scholarly journals Health Care Services and the Elderly: Utilization and Satisfaction in the Aftermath of the Turkish Health Transformation Program

2019 ◽  
Vol 5 ◽  
pp. 233372141882286
Author(s):  
Asena Caner ◽  
Seyit Mumin Cilasun
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Unmet Need ◽  
The Elderly ◽  
Data Sets ◽  
Care Needs ◽  
Future Health ◽  
Future Health Care ◽  
Nationally Representative ◽  
Using Data

With the implementation of the health transformation program, Turkey has gone through substantial changes in its health system in the last decade. This study relies on two nationally representative data sets to investigate health service utilization and satisfaction of the elderly. In particular, it examines the share of elderly who have an unmet need for medical care and who could not afford a medical examination or treatment over the years 2006 to 2015, using data from the Turkish Survey of Income and Living Conditions. It also examines the utilization of health services and satisfaction from these services by the elderly in years 2004 to 2015 using data from the Turkish Life Satisfaction Survey. This study finds that utilization has increased and, coinciding with the introduction of the family medicine system, the percentage of patients choosing primary care facilities has increased. The share of the elderly with unmet need and those who could not afford health care have declined. Notwithstanding, overall satisfaction increased only until 2011-2012. Understanding the utilization and satisfaction of the elderly is important, because along with many other countries, the population is aging in Turkey. In the near future, health care needs of the elderly will have a higher priority on the agenda of policy makers.

scholarly journals Health and healthcare in the year 2040 – Facts for planning a complex and uncertain future

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Funk ◽  
B Forsberg
Keyword(s):  
Health Care ◽  
Burden Of Disease ◽  
Health Care Services ◽  
Disease Burden ◽  
Health Planning ◽  
Health Care Planning ◽  
Care Needs ◽  
Future Health ◽  
Care Services ◽  
Future Health Care

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.

scholarly journals Disability Forecasts and Future Medicare Costs

2004 ◽  
Vol 7 (1) ◽  
Author(s):  
Jayanta Bhattacharya ◽  
David M. Cutler ◽  
Dana P. Goldman ◽  
Michael D. Hurd ◽  
Geoffrey F. Joyce ◽  
...  
Keyword(s):  
Health Care ◽  
Good Reason ◽  
The Elderly ◽  
Data Sets ◽  
Future Health ◽  
Chronic Disability ◽  
Future Health Care ◽  
Per Capita ◽  
Medicare Costs ◽  
Disability Research

The traditional focus of disability research has been on the elderly, with good reason. Chronic disability is much more prevalent among the elderly, and it has a more direct impact on the demand for medical care. It is also important to understand trends in disability among the young, however, particularly if these trends diverge from those among the elderly. These trends could have serious implications for future health care spending because more disability at younger ages almost certainlytranslates into more disability among tomorrow’s elderly, and disability is a key predictor of health care spending.Using data from the Medicare Current Beneficiary Survey (MCBS) and the National Health Interview Study (NHIS), we forecast that per-capita Medicare costs will decline for the next fifteen to twenty years, in accordance with recent projections of declining disability among the elderly. By 2020, however, the trend reverses. Per-capita costs begin to rise due to growth in disability among the younger elderly. Total costs may well remain relatively flat until 2010 and then begin to rise because per-capita costs will cease to decline rapidly enough to offset the influx of new elderly people. Overall, cost forecasts for the elderly that incorporate information about disability among today’s younger generations yield more pessimistic scenarios than those based solely on elderly data sets, and this information should be incorporated into official Medicare forecasts.

