentage of elder people in developed countries is increasing rapidly. A high percentage of them usually present multiple and chronic diseases. A patient with several diseases requires specific and coordinated care that is difficult to configure. Different frameworks can evaluate their functional status and identify the required care, together with the associated cost to the health system. Nevertheless, these frameworks are usually questionnaires that have to be periodically performed by the patients with the assistance of already overloaded professionals. In this chapter, the authors make use of mobile technologies to build a system capable of monitoring the activities of the elderly and analysing these data to assess their bio-psycho-social status. The experiments carried out show us that it correctly evaluates these patients and reduces the effort required by health professionals.

scholarly journals The health system burden of chronic disease care: an estimation of provider costs of selected chronic diseases in Uganda

2015 ◽  
Vol 20 (6) ◽  
pp. 781-790 ◽  
Author(s):  
Stella Nalukwago Settumba ◽  
Sedona Sweeney ◽  
Janet Seeley ◽  
Samuel Biraro ◽  
Gerald Mutungi ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health System ◽  
Chronic Diseases ◽  
Chronic Disease Care

scholarly journals Fairness evaluation of health financing between 2007 to 2010 in China

2020 ◽  
Author(s):  
Guan Wang ◽  
Qing Shen
Keyword(s):  
Health Behavior ◽  
Health System ◽  
Chronic Diseases ◽  
Chronic Conditions ◽  
Health Financing ◽  
The Elderly ◽  
Communicable Diseases ◽  
World Health ◽  
Health Conditions ◽  
Non Communicable Diseases

Abstract Background: Population aging and the increasing burden of non-communicable diseases (NCDs) are increasingly a strain on health systems. The World Health Organization (WHO) uses fairness of health financing as one of the criteria for assessing health system performance. The Chinese government has undertaken a series of health reforms to reduce the pace of disease transition towards non-communicable diseases, as well as protecting people from catastrophic health expenditures. The aim of this study was to assess the fairness of health financing among the elderly with different health conditions in China during the year of 2007 to 2010. Methods: The data source was the WHO Study on global AGEing and adult health (SAGE) Wave 1, a national weighted data collected from adults older than 50 years. In this study, 10099 respondents were included for analysis. Chi-square and partial proportional odds model test were applied to assess the distribution of socioeconomic and health behavior factors among different chronic conditions. Fairness of healthcare financing analysis was used to evaluate how the burden of health financing is distributed according to the household ability to pay (ATP). Dominance tests were applied for comparing different ways of health financing among health conditions. Results: More than half of the elderly had at least one chronic condition, and around 20% people suffered from multi-morbidity. Several socioeconomic as well as health behavior factors were found associated with developing NCDs. Out-of-pocket payment dominated other health finance sources in Non-NCD, single morbidity and multi-morbidity groups with a regressive pattern. Even though mandatory insurance had covered more than 70% of the elder population in China, due to the relative lower proportion reimbursement for chronic diseases, people still had to pay a lot for seeking healthcare between 2007 to 2010. Conclusion: When reimbursement for chronic diseases is relatively low, high mandatory insurance coverage does not ensure fairness of health financing. The Chinese health system should be developed further in order to meet the needs of elderly with different chronic conditions.

scholarly journals Influenza and cardiorespiratory events: a clinical-epidemiological review with a multidisciplinary point of view

2021 ◽  
Author(s):  
Amelia Carro Hevia ◽  
Francisco Sanz Hernández ◽  
Javier Álvarez Aldeán ◽  
Manuel García Cenoz ◽  
Isabel Jimeno Sanz ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Health System ◽  
Chronic Diseases ◽  
Cardiovascular Events ◽  
Influenza Infection ◽  
Point Of View ◽  
Effective Measure ◽  
Respiratory Events ◽  
Triggering Factor ◽  
The Relationship

There is accumulating evidence showing that influenza infection and cardiorespiratory diseases are closely associated. Influenza has been described as a triggering factor capable of both exacerbate underlying chronic diseases as well as inducing the appearance of new respiratory and cardiovascular events. Consequently, influenza infection and its associated comorbidity have a significant impact on the health system. In this document, we extensively reviewed the current literature to describe the most relevant data on the relationship between influenza infection and cardiorespiratory diseases. Likewise, we analyzed the possible pathophysiological mechanisms explaining the connection between influenza infection and cardiac and respiratory events. Finally, reviewed data has been put into perspective to highlight the importance of influenza vaccination as an effective measure in the prevention of cardiorespiratory diseases, especially in the population with underlying chronic diseases.

