Research: Influence of different health-care systems on health of older adults: A comparison of Hong Kong, Beijing urban and rural cohorts aged 70 years and older

2008 ◽  
Vol 27 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Jean Woo ◽  
Xin Hua Zhang ◽  
Suzanne Ho ◽  
Aprille Sham ◽  
Zhe Tang ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Hong Kong ◽  
Health Care Systems ◽  
Care Systems

scholarly journals USING COMMUNITY-BASED MODELS TO PROVIDE INTEGRATED CARE FOR RURAL OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S553-S553
Author(s):  
Martha R Crowther ◽  
Cassandra D Ford
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Rural Communities ◽  
Mental Health Problems ◽  
Health Care Systems ◽  
Physical And Mental Health ◽  
Community Based ◽  
Psychosocial Services ◽  
Care Systems ◽  
Rural Older Adults

Abstract Rural elders are one of the most at-risk populations for experiencing physical and mental health problems. In many rural communities, there are no psychosocial services available to meet the needs of the rural elderly. To provide rural older adults with integrated healthcare, we build upon our existing community-based infrastructure that has fostered community capacity for active engagement in clinical activities and has served as a catalyst to increase participation of rural older adults in clinical services. Our rural community model draws upon the role of culture in promoting health among rural older adults to provide rural service delivery. This model is built upon our network of partnerships with surrounding communities, including potential research participants, community-based organizations, community leaders, and community health-care systems and providers. By engaging the community we can create a sustainable system that will encourage rural older adults to utilize the health care system at a higher rate.

Technology as a Bridge between Health Care Systems and Older Adults

2013 ◽  
pp. 59-79 ◽  
Author(s):  
Daniel Morrow ◽  
Jessie Chin
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Distributed Cognition ◽  
Common Ground ◽  
Health Care Systems ◽  
Personal Health Record ◽  
Patient Portals ◽  
Access To Health ◽  
Care Systems

The authors explore the role of technology in supporting collaboration between health care providers and older adults. They focus on two technologies that help link patients to their providers by giving them access to health information and services: 1) patient portals to Electronic Health Records, and 2) Personal Health Record systems. Theories of distributed cognition and common ground are used to frame a review of the small but growing body of research that investigates which older adults use or do not use these technologies, and why. The findings, while sparse, suggest that older adults with lower levels of health literacy stand to benefit the most from this technology, but they tend to have fewer cognitive, literacy, and other psychosocial resources needed to take advantage of the technology. This discrepancy is due in part to systems that are not designed with older adults’ needs and abilities in mind. The authors conclude with recommendations for improving the use of these tools to support patient/provider collaboration by making them easier to use, and by integrating them with other communication media to support the broader context of the patient/provider relationship.

scholarly journals Perceptions and Understandings of Frailty Language: A Scoping Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 177-177
Author(s):  
Mariko Sakamoto ◽  
Pamela Durepos ◽  
Kyla Alsbury ◽  
Patricia Hewston ◽  
Alyson Takaoka ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Community Dwelling ◽  
Critical Examination ◽  
Primary Research ◽  
Care Systems ◽  
Research Studies

Abstract Diagnosing and responding to frailty in older adult populations is of growing interest for health care professionals, researchers and policymakers. Preventing frailty has the potential to improve health outcomes for older adults, which in turn has significant implications for health care systems. However, little is known about how older people understand and perceive the term “frailty”, and what it means for them to be designated as frail. To address this concern, a scoping review was undertaken to map the breadth of primary research studies that focus on community-dwelling older adults’ perceptions and understanding of frailty language, as well as explore the potential implications of being classified as frail. Searches were conducted in MEDLINE, Ageline, PsychInfo, CINAHL and EMBASE databases for articles published between January 1994 and February 2019. 4639 articles were screened and ten articles met the inclusion criteria, detailing eight primary research studies. Using content analysis, three core themes were identified across the included studies. These themes included: 1) understanding frailty as a multi-dimensional concept and inevitable consequence of aging, 2) perceiving frailty as a generalizing and harmful label; and 3) resisting and responding to frailty. Recommendations stemming from this review include the need for health care professionals to use person-centered language with older adults, discuss the term frailty with caution, and be aware of the potential consequences of labeling a person as frail. Importantly, this review demonstrates that for frailty interventions to be successful and meaningful for older adults, ongoing and critical examination of frailty language is necessary.

Technology as a Bridge between Health Care Systems and Older Adults

2012 ◽  
pp. 99-119 ◽  
Author(s):  
Daniel Morrow ◽  
Jessie Chin
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Distributed Cognition ◽  
Common Ground ◽  
Health Care Systems ◽  
Personal Health Record ◽  
Patient Portals ◽  
Access To Health ◽  
Care Systems

The authors explore the role of technology in supporting collaboration between health care providers and older adults. They focus on two technologies that help link patients to their providers by giving them access to health information and services: 1) patient portals to Electronic Health Records, and 2) Personal Health Record systems. Theories of distributed cognition and common ground are used to frame a review of the small but growing body of research that investigates which older adults use or do not use these technologies, and why. The findings, while sparse, suggest that older adults with lower levels of health literacy stand to benefit the most from this technology, but they tend to have fewer cognitive, literacy, and other psychosocial resources needed to take advantage of the technology. This discrepancy is due in part to systems that are not designed with older adults’ needs and abilities in mind. The authors conclude with recommendations for improving the use of these tools to support patient/provider collaboration by making them easier to use, and by integrating them with other communication media to support the broader context of the patient/provider relationship.