Measuring reopening readiness: a universal COVID-19 index for US states

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eunju Suh ◽  
Mahdi Alhaery
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Future Health ◽  
Content Type ◽  
Counter Measures ◽  
Care Services ◽  
Future Health Care ◽  
Pandemic Severity ◽  
Occupancy Rates ◽  
Bed Occupancy Rates

PurposeWhile United States is among countries with the world’s highest coronavirus infections, its approaches and policies to reopen the economy vary by state. A lack of objective criteria and monitoring toward satisfying the criteria can lead to another COVID-19 outbreak and business closures. Considering the pressing need to return to normalcy without a rebound of COVID-19 infections and deaths, an index that provides a data-driven and objective insight is urgently needed. Hence, a method was devised to assess the severity of the COVID-19 pandemic and determine the degree of progress any state has made in containing the spread of COVID-19.Design/methodology/approachUsing measures such as the weekly averages of daily new deaths, ICU bed occupancy rates, positive cases and test positivity rates, two indexes were developed: COVID-19 reopening readiness and severity.FindingsA clear difference in the pandemic severity trends can be observed between states, which is possibly due to the disparity in the state’s response to coronavirus. A sharp upward trend in index values requires caution prior to moving to the next phase of reopening.Originality/valueThe composite indexes advanced in this study will provide a universal, standardized and unbiased view of each state’s readiness to reopen and allow comparisons between states. This in turn can help governments and health-care agencies take counter measures if needed as to the anticipated demand for future health-care services and minimize adverse consequences of opening.

scholarly journals Changes in medical education to help physicians meet future health care needs

2017 ◽  
Vol 206 (9) ◽  
pp. 378-379 ◽  
Author(s):  
Judith N Hudson ◽  
Kathryn M Weston ◽  
Elizabeth A Farmer
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Care Needs ◽  
Care Needs ◽  
Future Health ◽  
Future Health Care

scholarly journals Linking General Internal Medicine Residency Training to Human Resource Needs and Roles in a Changing Health Landscape

2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Lindsey Anderson ◽  
Heather A. Ward ◽  
Sharon E. Card
Keyword(s):  
Internal Medicine ◽  
Health Care ◽  
General Internal Medicine ◽  
Scope Of Practice ◽  
Care Needs ◽  
Future Health ◽  
Health Care Workforce ◽  
General Internal ◽  
Resource Needs ◽  
Future Health Care

Recently, there have been frequent calls for more generalists in the health care system, including General Internal Medicine (GIM). At the same time, the Royal College of Physicians and Surgeons has published a report on unemployed and underemployed specialists throughout Canada. GIM residency programs aim to ensure all graduates have future employment positions that will benefit Canadians. However, there is currently little linkage between the educational and healthcare systems in terms of utilizing future health care needs to inform postgraduate training. There is a lack of consensus on how to plan future health care workforce needs. There is, however, consensus that this is important for both the population and for future physicians. Predictions must also take into account context, such as Saskatchewan's significantly rural and aboriginal population. Difficulties in health care workforce planning include economic factors, differences in physician scope of practice, and regional variations in scope of practice. To fully prepare graduates for both core GIM competencies and competencies tailored to their future practice, it is necessary for us to understand the range of scope of GIM practice in Saskatchewan. It is crucial to understand both current and anticipated perceived scopes of practice and practice opportunities for General Internists in order to plan physician resource needs and the required educational resources.

Following the Money

2020 ◽  
Vol 48 (3) ◽  
pp. 434-442 ◽  
Author(s):  
William M. Sage ◽  
Timothy M. Westmoreland
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Insurance ◽  
Affordable Care Act ◽  
Health Care Services ◽  
Future Health ◽  
Care Services ◽  
Policies And Procedures ◽  
Future Health Care ◽  
Health Returns

It is no exaggeration to say that American health policy is frequently subordinated to budgetary policies and procedures. The Affordable Care Act (ACA) was undeniably ambitious, reaching health care services and underlying health as well as health insurance. Yet fiscal politics determined the ACA’s design and guided its implementation, as well as sometimes assisting and sometimes constraining efforts to repeal or replace it. In particular, the ACA’s vulnerability to litigation has been the price its drafters paid in exchange for fiscal-political acceptability. Future health care reformers should consider whether the nation is well served by perpetuating such an artificial relationship between financial commitments and health returns.

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