scholarly journals Fairness evaluation for the elder population in China

2020 ◽  
Author(s):  
Guan Wang ◽  
Qing Shen
Keyword(s):  
Health Behavior ◽  
Health System ◽  
Chronic Diseases ◽  
Chronic Conditions ◽  
Health Financing ◽  
The Elderly ◽  
Communicable Diseases ◽  
Health Conditions ◽  
Non Communicable Diseases ◽  
Elder Population

Abstract Background: Population aging and the increasing burden of non-communicable diseases are increasingly a strain on health systems. The World Health Organization (WHO) uses fairness of health financing as one of the criteria for assessing health system performance. The Chinese government has undertaken taken a series of health reforms to reduce the pace of disease transition towards non-communicable diseases (NCDs), as well as protecting people from catastrophic health expenditures. The aim of this study was to assess the fairness of health financing among the elderly with different health conditions in China. Methods: The data source was the WHO Study on global AGEing and adult health (SAGE) Wave 1, a national weighted data collected from adults older than 50 years. In this study, 10099 respondents were included for analysis. Chi-square and partial proportional odds model test were applied to assess the distribution of socioeconomic and health behavior factors among different chronic conditions. Fairness of health financing analysis was used to evaluate how the burden of health financing is distributed according to the household ability to pay (ATP). Dominance tests were applied for comparing different ways of health financing among health conditions. Results: More than half of the elderly had at least one chronic condition, and around 20% people suffered from multi-morbidity. Several socioeconomic as well as health behavior factors were found associated with developing NCDs. Out-of-pocket payment dominated other health finance sources in all three chronic conditions with a regressive pattern. Even though mandatory insurance had covered more than 70% of the elder population in China, due to the relative lower proportion reimbursement for chronic diseases, people still had to pay a lot for seeking healthcare. Conclusion: When reimbursement for chronic diseases is relatively low, high mandatory insurance coverage does not ensure fairness of health financing. The Chinese health system should be developed further in order to meet the needs of elderly with different chronic conditions.

Investing in a “Rehabilitation Model” to Improve the Decision-Making Process in Long-Term Care

2013 ◽  
pp. 37-47
Author(s):  
Connie D’Astolfo
Keyword(s):  
Decision Making ◽  
Health System ◽  
Chronic Diseases ◽  
Long Term Care ◽  
Hospital Costs ◽  
Cost Savings ◽  
System Transformation ◽  
Term Care ◽  
Rehabilitation Model

An aging population is a primary factor associated with escalating healthcare costs due to increased drug spending, chronic diseases and co-morbidities, physician visits, and hospital costs (TD Report, 2010). There has already been a marked increase in the number of Long-Term Care (LTC) residents with co-morbidities, and chronic diseases will be more prevalent in future years (Conference Board of Canada, 2011). The chapter explores the use of a rehabilitation model to improve the current decision-making processes that impact the health outcomes of seniors across the Ontario LTC continuum. Improved clinical management of this population through rehabilitation could result in not only enhanced quality of care but also significant cost savings for both the Long-Term Care (LTC) industry and the health system at large. The chapter highlights the need for the LTC sector to identify strategies for harnessing innovation to improve its own activities and outcomes and become a leader in health system transformation.

scholarly journals The vaccinations recommended to the elderly and patients with chronic diseases

2014 ◽  
Vol 8 (1) ◽  
pp. 30-33
Author(s):  
MAŁGORZATA KOBUSZYŃSKA
Keyword(s):  
Health System ◽  
Chronic Diseases ◽  
Medical Staff ◽  
The Elderly ◽  
Older Age ◽  
Entire Population

Prophylactic vaccinations are the easiest way of the protection against numerous diseases. They are one of the components of prophylaxis. Mass vaccinations are beneficial for the entire population as they contribute to the reduction of the health system expenses. The medical staff play an important role in educating patients about the range of possible vaccinations. It is very essential to note, however, that the lack of financing of recommended vaccinations is the reason for low the percentage of patients who received the vaccinations, but patients’ knowledge of the advantages of regular vaccinations is also of significant value. People responsible for giving vaccinations ought to inform the patients skillfully about the benefits and risks of them and their negligence. Each person at the older age and those suffering from chronic diseases should be informed about recommended vaccinations.

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