scholarly journals Adapted Physical Activity Professionals in Rehabilitation: An Explorative Study in the Norwegian Context

2018 ◽  
Vol 35 (4) ◽  
pp. 458-475 ◽  
Author(s):  
Øyvind F. Standal ◽  
Tor Erik H. Nyquist ◽  
Hanne H. Mong
Keyword(s):  
Physical Activity ◽  
Health Care Services ◽  
International Perspective ◽  
Professional Status ◽  
Adapted Physical Activity ◽  
Individual Interviews ◽  
Care Services ◽  
Work Tasks ◽  
The Status ◽  
Specialist Health Care

Adapted physical activity (APA) is characterized by a strong orientation to professional practice. Currently, there exists limited empirical research about the professional status of APA in the context of rehabilitation. Therefore, the purpose of this study was to describe and understand the professional status, role, and work tasks of APA specialists in Norway. For the purpose of the study, the authors conducted group interviews with APA specialists and individual interviews with unit leaders at six rehabilitation institutions in the national specialist health care services. The results highlight the content of the work tasks, the roles in the cross-professional teams, the status in the institutions, and what the participants perceive to be the knowledge base for their profession. Although these results may be specific to the Norwegian context, the authors also discuss possible implications of their findings for APA in an international perspective.

scholarly journals Helsepersonells erfaringer med pasientforløp i kommuner i Vest-Norge

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Torill Aarskog Skorpen ◽  
Marit Kvangarsnes ◽  
Torstein Hole
Keyword(s):  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
User Participation ◽  
Local Health ◽  
Care Services ◽  
Western Norway ◽  
Patient Pathways ◽  
Specialist Health Care ◽  
Group Interviews

Health services in Norway have been described as fragmented with weak coordination between different care levels with respect to patient pathways. The Coordination Reform’s aim was to improve patient pathways and strengthen user participation. The aim of this study was to investigate health personnel ́s experiences with patient pathways in municipalities in Western Norway. A qualitative design was chosen. Six focus group interviews with health personnel working in municipalities in Western Norway were conducted in 2013 and 2014. The interviews revealed that health personnel experienced that local health services gave cohesive patient pathways and strengthened user participation. Cohesive patient pathways and locally adapted pathways were considered important. Coordination and electronic communication between primary and specialist health care services were seen as inadequate. Trust, teamwork, competence and necessary resources were considered vital. Health personnel ́s experiences indicated that the intended aim of cohesive patient pathways near the patient was met. 

scholarly journals ‘We are not blaming anyone, but if we don't know about amenities, we cannot seek them out’: black and minority older people's views on the quality of local health and personal social services in England

2008 ◽  
Vol 29 (1) ◽  
pp. 93-113 ◽  
Author(s):  
JILL MANTHORPE ◽  
STEVE ILIFFE ◽  
JO MORIARTY ◽  
MICHELLE CORNES ◽  
ROGER CLOUGH ◽  
...  
Keyword(s):  
Older People ◽  
Social Services ◽  
Health Care Services ◽  
The Body ◽  
Local Health ◽  
Individual Interviews ◽  
Care Services ◽  
National Service Framework ◽  
Nominal Groups ◽  
Minority Ethnic

ABSTRACTImproving access to culturally-appropriate services and enhancing responses to the needs of older people from black and minority ethnic backgrounds were among the aims of theNational Service Framework for Older People(NSFOP) that was introduced in England in 2001. Progress in meeting the aims of the NSFOP was evaluated by a mid-term independent review led by the Healthcare Commission, the body responsible for regulating health-care services in England. This paper reports the consultation with older people that underpinned the evaluation. It focuses on the views and experiences of older people from black and minority ethnic (BME) groups and of the staff that work in BME voluntary organisations. A rapid appraisal approach was used in 10 purposively selected local councils, and plural methods were used, including public listening events, nominal groups and individual interviews. In total 1,839 older people participated in the consultations and 1,280 (70%) completed a monitoring form. Some 30 per cent defined themselves as of a minority ethnic background. The concerns were more about the low recognition of culturally-specific and language needs than for the development of services exclusively for BME older people.

scholarly journals Making the Transition to Prepaid Medicare

2000 ◽  
Vol 14 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Thomas R Saving
Keyword(s):  
Health Care ◽  
Financial Crisis ◽  
Baby Boomers ◽  
Capital Stock ◽  
Health Care Services ◽  
Status Quo ◽  
Contribution Rate ◽  
Care Services ◽  
Long Run ◽  
The Status

The Medicare system is facing a financial crisis brought on by the combination of rapidly rising consumption of health care services by beneficiaries and financing based on generation transfers. This paper simulates a transition to prepaid Medicare where each generation puts aside funds for the health care it will demand later in life. By prepaying Medicare we increase the nation's capital stock which in the long run will allow the nation to enjoy greater consumption for both working and retired generations and we achieve immunity from generation size shocks. By transferring the baby boomers and younger generations into a prepaid system we can complete the transition in less than fifty years and achieve an ultimate contribution rate of 1.26% of taxable payroll instead of the more than 12% of taxable payroll that will be required if we remain in the status quo.

scholarly journals Impacts of mild COVID-19 on elevated use of primary and specialist health care services: A nationwide register study from Norway

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0257926
Author(s):  
Katrine Damgaard Skyrud ◽  
Kjersti Helene Hernæs ◽  
Kjetil Elias Telle ◽  
Karin Magnusson
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Services ◽  
Age Groups ◽  
Relative Difference ◽  
Health Care Use ◽  
Positive Test ◽  
Specialist Care ◽  
Care Services ◽  
Specialist Health Care

