scholarly journals Services for the Elderly in Israel: Privatization or Nationalization-An Unending Dilemma-A Reflection

2019 ◽  
Vol 7 (3) ◽  
pp. 54
Author(s):  
Avi Bitzur ◽  
Mali Shaked

The world in which we live is aging at a dizzying pace and expressions like “70 is the new 50” or the creation of concepts such as the “Silver Tsunami”, a nickname for the aging baby-boomer generation, have become an inseparable part of the reality in our society.On the one hand, the spread of aging is a welcome phenomenon – a sort of solution to the great human effort to reach immortality. On the other hand, however, old age can be perceived as a period burdened by economic, social and health-related challenges and it is becoming more and more clear that throughout the world, and in Israel in particular – the focus of this article - we must begin to prepare systems and services for the provision of rapid and comprehensive solutions for the tsunami of aging that befalls us. This stems from an understanding that the services we have in place today are not sufficiently prepared to handle the range of challenges and issues that will arise as a side effect of this phenomenon.The dilemmas that come hand in hand with the aging of our population are innumerable, however five particular issues stand out: the first is who should be responsible for the elderly and their care – the government or the person’s family? The second: Should all of the elderly receive the same care or should the treatment assistance vary differentially – meaning each elderly person should receive care according to his or her economic, social and health status and receive only according to their needs? The third is, should we provide assistance to the elderly directly (e.g. specific medications) or should the elderly receive financial assistance equivalent to the value of their needs and should we hope that they purchase the relevant medications, for example, and not something else instead? The fourth dilemma is: should we provide assistance for specific projects or should we work on long-term solutions through legislation to provide care and assistance to the elderly? Fifth, which is also the main questions, is should the services provided be privatized or should the treatment be the responsibility of the state and its institutions?The question of privatization or nationalization is the main focus of this article, and while we do not pretend to offer a firm stance on the issue, the authors offer to shed some light on the basic concepts associated with our aging population and how we as a society might handle these issues from the perspective of comparison between privatization versus nationalization of services rendered. The main focus of this article will be around the issue of the residential arrangements for the elderly: Mainly - should the elderly move into what are typically called “old age homes” or should we allow for “Aging in Place” – an approach that favors allowing the elderly to remain in their own homes for the remainder of their lives. Which is the most favorable solution? This issue also falls under the dilemma of whether or not homes for the aging as one possible solution should be a state-provided service or if “aging in place” will result in the privatization of the services granted to the elderly.The focus of this article is the situation in Israel, a country in which a significant portion of the population is elderly and where, by 2035, 15% of the population will be considered senior citizens. We will present the dilemma through the lens of the situation in Israel. The article shall begin with an introduction offering an in-depth examination of the dilemma presented. We will continue by presenting basic concepts from the general literature in the field of gerontology available today. We will then examine the situation in Israel between the years 2017-2019 and conclude by examining the concepts of privatization and nationalization in regards to services for the elderly, while once again emphasizing that comprehensive solutions to these dilemmas are unlikely to be reached in the near future.

2018 ◽  
Vol 7 (2) ◽  
pp. 124-132
Author(s):  
Yufi Aris Lestari ◽  
Yulianto Yulianto ◽  
Aris Hartono ◽  
Indrawati Indrawati ◽  
Ratna Yunita

