Access of Elderly People to Affordable Healthcare: Problems and Solutions (A View from a Newly Independent State)

2012 ◽  
Vol 19 (2) ◽  
pp. 157-176 ◽  
Author(s):  
Radmyla Hrevtsova
Keyword(s):  
Health System ◽  
Elderly People ◽  
Healthcare System ◽  
Social Protection ◽  
The Elderly ◽  
Independent State ◽  
Problems And Solutions ◽  
European Health ◽  
And Performance

Abstract The problem of ensuring the access of the elderly to healthcare has lately become increasingly important. The accessibility of affordable healthcare for the elderly largely depends on the design and performance of the healthcare system, the level of overall social protection that elderly people can enjoy, as well as on the availability of legislative guarantees and the opportunity to use them. Those drivers, alongside with the prospects of the European health system developments and their potential implications on the access of elderly people to affordable healthcare are discussed in this article.

scholarly journals In search of healthcare system ideal types — Changeable classifications and dimensions

2021 ◽  
Vol 14 ◽  
Author(s):  
Iris Moolla ◽  
Heikki Hiilamo ◽  
Antti Kouvo
Keyword(s):  
Health System ◽  
Healthcare System ◽  
Hierarchical Cluster ◽  
Healthcare Systems ◽  
Three Dimensions ◽  
Healthcare Provision ◽  
Ideal Types ◽  
Developed Economies ◽  
And Performance ◽  
System Characteristics

This article aims to classify the healthcare systems of 43 developed economies into different healthcare system types, and to examine whether the dimensions of health system characteristics produce coherent health system classification when the dimensions are observed separately. We group health systems into different types based on their institutional structures and performance using healthcare financing, healthcare provision and health outcomes as dimensions of the health system characteristics. Unlike previous classifications, we classify each dimension separately using hierarchical cluster analysis. In particular dimensions, our results resemble those found in previous classifications. However, no coherent clustering of healthcare systems was found across the three dimensions. The results show that healthcare system dimensions differ from each other and each of them form their unique system types. Separating the dimensions helps detecting connections between the healthcare system types and phenomena being studied. It is relevant to note the differences of health system dimensions while discussing healthcare system classifications.

SOCIAL SERVICES AS A FACTOR OF SUCCESSFUL ADAPTATION OF ELDERLY PEOPLE IN NURSING HOMES

2021 ◽  
Vol 74 (2) ◽  
pp. 142-148
Author(s):  
K.Е. Tauenov ◽  
Keyword(s):  
Nursing Homes ◽  
Elderly People ◽  
Social Services ◽  
Social Protection ◽  
Psychological Adaptation ◽  
The Elderly ◽  
Social Adaptation ◽  
Successful Adaptation ◽  
The Social ◽  
The Impact

The article is devoted to studying the issue of social services in nursing homes as a factor of successful adaptation of elderly people in new conditions. The main legal acts in the field of protection of the rights of the elderly and disabled people are considered today. The subject of the research is the living conditions of elderly people living in nursing homes, and the impact of social services provided to them on their socio-economic and psychological adaptation. In order to improve the quality of social services in the future, to facilitate the social adaptation of the elderly, to develop proposals to Supplement the legislation on social protection of the elderly in General. Thereby increasing the ability of older people to adapt to social homes.

An Information Sharing System for Multi-Professional Collaboration in the community-based integrated healthcare system

2021 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Hideaki Kanai ◽  
◽  
Akinori Kumazawa ◽  
Keyword(s):  
Information Sharing ◽  
Elderly People ◽  
Healthcare System ◽  
The Elderly ◽  
Professional Collaboration ◽  
Community Based ◽  
Integrated Healthcare ◽  
Comprehensive Health ◽  
One Year ◽  
At Home

Currently, Japan is rapidly aging. Japanese government agencies report that the percentage of elderly people whose ages are at least 65 years will increase by up to about 30 percent in 2025. As one of the measures towards this situation, the community-based integrated healthcare system will be introduced in Japan. The system aims to provide elderly people living at home with appropriate health, medical, and welfare services. We focus on the burden of sharing information on the situation of the elderly at home among health, medical, welfare staffs, and neighbors. We have been developing a supporting system for sharing information on the situation of the elderly at home and conducted a field test around one year. We consider that various stakeholders involved in the community comprehensive health care system could recognize the importance of information sharing and collaboration with them through this kind of social implementation

scholarly journals How I treat fragile myeloma patients

Blood ◽  
2015 ◽  
Vol 126 (19) ◽  
pp. 2179-2185 ◽  
Author(s):  
Alessandra Larocca ◽  
Antonio Palumbo
Keyword(s):  
Elderly People ◽  
Performance Status ◽  
The Elderly ◽  
New Drugs ◽  
Adequate Treatment ◽  
Treatment Regimens ◽  
High Prevalence ◽  
Choice Of Treatment ◽  
And Performance ◽  
Assessment Strategies

