scholarly journals Health, Poverty and the Elderly: Can the Courts Make a Difference

1969 ◽  
pp. 839 ◽  
Author(s):  
Margaret A. Shone
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The Elderly ◽  
Elderly Persons ◽  
Law And Policy ◽  
Long Run ◽  
Universal Health Care System ◽  
The Relationship ◽  
Universal Health ◽  
Care System

This article analyzes the relationship among health, poverty and the elderly and provides a basis for understanding the problems facing the aging population. The author suggests that the existing universal health care system in Canada has serious limitations in ameliorating these problems. She proposes that a combination of strategies such as improving the financial position of the elderly poor, reallocating health care resources from hospital to community care, and assisting elderly poor to exercise their rights could remedy shortcomings in our health care system. The courts can play a role in ameliorating the harsh effects of law and policy on elderly persons experiencing poverty and failing health. However, the author cautions that in the long run it is governments that must provide educational and remedial measures to address the root causes of these problems.

scholarly journals The effect of centralization on short term outcomes of pancreatoduodenectomy in a universal health care system

HPB ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 319-327 ◽  
Author(s):  
Linn S. Nymo ◽  
Kjetil Søreide ◽  
Dyre Kleive ◽  
Frank Olsen ◽  
Kristoffer Lassen
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Universal Health Care ◽  
Short Term ◽  
Universal Health Care System ◽  
Universal Health ◽  
Care System

Stratification and “Universality”

2017 ◽  
Author(s):  
Tiffany D. Joseph
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Low Income ◽  
Health Care Professionals ◽  
State Level ◽  
Universal Health Care System ◽  
Documentation Status ◽  
Health Organization ◽  
Universal Health ◽  
Care System

Tiffany D. Joseph’s chapter examines how stratification of access by immigration status effectively undermined a “universal” health policy. While the ACA only extended coverage to U.S. citizens and eligible documented immigrants, Massachusetts pursued a universal health care system at the state level and offered coverage to all residents, regardless of documentation status. Despite this policy that aimed for inclusion, immigrants in Massachusetts were still more likely than non-immigrants to remain uninsured. Joseph interviewed Brazilian and Dominican immigrants, health care professionals, and immigrant/health organization employees to find out why immigrants remained uninsured. She identified immigration-related, health care system, and bureaucratic barriers that prevented individuals from effectively accessing care. Massachusetts serves as both a model and a cautionary tale for ACA implementation, with barriers exacerbated for immigrant, low-income, and minority populations.

Material deprivation and access to cancer care in a universal health care system

Cancer ◽  
2020 ◽  
Vol 126 (20) ◽  
pp. 4545-4552
Author(s):  
Laura E. Davis ◽  
Natalie G. Coburn ◽  
Julie Hallet ◽  
Craig C. Earle ◽  
Ying Liu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cancer Care ◽  
Material Deprivation ◽  
Universal Health Care ◽  
Universal Health Care System ◽  
Universal Health ◽  
Care System

Les motifs du suicide gériatrique: une étude exploratoire

2003 ◽  
Vol 22 (2) ◽  
pp. 197-205
Author(s):  
Luc Legris ◽  
Michel Préville
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Professionals ◽  
Basic Needs ◽  
The Elderly ◽  
Elderly Persons ◽  
Need To Belong ◽  
Psychological Autopsy ◽  
Structured Interviews ◽  
Care System

ABSTRACTFive semi-structured interviews were conducted, using the psychological autopsy method, in order to document the causes of geriatric suicide and to describe the interaction among suicidal elderly persons, their personal and social environments, and health care professionals. The results of this study support our hypothesis that elderly persons view suicide as a means of alleviating the psychological suffering associated with the frustration they experience on account of their inability to satisfy their basic needs. Three types of basic needs that affect the suicidal tendency of elderly persons were identified: the need to self-actualize, the need to belong, and the need to feel safe. The results also show that the people who make up the social and personal environment of elderly persons have a limited role in the prevention of suicide. This is due to their unfamiliarity with the problems surrounding the fulfilment of the basic needs of the suicidal elderly. Furthermore, as revealed in the cases studied here, the intervention of the health care system has centred mainly on the use of medication as a treatment for symptoms of psychological distress. The health care system pays little attention to the dissonance associated with the frustration suicidal elderly persons experience on account of their inability to satisfy their basic needs. Finally, the outcome of this qualitative study suggests that understanding the basic needs of the elderly can be very useful in understanding geriatric suicide.

Does Socioeconomic Status Affect Stage at Presentation for Larynx Cancer in Canada’s Universal Health Care System?

2018 ◽  
Vol 160 (3) ◽  
pp. 488-493 ◽  
Author(s):  
Diana Khalil ◽  
Martin J. Corsten ◽  
Margaret Holland ◽  
Adele Balram ◽  
James Ted McDonald ◽  
...  
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care System ◽  
Laryngeal Cancer ◽  
Income Quintile ◽  
Universal Health Care ◽  
Urban Residence ◽  
Universal Health Care System ◽  
Universal Health ◽  
Care System

Objective Diagnosis of laryngeal cancer is dependent on awareness that persistent hoarseness needs to be investigated as well as access to an otolaryngologist. This study aimed to better classify and understand 3 factors that may lead to variability in stage at presentation of laryngeal cancer: (1) socioeconomic status (SES), (2) differences in access to health care by location of residence (rural vs urban or by province), and (3) access to an otolaryngologist (by otolaryngologists per capita). Study Design Registry-based multicenter cohort analysis. Setting This was a national study across Canada, a country with a single-payer, universal health care system. Subjects All persons 18 years or older who were diagnosed with laryngeal cancer from 2005 to 2013 inclusive were extracted from the Canadian Cancer Registry (CCR). Methods Ordered logistic regression was used to determine the effect of income, age, sex, province of residence, and rural vs urban residence on stage at presentation. Results A total of 1550 cases were included (1280 males and 265 females). The stage at presentation was earlier in the highest income quintile (quintile 5) compared to the lower income quintiles (quintiles 1-4) (odds ratio [OR], 0.68; P < .05). There was a statistically significant difference in stage at presentation based on rural or urban residence within the highest income quintile (OR, 1.73; P < .005). Conclusion There is a relationship between SES and stage at presentation for laryngeal cancer even in the Canadian universal health care system.

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