Background. Having a healthy and prosperous life in old age is the hope of every elderly person. In achieving a healthy and prosperous old age, various efforts have been made by the government, one of which is an Elderly Integrated Service Post (Posyandu Lansia) program.Objectives. This study aims to analyze the relationship of motivation of the elderly and elderly visits to the Elderly Integrated Service Post (Posyandu Lansia) in Klampisan Hamlet, Kedunggede Village, Dlanggu Sub-District, Mojokerto District.Methods. The research design used is analytic cross sectional. The population in this study were all elderly residents of Klampisan Hamlet, Kedunggede Village, Dlanggu Subdistrict, Mojokerto District who had attended the Elderly Integrated Service Post (Posyandu Lansia) as many as 52 people. The sampling technique in the study was simple random sampling. The sample size in this study was 46 people. The measuring instrument used was a questionnaire for motivational variables, and a visit book for elderly visiting to the Elderly Integrated Service Post (Posyandu Lansia) variables.Results. The results showed that the average value of motivation was 68.5870, indicating strong motivation. The average visit value is 1.9348, indicating that the visit is not active. Based on the results of the analysis using the Spearman Rho correlation test obtained ρ = 0.00 <α = 0.05, so that it can be interpreted that there is a relationship between the motivation of the elderly and elderly visits to the Elderly Integrated Service Post (Posyandu Lansia) in Klampisan Hamlet, Kedunggede Village, Dlanggu Sub-District, Mojokerto District.Conclusion. Based on the results of the study showed that there was a relationship between the motivation of the elderly and elderly visits to the Elderly Integrated Service Post in Klampisan Hamlet, Kedunggede Village, Dlanggu Sub-District, Mojokerto District, which could mean that the elderly had strong motivation, then the visit to the Elderly Integrated Service Post would be active. On the contrary, the elderly whose motivation is weak then visit the Elderly Integrated Service Post (Posyandu Lansia) is not active. Keywords: motivation of the elderly, elderly visits, the elderly integrated service post, posyandu lansia


2020 ◽  
Vol 7 (2) ◽  
pp. 245
Author(s):  
Stephanie Elizabeth Gunawan ◽  
Anak Agung Ayu Putri Laksmidewi

Background: According to the World Health Organization (WHO), an elderly person is someone who has entered the age of 60 years and above whose percentage tends to increase along with decreasing morbidity of the elderly. Geriatric Neurology itself is the study of a group of neurological diseases in the elderly. Based on 2012 data, the proportion of elderly population in Indonesia is 7.59%. This is accompanied by an increase in the dependency ratio of the productive age population to the non-productive age population. The results of the 2013 Basic Health Research showed an increase in the prevalence of neurological disease in the elderly which was the main cause of death in 15 regencies in 2011. It is to find out the 5 most neurological diseases in the elderly, clinical characteristics and outcomes of geriatric neurology patients treated at the Central Hospital of Sanglah.Methods: It is a retrospective study using no control by looking at medical records in geriatric neurology patients aged 60 years and over who visited the Central Hospital of Sanglah in the March to May 2019 period.Results: A total of 200 patients consisted of 111 men (55.5%) and 89 women (44.5%) who were divided into 5 most geriatric neurology diseases which included 1. ischemic stroke, 2. bleeding stroke, 3. brain tumor, 4. injury head, and 5. epilepsy. The number of deaths was 16, of which 7 cases were caused by sepsis and pneumonia.Conclusions: Stroke, tumors, head injuries and epilepsy are the dominant neurological diseases found. The focus of care and supervision of elderly neurology patients is expected to be further enhanced to prevent side effects that will extend the patient’s treatment period in the hospital which will automatically increase the burden on the hospital itself.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Grbic ◽  
D Stimac Grbic ◽  
L Stimac ◽  
Z Sostar

Abstract Introduction The coronavirus outbreak has set off alarms around the world, leading to border closures, trade controls, travel bans and other measures. The Wuhan coronavirus epidemic continues to spread globally to the new European hotspot in Italy. New information about the epidemic and the virus is changing rapidly as the virus spreads and appears in parts of the world. Although official announcements by the Croatian Government and Crisis Staff calmed the public with pictures and data on the disease, it showed something else that heightened public concern and caused two conflicting phenomena among citizens - on the one hand, the majority showed understandable doubt about the information that could have raised the concern for their own health while the rest of the population ignored the facts. The market showed complete unwillingness to cope with this epidemic and a chronic shortage of protective equipment (masks, disinfectants...) emerged. Most of the citizens' queries and concerns were moving in the direction of personal protection, child protection and justification for holding large gatherings. Results By March 8, 2020, twelve COVID-19 patients were recorded in Croatia, of which 5 were patients in Rijeka, 3 in Zagreb and 4 in Varaždin. The first sick person is a Croatian citizen from Zagreb who became infected during his stay in Italy (Milan, Lombardy province). Conclusions In this crisis, several basic principles of crisis communication with the public have been forgotten: The first source of communication often becomes the source against which everyone else is measured.Accuracy is crucial to credibility.Emotion cannot be countered by facts. People must first know that the government cares.The public should regain a sense of control over circumstances beyond control.A lack of public respect in a crisis undermines trust.Honesty is fundamental to maintaining trust. Key messages Accuracy is crucial to credibility. Emotion cannot be countered by facts.