Abstract Multiple myeloma is a disease typical of elderly people, with a median age at diagnosis of 70 years. Much progress has been made in the past few years thanks to the introduction of new drugs. However, increases in survival were much less pronounced in patients aged 60 to 69 years, and no improvement was seen in older patients. Furthermore, the currently approved treatment regimens were tested in clinical trials with stringent inclusion criteria. Aging is associated with a high prevalence of frailty, that is, a state of increased vulnerability to stressors due to a critical decline in physiologic reserves. Elderly people may be categorized as fit or frail according to clinical, functional, cognitive, and socioeconomic criteria. The presence of frailty may complicate the management and outcome of myeloma patients. To date, the choice of treatment of myeloma patients has focused primarily on chronological age and performance status as markers of frailty. However, the elderly population is highly heterogeneous, and improved assessment strategies are needed to define the frailty profile of patients and provide them with the most adequate treatment, thus avoiding the overtreatment of frail patients and the undertreatment of fit patients. The geriatric assessment is a fundamental tool for the evaluation of cognitive and functional status.

scholarly journals SUPPORTING THE NEEDS OF ELDERLY PEOPLE THROUGH FORMAL AND INFORMAL SUPPORT NETWORKS

2021 ◽  
pp. 122-126
Author(s):  
Volodymyr Dzhuhan ◽  
Ruslana Dzhuhan
Keyword(s):  
Social Policy ◽  
Elderly People ◽  
Social Services ◽  
Social Protection ◽  
The Elderly ◽  
The State ◽  
Support Networks ◽  
Informal Support ◽  
Constitutional Rights ◽  
The Social

The relevance of the article is due to the process of progressive aging of the population, so it requires from society to find new ways to work with the elderly and their needs’ realization. The article characterizes the current state of the category of elderly people in Ukrainian society. It is noted that support for the elderly is provided through a variety of resources, for example, formal and informal support networks, volunteering, the state, family, community, and society in general. The formal support network is implemented through the social policy of the state, which is focused on assisting in ensuring the rights of the elderly to their social protection of constitutional rights and freedoms. The aim of the article is to reveal the peculiarities of the needs’ realization of the elderly through formal and informal support networks. Research methods applied: generalization − to study the formal network of support, which is implemented through the social policy of the state and focused on constitutional rights for the elderly and social protection; analysis − combining and representing connections of individual elements, parties, components of a complex phenomenon and so in the comprehension of the whole in its components’ unity. The directions of reforming the system of social services are aimed at an authoritative legal framework, where social protection of the elderly would be enshrined at the appropriate level. They includ: deinstitutionalisation through the creation of a wide network of services and facilities that can provide quality services in the community; involvement of non-governmental organizations in the provision of social services; approach of social services to the place of residence; decentralization of management processes, financing, location of services; empowering older people to choose services and participate in the process; increasing the effectiveness of the provision of social services through the study of needs at the individual level and within individual administrative-territorial units; introduction of quality improvement technologies, including monitoring, evaluation and control.

scholarly journals Continuation of a labour activity atold age: problems and solutions

2021 ◽  
pp. 49-60
Author(s):  
N.O. Prokopenko ◽  
Keyword(s):  
Mortality Rate ◽  
Elderly People ◽  
Old Age ◽  
High Mortality ◽  
Social Problems ◽  
The Elderly ◽  
Replacement Rate ◽  
Positive Image ◽  
Problems And Solutions ◽  
Working Age

The demographic, legal, and social problems of the employment of older and elderly people in the professional and business sphere are dealt with in the article. It is shown, that in Germany, Russia, and Ukraine decline of the birth rates, started in early 60s of the last century, has led to a significant decrease in the potential replacement rate and the demographic support one. This fact, as well as a high mortality rate at the working age, became the main reasons for the reduction in the numbers of labour resources. Under these conditions, a use of the labour of the pensioners is one of possible strategies in the solution of the problem of labour resources. In this regard, the problems of pension legislation and labour one in relation to the elderly have been analysed. The urgent need of the formation of a new, positive image of old age in society is shown.

scholarly journals The future of aging: Directions of development of social protection of the elderly in the community

2010 ◽  
pp. 187-197
Author(s):  
Biljana Maricic
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Social Protection ◽  
Local Community ◽  
Long Term Care ◽  
Aging Population ◽  
The Elderly ◽  
Modern World ◽  
Term Care

Modern world is confronted with the fact that population is getting older, which become a personal, family and social problem. Changes in the socio-demographic structure of the population (aging population, the raising of the life-span, low birth rates, changes in family) produce many difficulties and problems, the present challenges and create directions of services development of long-term care for the elderly in the local community. Comprehensive framework consists of several questions which the author finds important for the relevant areas of interest: demographic trends and aging of population; needs and quality of life of elderly people in the local community; social protection of elderly people in the local community - a modern sustainable integrated model in Temerin and beyond; possible directions for the development of long-term care and protection in the local community; importance, challenges and risks of sustainability of social services in the community. Aging population and its increasing in the population requires a new strategic planning, professions and profiles, programs and services, housing for the elderly and other possible directions of action and activities in the local community. .

