scholarly journals ORGANIZATION OF MEDICAL AND SOCIAL CARE FOR THE ELDERLY AND SENILE POPULATION IN THE WORLD. ANALYTICAL REVIEW

2021 ◽  
Vol 67 (1) ◽  
pp. 8-8
Author(s):  
A.Sh. Senenko ◽  
◽  
T.V. Kaigorodova ◽  
A.B. Garmaeva ◽  
◽  
...  

Significance. Population aging is considered one of the characteristic features of the modern demographic processes. This is both a forecast for the future and a basis for setting goals for health systems. Thus, the 2008 analytical review of the WHO Regional Office for Europe says that the long-established type of the fragmented care needs to be replaced by a comprehensive and coordinated type of care [1]. It is logical that this phenomenon affects not only health care, but goals of the social services as well, and economic indicators in general. In this regard, many countries have been undertaking efforts to implement or improve long-term care. Purpose. To evaluate medical and social care organization for the elderly and senile population in the world on the basis of the content analysis. Material and methods. Content analysis of the World Health Organization documents on medical and social care organization for the elderly and senile population. A total of 212 documents have been analyzed, 54 out of them have been selected for the analysis including 38 WHO materials and 16 scientific publications on the topic. Selection criteria - the documents should contain sufficient information on medical and social care organization for the elderly and senile population. Results. Analysis of the selected documents and publications has identified an urgent need to develop a comprehensive system of medical and social care delivery for the elderly as a separate group of the population with its peculiar characteristics of the course of diseases, comorbidity, and the need for long-term care.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi-chang Chen ◽  
Keh-chung Lin ◽  
Chen-Jung Chen ◽  
Shu-Hui Yeh ◽  
Ay-Woan Pan ◽  
...  

Abstract Background Joint contractures, which affect activity, participation, and quality of life, are common complications of neurological conditions among elderly residents in long-term care facilities. This study examined the reliability and validity of the Chinese version of the PaArticular Scales in a population with joint contractures. Methods A cross-sectional study design was used. The sample included elderly residents older than 64 years with joint contractures in an important joint who had lived at one of 12 long-term care facilities in Taiwan for more than 6 months (N = 243). The Chinese version of the PaArticular Scales for joint contractures was generated from the English version through five stages: translation, review, back-translation, review by a panel of specialists, and a pretest. Test-retest reliability, internal consistency reliability, construct validity, and criterion validity were evaluated, and the results were compared with those for the World Health Organization Quality of Life scale and the World Health Organization Disability Assessment Schedule. Results The Chinese version of the PaArticular Scales had excellent reliability, with a Cronbach α coefficient of 0.975 (mean score, 28.98; standard deviation, 17.34). An exploratory factor analysis showed three factors and one factor with an eigenvalue > 1 that explained 75.176 and 62.83 % of the total variance in the Activity subscale and Participation subscale, respectively. The subscale-to-total scale correlation analysis showed Pearson correlation coefficients of 0.881 for the Activity subscale and 0.843 for the Participation subscale. Pearson’s product-moment correlation revealed that the correlation coefficient (r) between the Chinese version of the PaArticular Scales and the World Health Organization Disability Assessment Schedule was 0.770, whereas that for the World Health Organization Quality of Life scale was − 0.553; these values were interpreted as large coefficients. Conclusions The underlying theoretical model of the Chinese version of the PaArticular Scales functions well in Taiwan and has acceptable levels of reliability and validity. However, the Chinese version must be further tested for applicability and generalizability in future studies, preferably with a larger sample and in different clinical domains.


2021 ◽  
Author(s):  
Yi-Chang Chen ◽  
Keh-Chung Lin ◽  
Shu-Hui Yeh ◽  
Ay-Woan Pan ◽  
Hao-Ling Chen ◽  
...  

Abstract Background: Joint contractures, which affect activity, participation, and quality of life, are common complications of neurological conditions among elderly residents in long-term care facilities. The aim of this study is to examine the reliability and validity of the Chinese version of the PaArticular Scales in a population with joint contractures. Methods: A cross-sectional study design was used. The sample included elderly residents older than 64 years with joint contractures in an important joint who had lived at one of 12 long-term care facilities in Taiwan for more than 6 months (N = 243). The Chinese version of the PaArticular Scales of joint contractures was generated in 5 stages: translation, review, back-translation, review by a panel of specialists, and a pretest. Test-retest reliability, internal consistency reliability, construct validity, and criterion validity were evaluated, and the results were compared with those for the World Health Organization Quality of Life scale and the World Health Organization Disability Assessment Schedule.Results: The Chinese version of the PaArticular Scales had excellent reliability with a Cronbach’s α coefficient of .975 (M = 28.98; SD = 17.34). An exploratory factor analysis showed 3 factors and 1 factor with an eigenvalue > 1 that explained 75.176% and 62.83% of the total variance in the Activity subscale and Participation subscale, respectively. The subscale-to-total scale correlation analysis showed a Pearson correlation coefficient of .881 for the Activity subscale and .843 for the Participation subscale. Pearson’s product-moment correlation revealed that the correlation coefficient (r) between the Chinese version of the PaArticular Scales and the World Health Organization Disability Assessment Schedule was .770, and that for the World Health Organization Quality of Life scale was -.553; these values were interpreted as large coefficients. Conclusions: The underlying theoretical model of the Chinese version of the PaArticular Scales functions well in Taiwan, and it has acceptable levels of reliability and validity. However, the Chinese version needs to be further tested for applicability and generalizability in future studies, preferably with a larger sample and in different clinical domains.Trial registration: Chinese Clinical Trial Registry, ChiCTR2000030413. Registered 1 March 2020, http://www.chictr.org.cn/usercenter.aspx


2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  

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