An Information Sharing System for Multi-Professional Collaboration in the community-based integrated healthcare system

2021 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Hideaki Kanai ◽  
◽  
Akinori Kumazawa ◽  
Keyword(s):  
Information Sharing ◽  
Elderly People ◽  
Healthcare System ◽  
The Elderly ◽  
Professional Collaboration ◽  
Community Based ◽  
Integrated Healthcare ◽  
Comprehensive Health ◽  
One Year ◽  
At Home

Currently, Japan is rapidly aging. Japanese government agencies report that the percentage of elderly people whose ages are at least 65 years will increase by up to about 30 percent in 2025. As one of the measures towards this situation, the community-based integrated healthcare system will be introduced in Japan. The system aims to provide elderly people living at home with appropriate health, medical, and welfare services. We focus on the burden of sharing information on the situation of the elderly at home among health, medical, welfare staffs, and neighbors. We have been developing a supporting system for sharing information on the situation of the elderly at home and conducted a field test around one year. We consider that various stakeholders involved in the community comprehensive health care system could recognize the importance of information sharing and collaboration with them through this kind of social implementation

Lessons Learnt from the Socio-Technical Design of Social TV Services with Elderly

2014 ◽  
Vol 6 (2) ◽  
pp. 1-16 ◽  
Author(s):  
Malek Alaoui ◽  
Myriam Lewkowicz
Keyword(s):  
Elderly People ◽  
Social Engagement ◽  
The Elderly ◽  
Technical Design ◽  
Communication Services ◽  
Open Questions ◽  
Living Lab ◽  
Social Tv ◽  
The Social ◽  
At Home

Encouraging elderly people to stay at home as long as possible is associated with a higher risk of social isolation. Nowadays, aging well at home cannot be reduced to the management of physical and cognitive frailties and technologies should also tackle the quality of life of the elderly by fostering their social interactions. However, designing appropriate services and ensuring their adoption remain open questions, to which we try to provide answers at the methodological and instrumental levels. The authors present here a Living Lab approach to design communication services for elderly people at home. They illustrate this approach by describing their participation in a European project aiming at developing and evaluating Social TV services and they conclude with recommendations for the successful socio-technical design of services that foster the social engagement of elderly people.

scholarly journals The effectiveness of hypertension management in China: a community-based intervention study

2019 ◽  
Vol 20 ◽  
Author(s):  
Xiaoguo Zheng ◽  
Feng Xiao ◽  
Ruili Li ◽  
Delu Yin ◽  
Qianqian Xin ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Urban Areas ◽  
Blood Pressure Reduction ◽  
Hypertension Management ◽  
Hypertension Control ◽  
Community Based ◽  
One Year

Abstract Aim: This study aimed to evaluate the effectiveness of hypertension management and analyse the factors associated with blood pressure reduction within China’s primary healthcare system. Background: Hypertension is one of the leading risk factors for global disease burden and is strongly associated with cardiovascular diseases. In China, hypertension is a serious public health problem, but few studies have evaluated the effectiveness of hypertension management in China’s primary healthcare system. Methods: The study sites were 24 primary healthcare institutions, selected using multistage stratified random sampling method. In each institution, hypertension patients aged at least 35 years who agreed to participate and had no disabilities or mental health problems were enrolled for hypertension management. Participants received comprehensive interventions in the primary healthcare system via a team. After a one-year intervention, data from 6575 hypertension patients were analysed to check the effectiveness of hypertension management and examined factors associated with hypertension control. Findings: There was an overall mean reduction of 4.5 mmHg in systolic blood pressure (SBP) and 1.9 mmHg in diastolic blood pressure (DBP). The blood pressure reduction after one year was greater in rural patients than in urban patients, 6.6 mmHg versus 3.4 mmHg for SBP and 2.6 mmHg versus 1.6 mmHg for DBP, respectively. The hypertension control rate also increased more in rural areas (22.1%) than in urban areas (10.6%) after the one-year intervention. Age, body mass index, region and being in an urban area had a significant negative association with the reduction of SBP (P < 0.05). Education level and baseline SBP showed a significant positive association (P < 0.05). Conclusions: Community-based hypertension management by general practitioners was feasible and effective. The effectiveness of hypertension management in rural areas was greater than in urban areas. Intervention strategies should pay more attention to patients in rural areas and western China.

scholarly journals Elderly Self Acceptance Based on Gender and Residence and Its Implications to the Guidance and Counseling Services

10.32698/0672 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. 76
Author(s):  
Alvi Rahmi ◽  
Daharnis Daharnis ◽  
Syahniar Syahniar
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
The Self ◽  
Counseling Services ◽  
Guidance And Counseling ◽  
Place Of Residence ◽  
Old People ◽  
Self Acceptance ◽  
At Home

