Completing the Health System through Personal Care Benefits

1973 ◽  
Vol 4 (2) ◽  
pp. 157-165 ◽  
Author(s):  
Robert Morris
Keyword(s):  
Health System ◽  
The Elderly ◽  
Personal Care ◽  
Care Services ◽  
System A ◽  
Incomplete System ◽  
Disabled Elderly ◽  
The Disabled ◽  
Adequate Provision ◽  
Expenditure Pattern

Discussion about policy and programming for the elderly and disabled is frequently built around the cycle of prevention, treatment, and rehabilitation which leads to an incomplete system of health care for this population. Lack of adequate provision for the special maintenance required for the disabled elderly produces undesirable consequences in the prevailing medical system. A system of personal care benefits and personal care services is proposed as a means for completing the health system for more effective functioning. Approaches for structure and for stable, assured funding for such personal care support services are proposed which draw upon the principles of capitation prepayment. A change in the expenditure pattern of present appropriations is suggested as an alternative to additional expenditures.

scholarly journals Reduction of Neonatal Mortality Requires Strengthening of the Health System: A Situational Analysis of Neonatal Care Services in Ballabgarh

2017 ◽  
pp. fmw098
Author(s):  
Mudita Gosain ◽  
Akhil D. Goel ◽  
Pradeep Kharya ◽  
Ramesh Agarwal ◽  
Ritvik Amarchand ◽  
...  
Keyword(s):  
Health System ◽  
Neonatal Mortality ◽  
Neonatal Care ◽  
Situational Analysis ◽  
Care Services ◽  
System A

scholarly journals Use it or Lose it!

2021 ◽  
Author(s):  
◽  
Qiannan Li
Keyword(s):  
Life Experience ◽  
Healthy Lifestyle ◽  
Significant Proportion ◽  
The Elderly ◽  
Outdoor Environment ◽  
Physical And Mental Health ◽  
Mobility Impairments ◽  
Disabled Elderly ◽  
The Disabled

<p>In the foreseeable future, the elderly will make up a significant proportion of New Zealand’s population. The relationship between ageing and disability means the disabled population is expected to increase as the population ages. Physical disabilities especially mobility impairments have adverse impacts on the life experience of elderly people. The outdoor environment contributes to the physical and mental health of ageing people and can provide the opportunities to enhance their quality of life. This thesis explores the concept of a rehabilitative landscape design at Kenepuru Community Hospital. The design aims to improve and maintain mobility during the ageing process, and potentially provide feedback which will motivate the ageing to continue a healthy lifestyle. The thesis concludes that the “disabled” elderly and their community gain a better life experience while reconnecting with a strategically designed outdoor environment.</p>

scholarly journals Review of evolution of the public long-term care insurance (LTCI) system in different countries: influence and challenge

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linhong Chen ◽  
Lu Zhang ◽  
Xiaocang Xu
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
The Public ◽  
Disabled Elderly ◽  
The Disabled ◽  
Long Term Care Insurance ◽  
The Relationship

Abstract Background The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (China Statistical Yearbook,2019), the elderly aged 65 or above has reached 167 million in 2018, and the number of disabled elderly is as high as 54%. Germany and other countries have alleviated the crisis by promoting the public LTCI (Long-Term Care Insurance) system since the 1990s, while China’s public LTCI system formal pilot only started in 2016. Therefore, the development of the public LTCI system has gradually become a hot topic for scholars in various countries, including China. Methods This review has been systematically sorted the existing related literature to discuss the development of public LTCI (Long-Term Care Insurance)system form four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, challenge of public LTCI, and the relationship between public LTCI and private LTCI. We searched some databases including Web of Science Core Collection, Medline, SCOPUS, EBSCO, EMBASE, ProQuest and PubMed from January 2008 to September 2020. The quality of 38 quantitative and 21 qualitative articles was evaluated using the CASP(Critical Appraisal Skills Programme) critical evaluation checklist. Results The review systematically examines the development of public LTCI system from four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, the challenge of public LTCI, and the relationship between public LTCI and private LTCI. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion Some policy implications on the future development of China’s LTCI system can be obtained. For example, the government should fully consider the constraints such as price rise, the elderly disability rate, and the substantial economic burden. It also can strengthen the effective combination of public LTCI and private LTCI. It does not only help to expand the space for its theoretical research but also to learn the experiences in the practice of the LTCI system in various countries around the world. It will significantly help the smooth development and further promote the in-depth reform of the LTCI system in China.

