scholarly journals Probing into the Dilemma of Hospice Care for the Elderly in China

2021 ◽  
Vol 3 (6) ◽  
pp. 27-31
Author(s):  
Wenli Li
Keyword(s):  
Hospice Care ◽  
Pension System ◽  
Medical Insurance ◽  
The Elderly ◽  
Traditional View ◽  
Good Death ◽  
Aging Society ◽  
Care Services ◽  
Care For The Elderly ◽  
Better Than

With the aging of the population gradually become a worldwide trend, China has entered into the aging society in 2000, the phenomenon of “getting old before getting rich” has caused a severe challenge. As a part of the pension system, hospice should be paid attention and promoted. However, due to the influence of China’s traditional view of death and the fact that hospice is not included in the medical insurance system, the idea of hospice has not been widely publicized. Based on Maslow’s hierarchy of needs theory, this paper analyzes the current situation of hospice care for the elderly in China and explores the specific difficulties encountered in its development, then we hope people re-understand the saying “a good death is better than a lazy life” and choose hospice care services rationally.  

Looking for Better Health in All the Wrong Places: The Road to “Equality” Hits a Dead End

2012 ◽  
Vol 40 (1) ◽  
pp. 33-44 ◽  
Author(s):  
Tom Miller
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care Services ◽  
The Elderly ◽  
The Road ◽  
Care Services ◽  
Care For The Elderly ◽  
Dead End ◽  
Path Dependent

I was initially assigned the working title, “Pursuing Equality in Health Care for the Elderly Is Futile.” I prefer to think of that particular dead end of health policy as one of listening to the wrong music for too long. Hence, this article reprises and revises the title song of the early 1980s movie, Urban Cowboy, but with Johnny Lee’s original lyrics adapted as “Looking for better health [rather than either ‘love’ or ‘love of equality’] in all the wrong places.” The better goal is to achieve more progress in improving health for more people, including (but not limited to) the elderly. It need not be as futile as the pursuit of the elusive abstraction of “equality” for all — but only if we first move away from a path-dependent approach of recent times that remains too narrowly focused on statistical disparities in health care services received by particular groups.

scholarly journals Nothing but Trouble: Studies on the Effects of Reforms in Elderly Care in Sweden and Poland

2013 ◽  
Vol 6 (1) ◽  
pp. 31-60 ◽  
Author(s):  
Iwona Sobis
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Practical Implication ◽  
Elderly Care ◽  
The Elderly ◽  
Negative Effects ◽  
The Public ◽  
Care Services ◽  
Care For The Elderly ◽  
The Future

Abstract Reforms of the public sector, conducted in the spirit of NPM since the 1990s, are frequently studied by Western and Eastern scholars. The research shows national variations in how the NPM idea was translated and adapted into a country’s context and regulations. Care for the elderly is an interesting example of reforms conducted in the spirit of NPM, because it relates to welfare and health care and to the competences of provincial and local authorities in most European countries. This paper addresses the following questions: What do we know about the reforms conducted in the spirit of NPM and its practical implication within the field of care for the elderly during 1990 - 2010? What kind of knowledge about care for the elderly is still missing and should be developed in the future ? Th is paper conducts comparative research on what is known about the effects of the Swedish and the Polish reforms regarding care for the elderly. It argues that most literature points to negative effects, but also to the fact that there are still gaps in our knowledge about the effects of reforms concerning elderly care, especially regarding its organization. Hence, despite all the research done, we do not know what kind of social and health-care services for seniors represent the best practices for the future.

scholarly journals LIFE AND DEATH. EUTANASIA

2021 ◽  
pp. 63-68
Author(s):  
Mykola Polishchuk
Keyword(s):  
Hospice Care ◽  
The Elderly ◽  
Self Determination ◽  
Passive Euthanasia ◽  
Life And Death ◽  
Sick People ◽  
Care For The Elderly ◽  
The Difference ◽  
The Right ◽  
Active And Passive Euthanasia

