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.

Medicaid Policy Statement

PEDIATRICS ◽  
1994 ◽  
Vol 93 (1) ◽  
pp. 135-136
Author(s):  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Policy Statement ◽  
Medicaid Program ◽  
Term Care ◽  
Care Services ◽  
Access To Health ◽  
Children First ◽  
Poor Children

The American Academy of Pediatrics recognizes the achievements of the Medicaid program in improving access to health care services for poor children. Despite recent legislative expansions to extend eligibility to more poor and disabled children and to broaden the scope of preventive and treatment services in all states, several additional program improvements are needed to eliminate the following barriers to access: 1. Federal and state fiscal crises are creating major roadblocks to Medicaid program implementation and expansion. 2. Thousands of poor children will not be eligible for Medicaid until October 1, 2001.1 3. Only a portion of those who are potentially eligible for Medicaid apply for coverage, and many eligible children do not utilize services. 4. Fewer Medicaid funds are available for primary and preventive care because of the increasing need for long-term care services. 5. Early and periodic screening, diagnosis and treatment (EPSDT)/preventive health services are being received by too few children and the implementation of expanded service coverage under EPSDT, granted in 1989, is subject to a great deal of inconsistent state interpretation. 6. Inadequate provider reimbursement reduces children's access to health care services. The Academy has developed the "Children First" proposal which calls for the elimination of Medicaid and replaces it with a one-class, private insurance system of universal access to health care for all children through age 21 and for all pregnant women.2 However, until the "Children First" proposal, or a similar health care reform initiative is implemented, the Academy recommends the following policy actions to improve the current Medicaid program.

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 Prison Health as Public Health in Ontario Corrections

2020 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Yoko Murphy ◽  
Howard Sapers
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Needs ◽  
Term Care ◽  
Care Services ◽  
Prison Health ◽  
Independent Review ◽  
Recent Reform ◽  
The Government

The majority of incarcerated individuals in Canada, and especially in Ontario provincial correctional institutions, are released into the community after a short duration in custody. Adult correctional populations have generally poor health, including a heightened prevalence of mental health and substance use disorders. There are legal and ethical obligations to address health care needs of incarcerated individuals, and also public health benefits from ensuring adequate, appropriate, and accessible health services to individuals in custody. The Independent Review of Ontario Corrections recommended the transformation of health care in Ontario provincial corrections in 2017, including transferring health service responsibilities to the Ministry of Health and Long-Term Care. The Correctional Services and Reintegration Act, 2018, would affirm the provincial government’s obligation to provide patient-centred, equitable health care services for individuals in custody. We encourage the Government of Ontario to proclaim the Act and continue the momentum of recent reform efforts in Ontario.

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 Pflegebedürftigkeit in Deutschland

2020 ◽  
pp. 239-277
Author(s):  
Sören Matzk ◽  
Chrysanthi Tsiasioti ◽  
Susann Behrendt ◽  
Kathrin Jürchott ◽  
Antje Schwinger
Keyword(s):  
Health Care Services ◽  
Long Term Care ◽  
Age Group ◽  
Health Insurance Data ◽  
Term Care ◽  
Health Service Provision ◽  
Need Of Care ◽  
Care Services ◽  
Insurance Data

Zusammenfassung Zusammenfassung Der Beitrag liefert ein ausführliches Bild zum Stand der Pflegebedürftigkeit und der gesundheitlichen Versorgung der Pflegebedürftigen in Deutschland. Die Analysen basieren auf GKV-standardisierten AOK-Daten. Sie zeigen Prävalenz, Verläufe und Versorgungsformen der Pflege sowie Kennzahlen zur gesundheitlichen Versorgung der Pflegebedürftigen. Im Fokus stehen die Inanspruchnahme von ärztlichen und stationären Leistungen, Polymedikation und Verordnungen von PRISCUS-Wirkstoffen und Psychopharmaka. Die Ergebnisse werden der Versorgung der Nicht-Pflegebedürftigen gleichen Alters gegenübergestellt und differenziert nach Schwere der Pflegebedürftigkeit und Versorgungssetting ausgewiesen. The article provides empirical insights on the scope and state of long-term care services in Germany. This includes health service provision for persons in need of care. The article lays out key figures regarding the prevalence, pathways and forms of care based on standardised AOK statutory health insurance data. An additional focus lies on the use of out- and inpatient health care services as well as on polypharmacy and prescriptions of PRISCUS medication and psychotropic drugs. Findings are contrasted with data on members of the same age group who are not in need of care and discussed in relation to the severity of the need of care and the care provision setting.

scholarly journals Care services for frail older people in South Korea

2001 ◽  
Vol 21 (6) ◽  
pp. 701-720 ◽  
Author(s):  
KYEUNG MI OH ◽  
ANTHONY M. WARNES
Keyword(s):  
South Korea ◽  
Older People ◽  
Social Services ◽  
Standards Of Care ◽  
Frail Older People ◽  
Term Care ◽  
Social Transformations ◽  
Health And Social Services ◽  
Care Services ◽  
The Rich

This paper examines the changed social circumstances of older people in South Korea and specifically the increased need for formal health and social services for those who are frail and have no informal carers. The article begins with a summary account of the country's exceptionally rapid demographic, economic and social transformations, which demonstrates a widening gap between the population's expectations and needs, and health and social service provision. It then examines the recently initiated and now burgeoning welfare programmes, with particular attention to health and social services for sick and frail older people. Most extant care services are accessed mainly by two minorities: the very poor and the rich. The dominant policy influence of physicians and a history of conflict between traditional and western medicine probably underlies the low current priority for ‘care’ as opposed to ‘cure’, as also for the management of chronic conditions and rehabilitation. Neither long-term care services nor personal social services are well developed. There is a marked disparity between the acute services, which are predominantly provided by private sector organisations in a highly competitive market and broadly achieve high standards, and public primary care and rudimentary residential services. The latter are weakly regulated and there are many instances of low standards of care.

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