소비자의 노후 간병비 관련 인식과 노후 간병비 준비에 관한 연구(Study on the Consumer's Perception and Financial Preparation for Care Costs for the Elderly)

2019 ◽  
Author(s):  
Ji Hyun Kim ◽  
Hyuncha Choe
Keyword(s):  
The Elderly ◽  
Financial Preparation ◽  
Care Costs ◽  
Consumer's Perception

scholarly journals Characteristics and Risk Factors of Recurrent Epistaxis in Geriatric Patients

2021 ◽  
Vol 64 (8) ◽  
pp. 548-553
Author(s):  
So Jeong Kim ◽  
So Jeong Lee ◽  
Yu Jin Go ◽  
Sohl Park ◽  
Jung Ho Bae
Keyword(s):  
Risk Factors ◽  
Initial Treatment ◽  
The Elderly ◽  
Treatment Method ◽  
Recurrent Epistaxis ◽  
Group A ◽  
Ed Visits ◽  
Group B ◽  
Care Costs ◽  
Precise Area

Background and Objectives Recurrent epistaxis requiring emergency department (ED) visits results in increased morbidity in the elderly and associated with high health care costs. This study is to analyze the frequency and characteristics of epistaxis patients in the elderly and to find out the risk factors and effective treatment for recurrent epistaxis. Subjects and Method We studied retrospectively the clinical cases of 977 emergency patients and 155 patients, aged over 65, for the treatment of epistaxis during the last 10 years from January 2008 to January 2018. The group A, comprised of 95 patients (68.29%), was treated with an initial treatment. The group B, which comprised of 60 patients (38.71%), visited for re-bleeding following an initial treatment. Results Patients made 2 to 10 ED visits due to re-bleeding and 32 of the 60 patients (53.5%) visited twice. The electrocauterization was the most common (61.7%) for treatment method during rebleeding, followed by posterior packing (18.3%). The factors that increases the risk of recurrent epistaxis are anticoagulants, posterior epistaxis, anterior packing, inefficient ED packing. There was no correlation between comorbidities and rebleeding. Conclusion Accurate medical history taking of anticoagulants may enable personnel to provide more effective management of these patients. The most important factors in the failure of primary care were not being able to find the precise area of bleeding and ineffective packing during the initial treatment. Therefore, it is important that we must carefully check the areas using the endoscope to decrease the failure of initial treatment of epistaxis.

scholarly journals Profile of drug spend among elderly individuals from different socioeconomic groups

2016 ◽  
Vol 19 (4) ◽  
pp. 591-601 ◽  
Author(s):  
Christiane de Fátima Colet ◽  
Paulo Eduardo Mayorga Borges ◽  
Tânia Alves Amador
Keyword(s):  
Social Class ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Socioeconomic Groups ◽  
Class A ◽  
The Difference ◽  
The Cost ◽  
Care Costs

Abstract The increase in the elderly population is associated with increased health care costs. The objective of the present study was to describe the results of research conducted in groups of elderly persons from different socioeconomic classes in Porto Alegre in the state of Rio Grande do Sul, and to compare the drugs spending profiles of different groups. A cross-sectional study was performed using a sample of individuals aged 60 years or older who participated in community groups. Analysis of variance (ANOVA) and the Tukey test were used to analyze the difference in costs of drugs among different socioeconomic classes. A total of 225 seniors were interviewed and females were predominant in all classes. The most common chronic diseases included hypertension, which occurred in 21.0%, 36.0% and 38.0% of elderly persons in social classes A, C and E, respectively. The average number of medications was 5.34 (±2.64) in social class A, 4.07 (±2.73) in social class C and 4.28 (±2.39) in social class E. The share of household income spent on medication for elderly persons in classes A, C and E was 4.0%, 5.7% and 10.0%, respectively. The drugs with the highest monthly cost for each patient in class A, C and E, respectively, were antipsychotic and anti-Parkinson's medication, diabetes medicine, and medication for the treatment of bone disease. It was concluded that there are specific differences in the cost and expenses incurred on spending on medication for the elderly of different socioeconomic classes.

scholarly journals Evaluating the Impact of a Risk Assessment System With Tailored Interventions in Germany: Protocol for a Prospective Study With Matched Controls (Preprint)

2019 ◽  
Author(s):  
Marten Pijl ◽  
Jorn op den Buijs ◽  
Andreas Landgraf
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Hospital Admissions ◽  
Intervention Group ◽  
Case Manager ◽  
The Elderly ◽  
Risk Scores ◽  
Care Utilization ◽  
Hospital Transport ◽  
Care Costs