Euthanasia is a good death in Greek. According to Wikipedia, «euthanasia» is the termination of a person's life in a quick, painless way. Euthanasia is used in people who have incurable diseases and no longer want to suffer from pain, their condition. The term «euthanasia» was first used by F. Bacon to denote easy death in the 17th century. Since 2020, certain types of euthanasia are legally allowed in Belgium, Luxembourg, the Netherlands, Portugal, Switzerland, Germany, Canada, parts of Australia, and in some of the sUS states. Palliative and hospice care is sometimes seen as a relative alternative to euthanasia. There are two types of euthanasia – active, which involves the administration of a dying person, drugs that cause rapid death, and passive – intentional cessation of maintenance therapy to the patient. Active euthanasia is often considered suicide with medical help, if the doctor gives the patient a drugs that will shorten his life at the request of the patient.. In Ukraine, the actions of a doctor for euthanasia are considered premeditated murder. The coronavirus pandemic has shown that many countries of the world are ready to introduce passive euthanasia, that is, in the event of mass morbidity, not only ideas are spread, but also projects about the inaccessibility of medical care for the elderly in order to save young people, about limiting the hospitalizations of elderly people with a serious illness, which requires mechanical ventilation with a shortage of ventilators and hospitals that can provide oxygenation. The debate over euthanasia revolves around the following issues: people have the right to self-determination and independent choice of destiny; helping the sick people to die may be a better choice than suffering; the difference between active and passive euthanasia is insignificant; permission for euthanasia does not necessarily lead to adverse consequences. Disputes often take place at the ethical or religious level. Opponents of euthanasia defend the right for life under any circumstances, and the adoption of the law expands the cohort of patients with euthanasia and hope for life. Keywords: euthanasia, death, life, consciousness, stroke.

scholarly journals PROSPECTIVE QUALITY ATTRIBUTES OF NURSING HOME CARE SERVICES

2016 ◽  
Author(s):  
Joanna Ejdys
Keyword(s):  
Nursing Homes ◽  
The Elderly ◽  
Home Care Services ◽  
Nursing Home Care ◽  
Quality Of Services ◽  
Term Care ◽  
Care Services ◽  
Care For The Elderly ◽  
Key Characteristics

One of the forms of care for the elderly are the nursing homes, long-term care homes. Still, in many countries the low level of quality of such services is still the main criterion for the perception of objects as a final option, in the absence of alternative forms of care for an older person. The aim of the article is to seek answers to the questions about the expected quality of the services offered by nursing homes. The article presents the results of research on the expectations of the society in terms of quality of services, carried out on a sample of 602 Polish citizens. The study allowed to identify the key characteristics that determine the quality of services from the perspective of the future decisions related to the choice of the resort.

Universal Health Insurance Reform in China

2018 ◽  
Vol 2 (2) ◽  
pp. 1-24
Author(s):  
Sabrina Ching Yuen Luk
Keyword(s):  
Health Insurance ◽  
Medical Insurance ◽  
The Elderly ◽  
Health Coverage ◽  
Term Care ◽  
Insurance Reform ◽  
Care For The Elderly ◽  
Health Insurance Reform ◽  
The Government ◽  
Universal Health

This article uses a refined version of historical institutionalism to critically examine the complex interplay of forces that shape the health insurance reform trajectory in China since the mid-1980s, problems that plague the current multi-layered social medical insurance system and solutions to these problems. It shows that achieving universal health coverage (UHC) requires the government to ensure financing equity between urban and rural insured participants, access to affordable health care and the financial sustainability of medical insurance funds. Facing the challenges of rapidly aging population, the government implements a pilot scheme that integrates medical and nursing care for the elderly and a pilot long-term care insurance scheme for disabled elderly. It is expected that these two pilot schemes can provide better financial protection and quality of medical services for the elderly.

Inter-Sectoral Cost Comparisons: Day Care for the Elderly

1982 ◽  
Vol 11 (3) ◽  
pp. 335-354 ◽  
Author(s):  
Martin Knapp ◽  
Spyros Missiakoulis
Keyword(s):  
Social Services ◽  
Day Care ◽  
Local Authority ◽  
The Elderly ◽  
Voluntary Organizations ◽  
Care Services ◽  
Care For The Elderly ◽  
Health Authorities ◽  
Area Health ◽  
Cost Differences

ABSTRACTIt is often argued that there are significant differences in the costs of providing public and non-public services. However, these arguments have almost invariably been based on crude comparisons of bald expenditure figures of rather dubious validity. In this paper we describe and apply a conceptual framework which attempts to place such inter-sectoral comparisons on a more reliable basis. Our application is to day care services for elderly people provided by local authority social services departments, area health authorities and voluntary organizations, although the framework has much wider relevance. Our results provide clear evidence to refute the oft-made assumption that voluntary services are universally cheaper than their statutory counterparts. Standardizing costs for the dependency characteristics of users and the activities of day units, we find that voluntary-statutory cost differences are dependent upon the scale of operation. Small voluntary units certainly enjoy a cost advantage, but larger voluntary units are unlikely to be cheaper, and are probably more expensive, than local authority units of a similar scale.