Aim To explore the temporal impact of mild COVID-19 on need for primary and specialist health care services. Methods In all adults (≥20 years) tested for SARS-CoV-2 in Norway March 1st 2020 to February 1st 2021 (N = 1 401 922), we contrasted the monthly all-cause health care use before and up to 6 months after the test (% relative difference), for patients with a positive test for SARS-CoV-2 (non-hospitalization, i.e. mild COVID-19) and patients with a negative test (no COVID-19). Results We found a substantial short-term elevation in primary care use in all age groups, with men generally having a higher relative increase (men 20–44 years: 522%, 95%CI = 509–535, 45–69 years: 439%, 95%CI = 426–452, ≥70 years: 199%, 95%CI = 180–218) than women (20–44 years: 342, 95%CI = 334–350, 45–69 years = 375, 95%CI = 365–385, ≥70 years: 156%, 95%CI = 141–171) at 1 month following positive test. At 2 months, this sex difference was less pronounced, with a (20–44 years: 21%, 95%CI = 13–29, 45–69 years = 38%, 95%CI = 30–46, ≥70 years: 15%, 95%CI = 3–28) increase in primary care use for men, and a (20–44 years: 30%, 95%CI = 24–36, 45–69 years = 57%, 95%CI = 50–64, ≥70 years: 14%, 95%CI = 4–24) increase for women. At 3 months after test, only women aged 45–70 years still had an increased primary care use (14%, 95%CI = 7–20). The increase was due to respiratory- and general/unspecified conditions. We observed no long-term (4–6 months) elevation in primary care use, and no elevation in specialist care use. Conclusion Mild COVID-19 gives an elevated need for primary care that vanishes 2–3 months after positive test. Middle-aged women had the most prolonged increased primary care use.

scholarly journals Depressive Symptoms, Lack of Physical Activity, and Their Combination Towards Health Care Utilisation Frequency

2019 ◽  
Vol 16 (23) ◽  
pp. 4697
Author(s):  
Sandra Haider ◽  
Igor Grabovac ◽  
Anita Rieder ◽  
Thomas Ernst Dorner
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Depressive Symptoms ◽  
Health Care Services ◽  
Health Care Utilisation ◽  
Related Factors ◽  
Men And Women ◽  
Care Services ◽  
Care Utilisation ◽  
Nationally Representative

Depressive symptoms and lack of physical activity are independent factors that lead to higher health care utilisation, often occurring simultaneously. We aimed to assess the effects of depressive symptoms, lack of aerobic physical activity (PA), and the combination of those factors on the probability of using in- and outpatient health care services in men and women. Data from 15,770 people from the nationally representative Austrian Health Interview Survey (AT-HIS) were used. In analysis, depressive symptoms, adjusted for sociodemographic, health related, and lifestyle-related factors were associated with higher odds of outpatient health care utilisation (OR: 1.60; 95% CI: 1.19–2.14) in men and (OR: 2.10; 95%CI: 1.65–2.66) in women, and with higher odds of inpatient health care utilisation (OR: 1.52; 95% CI: 1.09–2.10) in men and (OR: 2.09; 95% CI: 1.64–2.68) in women. However, depressive symptoms were not associated with higher health care utilisation in the fully adjusted models. In men, co-existence of depressive symptoms and lack of health enhancing physical activity (HEPA) was associated with higher odds of using inpatient health care services, compared to the presence of only one or none of the factors. In conclusion, our results show that depressive symptoms are associated with more health care utilisation in both men and women and that the co-existence of both depressive symptoms and lack of HEPA elevated the odds for inpatient health care utilisation in men even more.

From Socially Weak to Potential Consumer: Changing Discourses on Elder Status in South Korea

2009 ◽  
Vol 10 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Heekyoung Kim ◽  
John W. Traphagan
Keyword(s):  
South Korea ◽  
Health Care Services ◽  
Term Care ◽  
Care Services ◽  
Health Insurance Premiums ◽  
The Status ◽  
Centered Care ◽  
Political Dimensions ◽  
New Policies ◽  
Korean Elderly

This article explores social and political dimensions associated with providing care for elders in South Korea. We look at changes in welfare policy since the 1980s and discuss the emergence of a long-term care insurance program in Korea similar to the program promulgated in Japan in 2000. We argue that while the status of South Korean elderly is undergoing change as new policies provide opportunities for elders to move from positions of dependency to increased independence as consumers of health care services, there are some reasons for concern. The capacity of elders to function as consumers remains tied to the fact family members or elders themselves must pay supplements to their health insurance premiums as well as significant co-payments for services rendered, and government policies retain a strong bias toward requiring in-home, family-centered care of frail and bedfast elders.

Adolescent Neck and Shoulder Pain—The Association With Depression, Physical Activity, Screen-Based Activities, and Use of Health Care Services

2014 ◽  
Vol 55 (3) ◽  
pp. 366-372 ◽  
Author(s):  
Solbjørg Makalani Myrtveit ◽  
Børge Sivertsen ◽  
Jens Christoffer Skogen ◽  
Lisbeth Frostholm ◽  
Kjell Morten Stormark ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Shoulder Pain ◽  
Health Care Services ◽  
Care Services ◽  
Neck And Shoulder Pain ◽  
Use Of Health Care
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