scholarly journals Prevalence of oral cancer self-examination among elderly people treated under Brazil's Unified Health System: household health survey

2015 ◽  
Vol 20 (4) ◽  
pp. 1085-1098 ◽  
Author(s):  
Andréa Maria Eleutério de Barros Lima Martins ◽  
João Gabriel Silva Souza ◽  
Desireé Sant'Ana Haikal ◽  
Alfredo Maurício Batista de Paula ◽  
Efigênia Ferreira e Ferreira ◽  
...  
Keyword(s):  
Public Health ◽  
Oral Cancer ◽  
Health System ◽  
Elderly People ◽  
Dental Treatment ◽  
The Elderly ◽  
Dental Services ◽  
Unified Health System ◽  
Removable Dental Prosthesis ◽  
Self Examination

The aim of this study was to examine the prevalence of oral cancer self-examinationamong the elderly and confirm whether prevalence was higher among users of the dental services provided by Brazil's Unified Health System (SUS, acronym in Portuguese). A transversal study of elderly people aged between 65 and 74 years living in a large-sized Brazilian municipality was conducted using simple random sampling. Logistic regression was conducted and results were corrected for sample design and unequal weighting using the SPSS(r) software. The study assessed 740 individuals. A total of 492 met the inclusion criteria, of which 101 (22.4%) reported having performed an oral cancer self-examination. Prevalence was higher among users of the dental services provided by the SUS, higher-income individuals, people with higher levels of education, individuals that used a removable dental prosthesis, and people who had not experienced discomfort attributed to oral condition, and lower among people who sought regular and periodic dental treatment and individuals who did not have a drinking habit. This type of self-care should be encouraged by public health policies which respond to the needs of the elderly, with emphasis on users of private and philanthropic services, and other services outside the public health network.

scholarly journals Law enforcement practices of employment of elderly people in the modern society context

2021 ◽  
Vol 118 ◽  
pp. 04019
Author(s):  
Elena Nikolaevna Kasarkina ◽  
Alena Aleksandrovna Antipova
Keyword(s):  
Labour Market ◽  
Elderly People ◽  
Research Methods ◽  
Social Protection ◽  
Modern Society ◽  
The Elderly ◽  
Social Progress ◽  
Retirement Age ◽  
Main Research ◽  
Quantitative And Qualitative Research

Research objective is to study the position of elderly people in the labour market in the modern society context and highlight trends in the social protection of their interests in the field of labour. The paper used both quantitative and qualitative research methods. Such research methods as analysis, synthesis, interpretation, structural-functional approach, classification, typology, grouping, generalisation and interpretation of the information received were chosen. The main research method was the method of a pilot questionnaire survey of older people, as well as a comparison of the author’s research data with empirical research on the problem in question. The research resulted in conclusions from the analysis of the elderly people employment problem in the context of the legislative reform of raising the retirement age and the tendency for the demand for elderly people employment as an objective necessity. The authors believe that society is interested in active longevity and cannot develop if it does not consider the employment of elderly people as a social progress indicator. The scientific novelty of the research is the relevance of the new concept “unemployed elderly” in the context of modern society is argued; highlighted are the contradictions in solving the elderly people problems in the labour market associated with the need to increase the retirement age; the author’s vision of the factors contributing to the labour activities of elderly people is presented; the advantages of the labour potential of elderly people are highlighted.

scholarly journals ENSURING THE WELL-BEING OF THE ELDERLY: REVISITING THE ROLE AND ADEQUACY OF SOCIAL PROTECTION SCHEMES IN MALAYSIA AND THE PHILIPPINES

2020 ◽  
Author(s):  
Mohammad Abu Taher ◽  
Siti Zaharah Jamaluddin ◽  
Jal Zabdi Mohd Yusoff ◽  
Zulazhar Tahir ◽  
Sridevi Thambapillay
Keyword(s):  
Elderly People ◽  
Social Protection ◽  
Well Being ◽  
The Elderly ◽  
The Philippines ◽  
Asian Countries ◽  
The Poor ◽  
Working Age ◽  
Protection Mechanisms ◽  
Southeast Asian Countries

Globally, social protection schemes are considered as effective tools in ensuring the well-being of the poor, disempowered and otherwise marginalised people of society. It is applicable in cases of elderly people who are comparatively vulnerable due to their old age, and at times poverty or the lack of financial security.The proportion of elderly people in poverty is higher than that in the working age population, indicating the increasing likelihood of people falling into poverty as they leave or retire from the workforce. Therefore, one way of addressing poverty among the elderly is through social protection mechanisms. Malaysia and the Philippines are two Southeast Asian countries on their way to becoming ageing nations. As such, both these countries have already adopted numerous social protection schemes to ensure the well-being of the marginalised segments of society, including the elderly. Thus, based on existing literature, this paper is an attempt to revisit and re-examine the role and adequacy of existing social protection schemes available in Malaysia and the Philippines.

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