Hospital-based palliative care

2015 ◽  
pp. 20-57
Author(s):  
Patricia Maani-Fogelman ◽  
Marie A. Bakitas
Keyword(s):  
Palliative Care ◽  
Chronic Illness ◽  
Health System ◽  
The Elderly ◽  
Healthcare Systems ◽  
Life Care ◽  
Care Continuum ◽  
Care Services ◽  
System P ◽  
Palliative Care Services

The structure, clinical processes, and measurement of outcomes of specialized palliative and hospice services, organized as hospital-based palliative care (HBPC) programs, have grown in sophistication in response to documented, poor end-of-life care; growth of the elderly and advanced, chronic illness populations; and documented successes of pilot and maturing clinical palliative care programs. Standards, guidelines, and other resources are now available to assist health systems to develop, sustain, or expand palliative care services for persons of all ages and stages of illness, along the entire care continuum. All hospitals and healthcare systems should develop palliative care services that are consistent with these standards and the mission, size, and scope of the health system.

Clinical governance in the Irish health system – a review of progress

2014 ◽  
Vol 19 (4) ◽  
pp. 296-313 ◽  
Author(s):  
Eilish McAuliffe
Keyword(s):  
Health System ◽  
Clinical Governance ◽  
Healthcare Management ◽  
Reform Process ◽  
Content Type ◽  
Care Services ◽  
System A ◽  
Primary Care Services ◽  
Patient Groups ◽  
Why Questions

Purpose – The purpose of this paper is to explain the path that the Irish health system has taken towards achieving good clinical governance, exploring the historical influences on its’ development, some of the major initiatives that have been implemented and the obstacles that have been encountered. Design/methodology/approach – The paper draws on the author's experience researching and teaching in health systems and healthcare management. Findings – The paper offers some explanations for why earlier attempts failed to change the system as well as why recent attempts have met with more success. Greater efforts need to be made to progress clinical governance in the primary care services. In addition it is argued that there is a need to institute systems that enable learning form errors, to involve the public and patient groups and to invest in research that enables answers to the how and why questions that are so often neglected in the reform process. Originality/value – The paper discusses clinical governance in the Irish Health system and identifies some of the challenges yet to be addressed, many of which are common to clinical governance efforts in other jurisdictions.

scholarly journals Methods of assessing the health and social status of elderly disabled persons

2016 ◽  
Vol 19 (3) ◽  
pp. 164-167
Author(s):  
Marina A. Shurgaya
Keyword(s):  
Social Status ◽  
Social Protection ◽  
Elderly Person ◽  
The Elderly ◽  
Disabled Persons ◽  
Disabled Elderly ◽  
Vocational Competence ◽  
The Disabled ◽  
Speed Up ◽  
Health Institutions

Execution of documentation is an essential component of the vocational work of experts engaged in the provision of medical and social assistance to the disabled, from the clinical diagnostic to rehabilitation. In the article there is presented the questionnaire of the assessment of health and social status of the elderly disabled person, which allows to reflect the existence of violations of the functions and limitations of life activity, the degree of their severity, needs in certain types of rehabilitation, including with the use of technical means of compensation of disturbedfunctions. This type of documentation allows to reduce (speed up) the time on the execution and to increase the level of the vocational competence of the professionals engaged in medical and social activities as well in health institutions as social protection institutions. With properfilling ofpreprinted forms (layout, template) it will be received medical and social portrait ofa disabled elderly person. Questionnaire can also be used in execution ofscientific research.