This study was conducted based on the lamentations of the old people about the existence of themselves. The old people cannot accept their changes both physical and psychological.This study aims to describe the self-acceptance of the elderly in terms of gender and place of residence. The study sample consisted of 116 elderly people, 67 elderly people who lived at home and 49 elderly people who lived in the Affectionate Home of Mother Batusangkar. The instrument used is the elderly self-acceptance questionnaire with reliability of 0.840. The results of this study are the self-acceptance of the elderly differs significantly in terms of gender and place of residence and there is an interaction between sex and residence in explaining the self-acceptance of the elderly.

scholarly journals Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality

2021 ◽  
Vol 55 ◽  
Author(s):  
Brunna Rodrigues de Lima ◽  
Brenda Kelly Gonçalves Nunes ◽  
Lara Cristina da Cunha Guimarães ◽  
Lucenda Fellipe de Almeida ◽  
Valéria Pagotto
Keyword(s):  
Risk Factors ◽  
Elderly People ◽  
Past History ◽  
The Elderly ◽  
High Energy ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Risk Of Death ◽  
Incidence Risk ◽  
One Year

ABSTRACT Objective: To identify the incidence, risk factors for delirium, and its association with death in the elderly hospitalized with fractures. Method: Prospective cohort, with a one-year follow-up of elderly people with clinical or radiological diagnosis of fracture, from an emergency and trauma hospital in the state of Goiás. The outcome delirium was defined by the medical description in the medical record. The predictor variables were demographic, health conditions, and hospitalization complications. A hierarchical multiple analysis was performed using robust Poisson regression, with Relative Risk as a measure of effect. Results: A total of 376 elderly patients were included. The incidence of delirium was 12.8% (n = 48). Risk factors were male gender, age ≥80 years, dementia, heart disease, osteoporosis, chronic obstructive pulmonary disease, high-energy traumas, pneumonia, urinary tract infection, and surgery. The risk of death in the sample was 1.97 times higher (HR: 1.97 95% CI 1.19–3.25) in elderly people with delirium. Conclusion: Delirium had an intermediate incidence (12.8%); the risk of death in this group was about 2 times higher in one year after hospital admission. Demographic factors, past history of diseases, surgery, and complications have increased the risk and require monitoring during hospitalization of elderly people with fractures.

scholarly journals Awareness of Locomotive Syndrome and Factors Associated with Awareness: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 17 (19) ◽  
pp. 7272
Author(s):  
Keiko Sugai ◽  
Haruhiko Imamura ◽  
Takehiro Michikawa ◽  
Keiko Asakura ◽  
Yuji Nishiwaki
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Locomotive Syndrome ◽  
Musculoskeletal Health ◽  
Community Based ◽  
Cross Sectional ◽  
Social Settings ◽  
One Year ◽  
Reduced Mobility ◽  
Prevalence Ratios

Locomotive syndrome is a condition of reduced mobility, and patients have a high risk of requiring nursing care. In order to investigate the level of awareness of the term “locomotive syndrome” and the factors relating to awareness in a community, awareness of locomotive syndrome was included in a questionnaire survey on health and daily life conducted in Koumi Town (Japan), which was distributed to 3181 eligible residents aged 40 years or older. Information on age, sex, marital status, educational attainment, lifestyle, and social environment was also collected, and the association of awareness with various factors was analyzed with two multivariable Poisson regression models. As a result, awareness among respondents was 44.6%. Awareness was significantly higher among women, those who were 60–79 years old, married, and had received higher education. Additionally, awareness was significantly associated with social factors, especially attendance at regional events within the last one year, in both women and men: the adjusted prevalence ratios (95% confidence intervals) were 1.26 (1.10–1.43) and 1.48 (1.19–1.83), respectively. In conclusion, in addition to strengthen awareness rising campaigns targeting men and for younger people, providing health education at social settings such as regional events may help improve future musculoskeletal health in the elderly.

scholarly journals Survival Analysis of Hospitalized Elderly People with Fractures in Brazil Over One Year

Geriatrics ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 10
Author(s):  
Brenda Kelly Gonçalves Nunes ◽  
Brunna Rodrigues de Lima ◽  
Lara Cristina da Cunha Guimarães ◽  
Rafael Alves Guimarães ◽  
Claci Fátima Weirich Rosso ◽  
...  
Keyword(s):  
Elderly People ◽  
Cox Regression ◽  
Age Groups ◽  
The Elderly ◽  
Diabetic Patients ◽  
Related Factors ◽  
Hospitalized Elderly ◽  
Study Results ◽  
One Year ◽  
The Impact

Objective: This study analyzes the causes of death, survival, and other related factors in hospitalized elderly people with fractures over the course of one year. Methods: We followed 376 fracture patients for one year in a prospective cohort study to a reference hospital in central Brazil. The Cox regression model was used to analyze factors associated with survival. Results: The results indicate that the one-year mortality rate was high (22.9%). The independent factors linked to lower overall survival were as follows: patients aged ≥80 years with previous intensive care unit (ICU) admission and presence of comorbidities (diabetes mellitus [DM] and dementia). Conclusion: Our study results may contribute to a better understanding of the impact of fractures on the elderly population and reinforce the need to oversee age-groups, diabetic patients, and patients with complications during hospitalization.

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