BACKGROUND With a worldwide increase in the elderly population, and an associated increase in health care utilization and costs, preventing avoidable emergency department visits and hospitalizations is becoming a global priority. A personal emergency response system (PERS), consisting of an alarm button and a means to establish a live connection to a response center, can help the elderly live at home longer independently. Individual risk assessment through predictive modeling can help indicate what PERS subscribers are at elevated risk of hospital transport so that early intervention becomes possible. OBJECTIVE The aim is to evaluate whether the combination of risk scores determined through predictive modeling and targeted interventions offered by a case manager can result in a reduction of hospital admissions and health care costs for a population of German PERS subscribers. The primary outcome of the study is the difference between the number of hospitalizations in the intervention and matched control groups. METHODS As part of the Sicher Zuhause program, an intervention group of 500 PERS subscribers will be tracked for 8 months. During this period, risk scores will be determined daily by a predictive model of hospital transport, and at-risk participants may receive phone calls from a case manager who assesses the health status of the participant and recommends interventions. The health care utilization of the intervention group will be compared to a group of matched controls, retrospectively drawn from a population of PERS subscribers who receive no interventions. RESULTS Differences in health care utilization and costs between the intervention group and the matched controls will be determined based on reimbursement records. In addition, qualitative data will be collected on the participants’ satisfaction with the Sicher Zuhause program and utilization of the interventions offered as part of the program. CONCLUSIONS The study evaluation will offer insight into whether a combination of predictive analytics and case manager-driven interventions can help in avoiding hospital admissions and health care costs for PERS subscribers in Germany living at home independently. In the future, this may lead to improved quality of life and reduced medical costs for the population of the study. CLINICALTRIAL Deutsches Register Klinischer Studien (DRKS), DRKS00017328; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017328 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/17584

scholarly journals Prediction of the Number of and Care Costs for Disabled Elderly from 2020 to 2050: A Comparison between Urban and Rural Areas in China

2020 ◽  
Vol 12 (7) ◽  
pp. 2598 ◽  
Author(s):  
Liangwen Zhang ◽  
Sijia Fu ◽  
Ya Fang
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
The Elderly ◽  
Severe Disabilities ◽  
Term Care ◽  
The Sustainable Development ◽  
Global Challenge ◽  
Disabled Elderly ◽  
Urban And Rural Areas ◽  
Care Costs

An aging population and an increase in the proportion of elderly people who are disabled have created an unprecedented global challenge, especially in China. This study aimed to predict the number of, and the care costs for, disabled elderly from 2020 to 2050 in China. A comparison was made between urban and rural areas, and we analyzed what must be done to maintain the sustainable development of China’s long-term care insurance (LTCI) system. An overall simulation model and a Monte Carlo simulation were used to estimate the number of disabled elderly and their related care costs, in both urban and rural areas. According to the forecast, the total disabled population will increase rapidly, rising from 43.75 million in 2020 to 91.4 million in 2050. Of that total, 69.7% are expected to be urban elderly. Starting in 2020, the growth rates of the elderly with mild, moderate, and severe disabilities will be 108%, 104%, and 120%, respectively, by 2050. Accordingly, the total care costs will increase from 538.0 billion yuan in 2020 to 8530.8 billion yuan in 2050, of which 80.2% will be required in urban areas. In addition, the per capita costs of care in urban and rural areas in 2050 will be 6 times and 11 times higher than in 2020, respectively. The predicted results show that the number of disabled elderly and the related care costs will increase sharply from 2020 to 2050, especially the growth rate of the number of severely disabled elderly. This study provides strong evidence of the need for the establishment of a unified national LTCI system in China.

The rehabilitation of spinal pain in the elderly patient

2001 ◽  
Vol 11 (3) ◽  
pp. 277-283
Author(s):  
R Haigh
Keyword(s):  
Elderly Patient ◽  
Back Pain ◽  
The Elderly ◽  
Spinal Pain ◽  
Common Symptom ◽  
Working Population ◽  
The Third ◽  
Lower Back ◽  
Pain In The Elderly ◽  
Care Costs

Rehabilitation aims to reduce symptoms, restore function and minimize disability through an interventionist approach that is not always concerned with pathology, disease processes and cure. This approach will be described in the context of spinal pain in the elderly. The syndrome of lower back pain (LBP) is such a common symptom that it is an almost universal human experience. It is the third most commonly reported bodily symptom after headache and fatigue. In 1998, 40% adults were affected by an episode of LBP lasting more than a day, and 40% of those in pain sought medical help. The resources provided for research and clinical management of LBP are concentrated mainly on the working population. This is because of the profound biopsychosocial consequences and huge cost to society of the ‘back pain epidemic’. The direct health care costs of back pain have been estimated as £1632 million in 1998.

scholarly journals RETIREMENT FINANCIAL LITERACY LEVELS AMONG JAMAICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S580-S580
Author(s):  
Kayon Donaldson-Davis
Keyword(s):  
Social Status ◽  
Financial Literacy ◽  
Financial Distress ◽  
Financial Education ◽  
Well Being ◽  
The Elderly ◽  
Data Sets ◽  
Literacy Rate ◽  
Financial Preparation ◽  
Research Findings

Abstract Although the general literacy rate (ability to read and write at a 6th-grade level or higher) of Jamaicans is 89%, the number of people who are adequately prepared financially is not comparable. Dissertation research findings revealed that 52% (n=203) of respondents had not received any financial education. Approximately 71% of respondents who reported high levels of financial distress and low financial well-being, had not received financial information about retirement planning. Results from the 2012 Social Status on the Elderly in Jamaica showed that 60.5% (n=1,716) of respondents had no pension and of those receiving money from abroad, most (75.0%, n=813) indicated that they received it only occasionally. Those who were self-employed, women and rural residents were most likely not to have a pension. This paper describes financial literacy levels among Jamaicans using two separate data sets – the 2012 Social Status on the Elderly and the 2018 Financial Preparation Study.

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