Mediators of marginalisation in discharge planning with older adults

2016 ◽  
Vol 37 (9) ◽  
pp. 1747-1769 ◽  
Author(s):  
EVELYNE DUROCHER ◽  
BARBARA E. GIBSON ◽  
SUSAN RAPPOLT
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Older Adult ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Discharge Planning ◽  
Health Care Systems ◽  
Urban Setting ◽  
Care Services ◽  
Care Systems

ABSTRACTReturning home or moving to a more supportive setting upon discharge from inpatient health-care services can have a tremendous impact on the lives of older adults and their families. Institutional concerns with patient safety and expedience can overshadow health-care professionals' commitments to collaborative discharge planning. In light of many competing demands and agendas, it can be unclear what is driving discharge-planning processes and outcomes. This paper presents the results of a study examining discharge planning in an older adult rehabilitation unit in a Canadian urban setting. Using microethnographic case studies, we explored the perspectives of older adults, family members and health-care professionals. Drawing on concepts of relational autonomy to guide the analysis, we found that discourses of ageing-as-decline, beliefs privileging health-care professionals' expertise and conventions guiding discharge planning intersected to marginalise older adult patients in discharge-planning decision making. Discharge planning in the research setting was driven by norms of ‘protecting physical safety’ at the expense of older adults’ self-declared interests and values. Such practices resulted in frequent recommendations of 24-hour care, which have significant personal, social and financial implications for older adults and their families, and ultimately might undermine clients' or health-care systems' aims. The analysis revealed social, political and institutional biases that diminish the rights and autonomy of older adults.

Gender Differences in Older Adults’ Perceptions of Falls and Fall Prevention

2021 ◽  
pp. 152483992110097
Author(s):  
Susan Patton ◽  
Jennifer Vincenzo ◽  
Leanne Lefler
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Gender Differences ◽  
Fall Prevention ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Secondary Data ◽  
Traditional Role ◽  
Men And Women ◽  
Care Systems

Aim To explore gender differences in older adults’ perceptions about preventing falls. Background Falls are a major problem for older adults and health care systems and a challenge to the aging population. Consideration of older adults’ perceptions of fall prevention is needed to increase their engagement in evidence-based prevention strategies. Method A qualitative analysis of secondary data was performed. Results Three major themes emerged: We’ve Seen It, Women Are Caregivers, and Men Are Analyzing Risks and Modifying Behaviors. The men and women in this study shared information about falls and fall prevention in alignment with traditional role expectations. The women learned about falling through their roles as caregivers and prevented falls by controlling extrinsic risk factors indoors such as holding onto handrails on stairs or making home modifications. The men demonstrated an analytical approach to reducing risk such as employing improved safety measures during outdoors activities as a responsibility to maintain independence. Implications The different perceptions of men and women influence what they do to engage in fall prevention. Health care professionals need to consider gender differences and take an individualized approach that includes allowing older adults to share their experiences, acknowledging their successful fall prevention behaviors, and validating and addressing their concerns.

Attitudes to ageing: an overview of Australian perspectives of health support systems for the older person

2019 ◽  
Vol 28 (4) ◽  
pp. 391-393
Author(s):  
Neil Jeyasingam
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Occupational Exposure ◽  
Older Adult ◽  
Support Systems ◽  
Health Care Systems ◽  
Older Person ◽  
Care Systems ◽  
System Bias ◽  
Health Support

Objectives: Older adults utilise health care systems to a higher frequency than younger groups, and are more vulnerable to system bias regarding ageing and expectations of old age. This narrative review attempts to outline the available literature regarding how various health support systems perceive the older adult, with an Australian focus. Conclusions: Perspectives on ageing are generally negative regardless of health industry. Possible contributors to this include elements of death anxiety, inadequate education and inadequate occupational exposure during training.

Ageing prisoners: An introduction to geriatric health-care challenges in correctional facilities

2016 ◽  
Vol 98 (903) ◽  
pp. 917-939 ◽  
Author(s):  
Rachael Bedard ◽  
Lia Metzger ◽  
Brie Williams
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Systems ◽  
The United States ◽  
International Committee ◽  
Red Cross ◽  
Correctional Facilities ◽  
Care Needs ◽  
Older Prisoners ◽  
Care Systems

AbstractThe rise in the number of older prisoners in many nations has been described as a correctional “ageing crisis” which poses an urgent financial, medical and programmatic challenge for correctional health-care systems. In 2016, the International Committee of the Red Cross hosted a conference entitled “Ageing and Imprisonment: Identifying the Needs of Older Prisoners” to discuss the institutional, legal and health-care needs of incarcerated older adults, and the approaches some correctional facilities have taken to meeting these needs. This article describes some of the challenges facing correctional systems tasked with providing health care to older adults, highlights some strategies to improve their medical care, and identifies areas in need of reform. It draws principally on research and examples from the United States to offer insights and recommendations that may be considered in other systems as well.

scholarly journals PHP34 THE EVALUATION OF HEALTH-CARE SYSTEMS OF CHINA, HONG KONG, VIETNAM, THAILAND, MALAYSIA, SINGAPORE AND AUSTRALIA

2010 ◽  
Vol 13 (7) ◽  
pp. A538
Author(s):  
HYH Chan ◽  
KJ Steadman ◽  
S Hollingworth ◽  
LM Nissen
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Health Care Systems ◽  
Care Systems
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