2019 ◽  
Vol 87 (4) ◽  
pp. 1799-1836 ◽  
Author(s):  
João F Cocco ◽  
Paula Lopes

Abstract We study the role of housing wealth in financing retirement consumption. In our model retirees: 1. derive utility benefits from remaining in their home (aging in place); and 2. choose in each period whether to maintain their house. The evidence that we present shows that these features are important in explaining the saving decisions of the elderly. The costs and the maintenance requirement of reverse mortgages (RMs) reduce (or eliminate) the benefits of the loans for retirees who wish to do less maintenance. We evaluate the impact of different loan features on retirees’ utility, cash-flows to lenders, and to the government agency that provides mortgage insurance. We show that combining RMs with insurance against a forced home sale (e.g. due to a move to a nursing home) is Pareto improving and can lead to increased demand for the loans due to product complementarities.


2020 ◽  
Vol 4 (1) ◽  
pp. 1-8
Author(s):  
Neema Stella ◽  
◽  
Nankwanga Annet ◽  

Background In most African countries, the elderly face challenges that affect their health and wellbeing and are more pronounced because of the systemic factors of inadequate health care, food insecurity and the general care. Increasing population of the elderly persons in Uganda is raising concern than ever before. The purpose of this paper to ascertain care available to the rural elderly persons and their role as carers for their grandchildren and implications on their wellbeing. Methods This was a qualitative study conducted among the rural elderly aged 60 years and above in eight purposively selected district that included Lira, Nebbi, Kampala, Luwero, Pallisa, Jinja, Mbarara, and Ntungamo. The study sample consisted of 101 elderly person from whom in-depth interviews were conducted. Data was analysed using qualitative thematic content analysis. Results Rural elderly in Uganda face a lot of constraints that include access to healthcare and information, poor economic status, food insecurity and poor nutrition, and poor accommodation and housing conditions. Two broader themes emerged inductively from the analysis that include care available for the rural elderly and providing care to grandchildren. These themes generated several subthemes. Taking care of grandchildren crippled the elderly and reduced the economic benefits. That said some rural elderly were happy and felt fulfilled to care of the grandchildren despite the lack of resources. Conclusion The rural elderly in Uganda are living in doleful conditions with limited care and support. They need care but are the providers of care to the grandchildren. They are frails and may not afford to provide adequate care. They care for grandchildren many of whom are orphans and vulnerable yet they themselves need care. It is important the government and the community re-enforce this care not to put strain on elderly. The rural elderly unique challenges necessitates special targeting and mobilization of resources at the household, local, district and national levels.


Author(s):  
Beby Masitho Batubara

Indonesia is the number one country with the highest number of Covid patients in Central Asia. This has an impact on various sectors including the education sector. In Indonesia, approximately 45 million students in Indonesia or it can be said that 3% of the total data globally, students who cannot take part in learning, the government issued a learning process policy in the midst of a pandemic, this policy determines the learning process which is usually carried out face-to-face, changes be learning online. This research uses a qualitative descriptive approach, with the type of library research, which is the collection of data related to the object of research in the form of literature or studying and deepening the literature literature books, reports and scientific journals, research results and other sources. The obstacles faced in implementing this learning method, namely the unpreparedness of students in the online teaching and learning process,Several studies have stated that not all of the teaching staff in Indonesia in various regions are equalized in carrying out the learning process online based on quality, competency in the use of communication and technology). Not only that, the weak education of the elderly to accompany students in using online media and not supported by facilities to carry out online learning. Dith the provision of internet networks with requiresubstantial costs. The problems in the world of education amid the Covid-19 pandemic must be a serious concern of the central and local governments.