scholarly journals Critical Care in the Military Health System: A Survey-Based Summary of Critical Care Services

2018 ◽  
Vol 183 (11-12) ◽  
pp. e471-e477 ◽  
Author(s):  
Jason J Nam ◽  
Christopher J Colombo ◽  
Cristin A Mount ◽  
Elizabeth A Mann-Salinas ◽  
Ferdinand Bacomo ◽  
...  
Keyword(s):  
Critical Care ◽  
Health System ◽  
Military Health System ◽  
Military Health ◽  
Care Services ◽  
System A ◽  
The Military

Health Care Facilities for the Elderly in Japan

1985 ◽  
Vol 15 (4) ◽  
pp. 677-697 ◽  
Author(s):  
Timothy L. Lawrence
Keyword(s):  
United States ◽  
Social Welfare ◽  
The Elderly ◽  
Home Care Services ◽  
The United States ◽  
Health Care Facilities ◽  
Short Supply ◽  
Care Services ◽  
Disabled Elderly ◽  
Expanding Population

North America and Europe have been struggling with increasing elderly populations needing medical and personal care. Japan also has suddenly found itself faced with a rapidly expanding population of sick and disabled old people. Japan, however, has witnessed this dramatic increase in its aged population proceed at a rate almost twice that of any other industrialized nation. The very suddenness of the emergence of such a top-heavy population and the equally sudden changes in the family structure have placed great stresses on both the medical and social welfare systems of Japan. This study is, then, of the present state of facilities for the care of the elderly in Japan. As the United States is now grappling with the sheer bulk of its own Social Security and Medicare plans, this article casts a light for comparison on the care of the elderly in Japan. In Japan, as in the United States, major concerns focus on the short supply of trained personnel and the mushrooming costs of care. Moreover, the dependence of the Japanese medical system on the hospital has made some hospitals into warehouses for sick or disabled elderly, while not providing enough support for the elderly to remain active at home. Japan should carefully consider, therefore, diverting some funds from medical and hospital care to social welfare facilities and home care services.

ADVANCING PALLIATIVE CARE IN THE UGANDA HEALTH SYSTEM: AN EVIDENCE-BASED POLICY BRIEF

2014 ◽  
Vol 30 (6) ◽  
pp. 621-625 ◽  
Author(s):  
Harriet Nabudere ◽  
Ekwaro Obuku ◽  
Mohammed Lamorde
Keyword(s):  
Palliative Care ◽  
Health System ◽  
Discharge Planning ◽  
Scale Up ◽  
National Health System ◽  
Care Services ◽  
System A ◽  
Home Based ◽  
Government Documents ◽  
Acute Care Services

Objectives: This paper describes the development and findings for a policy brief on “Advancing the Integration of Palliative Care into the National Health System” and the subsequent use of this report.Methods: Key stakeholders involved with palliative care helped identify the problem and potential policy solutions to scale up these services within the health system. A working group of national stakeholder representatives and external reviewers commented on and contributed to successive drafts of the report. Research describing the problem, policy options and implementation considerations was identified by reviewing government documents, routinely collected data, electronic literature searches, contact with key informants, and reviewing the reference lists of relevant documents that were retrieved.Results: The palliative burden is not only high but increasing due to the rise in population and life expectancy. A few options for holistic, supportive care include: Home-based care increases chances of a peaceful death for the terminally ill surrounded by their loved ones; supporting informal caregivers improves their quality of life and discharge planning reduces unscheduled admissions and has the potential to free up capacity for acute care services. A combination of strategies is needed to effectively implement the proposed options as discussed further in this article.Conclusions: The policy brief report was used as a background document for two stakeholder dialogues whose main outcome was that a comprehensive national palliative care policy should be instituted to include all the options, which need to be integrated within the public health system. A draft policy is now in process.

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