The Development of Community Care Policy for the Elderly: A Comparative Perspective

1996 ◽  
Vol 26 (4) ◽  
pp. 691-708 ◽  
Author(s):  
Howard Litwin ◽  
Ernie Lightman
Keyword(s):  
Social Services ◽  
Delivery System ◽  
Community Care ◽  
Local Level ◽  
The Elderly ◽  
Term Care ◽  
Delivery Of Care ◽  
Care Services ◽  
Relative Paucity ◽  
Care For The Elderly

A comparison of the development of community care for the elderly in the province of Ontario, Canada, and in the State of Israel is presented in the light of the economic constraints currently challenging the expansion of welfare state services. The inquiry identified several common issues regarding the nature of the policy mandate for long-term care delivered in the home, the structure of the service delivery system, and matters concerning funding arrangements for community care. Issues that emerged in both settings include the relationship between health and social services in the delivery of care at the local level; the separation of purchaser and provider functions; the question of needs-driven versus service-driven social care provisions; accessibility concerns and the aspiration for one-stop entry to the delivery system; the growing involvement of the private sector in the delivery of domiciliary-based personal care services; and the relative paucity of current efforts to address the needs of family caregivers.

scholarly journals Palliative Cares To Older Person Under The Nurse's Optics

10.3823/2440 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Willan Nogueira Lima ◽  
Cintia Lira Borges ◽  
Bruna Karen Cavalcante Fernandes ◽  
Valderina Moura Lopes ◽  
Saul Filipe Pedrosa Leite ◽  
...  
Keyword(s):  
Palliative Care ◽  
Hospice Care ◽  
Elderly Person ◽  
The Elderly ◽  
Structured Interview ◽  
Tertiary Hospital ◽  
Patient Centered ◽  
Cross Sectional ◽  
Care Experience ◽  
Care For The Elderly

INTRODUCTION: Chronic-degenerative diseases need specialized health care, especially in palliative care, since from the beginning of the disease the elderly is in this classification. In this context, the study aimed to know the meaning of palliative care to the elderly person from the nurse METHODS: This is a descriptive, cross-sectional, qualitative study carried out in a private tertiary hospital in the Northeast of Brazil. The survey was conducted from March to June 2016, with 19 nurses. In the data collection, a semi-structured interview, with four questions were used: what does palliative care mean to you? What does care for the elderly in hospice care mean to you? What strategies do you adopt to promote palliative care for the elderly? Tell me about your experience in providing palliative care to the elderly. The technique of data analysis and organization was the Discourse of the Collective Subject. RESULTS: Four categories of palliative care were produced: meaning palliative care; Experience in providing palliative care to the elderly; Meaning of caring for the elderly in palliative care; Strategies to promote palliative care for the elderly. CONCLUSION: The meaning of palliative care was synonymous with comfort and quality of life. It is important to emphasize the patient-centered care and to carry out further studies on the subject to make nursing professionals aware of the importance of promoting adequate behavior in palliative care.

Aged Care Services in India

2021 ◽  
pp. 114-143
Author(s):  
Wadad Kathy Tannous ◽  
Divya Ramachandran
Keyword(s):  
Filial Piety ◽  
Elderly Care ◽  
The Elderly ◽  
Aged Care ◽  
Geriatric Care ◽  
Term Care ◽  
Public And Private ◽  
Care Services ◽  
Care For The Elderly ◽  
The Government

India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.

Discuss the Design of City Square to the Old Age Humanities Care - Wuhan Northwest Lake Square Public Space Investigation Enlightenment

2014 ◽  
Vol 1065-1069 ◽  
pp. 2798-2802
Author(s):  
Ting Ting Guo ◽  
Yuan Yuan Guo
Keyword(s):  
Health Psychology ◽  
Public Space ◽  
Old Age ◽  
The Elderly ◽  
Aging Society ◽  
Care For The Elderly ◽  
Functional Orientation

The paper focuses on how to reinforce the humane care for the elderly in the functional orientation starting from an investigation on the Northwest Lake Green Square space, with an aging society approaching today. And it also makes recommendations for how to meet the needs of the old in the health, psychology and communication, safety.

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