Author(s):  
Yasser A. Seleman

  The e-governance is the concept and structure of the system and the functions and activities of all activities and processes in e-business on the one hand the level of e-government and business on the other.               Because the government sector as a significant proportion of the total economic sectors in most countries of the world, and the fact that dealing with the public sector is not limited to the class and not others, but prevail all citizens and residents, institutions and others, and the fact that this multi-dealing in quality, methods and how it is done and models for different procedures and steps implemented and locations between the corridors of government departments, the concept of e-government came as an ideal way for the government to enable them to take care of the interests of the public from individuals and institutions electronically using cutting-edge technology without the need for the applicant to move between government departments.  


Author(s):  
Sankar M

The Buddha attained enlightenment by renouncing royal life and practicing meditation and yoga to alleviate the sufferings of the people due to illness, old age and death. The one who made the world realize the lofty thought that desire is the cause of suffering. Many of the scientific ideas have been stated during the time of Buddhism which appeared to be centered on his teachings. The main purpose of this article is to show how thoughts are recorded in Kundalakesi.


Author(s):  
Jose Escobedo Rivera

<p class="paragraph-bold">RESUMEN</p><p> En una época como la que vivimos, de la globalización, los  desplazamientos poblacionales a nivel internacional se han potenciado. La mayoría de ellos se concentran en pocos países industrializados. Muchas personas han dejado sus hogares para buscar en otras latitudes mejores condiciones de vida, empleo e ingreso. Aunque no existen estadísticas exactas sobre el número de peruanos viviendo fuera del país, se sabe oficialmente que la migración al extranjero es alta y en los últimos años se ha incrementado notablemente. Según proyecciones hechas sobre las tendencias de emigración de peruanos, se tiene que ésta presenta una tendencia a continuar por la carencia de empleos y/o los sueldos bajos, producto de un modelo neoliberal hegemónico en el mundo que al privilegiar la economía de mercado no tiene en cuenta la población. En el Perú, de la migración interna hemos pasado a la externa. Entre los objetivos que nos hemos trazado para el presente estudio tenemos: <strong><em>a)</em></strong> Determinar la estructura de la población peruana y su potencial a partir del denominado bono demográfico, <strong><em>b)</em></strong> Conocer el volumen de migrantes peruanos y su distribución por países en el extranjero,  y <strong><em>c)</em></strong> Proponer al Estado dar apoyo y seguimiento a la población que ha migrado al extranjero, teniendo en consideración que la población que ha migrado no constituye ningún peligro al país de acogida.</p><p> </p><p class="paragraph"> </p><p align="center"><strong>THE FIFTH <em>SUYO</em>. PERUVIAN PEOPLE ABOARD, A DEMOGRAPHIC DEMONSTRATION OF GLOBALIZATION</strong></p><p class="paragraph"> </p><p class="paragraph"><strong>ABSTRACT </strong></p><p class="paragraph">At a time like the one we live in, globalization, population movements worldwide have been strengthened. Most of them are concentrated in a few industrialized countries. Many people have left their homes to seek elsewhere better living conditions, employment and income. Although there are no exact statistics on the number of Peruvians living abroad, it is officially known that the migration abroad is high and in recent years has increased significantly. According to projections made on trends in migration of Peruvians, they present a tendency to continue by lack of jobs and/or low wages as a result of a hegemonic neoliberal model in the world, which favors the market economy and doesn’t have into account with the population. In Peru, internal migration has moved to the outside. The objectives we have set for this study are: <strong><em>a)</em></strong> determine the structure of the Peruvian population and its potential from the so-called demographic dividend, <strong><em>b)</em></strong> know the volume of Peruvian migrants and their distribution by countries abroad, <strong><em>c)</em></strong> propose to the government the supporting and monitoring of the population who has migrated abroad, taking into consideration that the population who has migrated not constitute any danger to the host country.</p>


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