A Public Policy Problem: Access to Long-Term Health Care

2001 ◽  
Vol 27 (7) ◽  
pp. 13-22 ◽  
Author(s):  
Mary J Dyck
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Policy Problem

scholarly journals GOOD HEALTH AND WELL-BEING: ESSENTIAL TO ACHIEVING SDGS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S76-S76
Author(s):  
Hans Stohrer
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Public Policy ◽  
Palliative Care ◽  
Older Persons ◽  
Long Term Care ◽  
Good Health ◽  
Functional Health ◽  
Term Care

Abstract The importance of good health for older persons is a human right, good public policy, and practical. We argue that it is fundamental to achieving the UNs SDGs. Older people can be important assets in the achievement of SDGs but need to be in good health so as to be valuable, productive and contributing members of society. This includes functional health, cognitive health and capacity, mental health, sustainable long term care for non-communicable diseases, and quality palliative care provided in the home at the end of life. This means not only access to health care services and access to safe and effective medicines and vaccines, but also access to rehabilitation and physical therapy, mental health care, long term care, and hospice and palliative care. In conclusion, to achieve the United Nations SDG on Health, it is important to consider explicitly the health of older persons, including the public policy needs.

Strengthening of occupational health promotion by the German Prevention Health Care Act

2019 ◽  
pp. 188-190
Author(s):  
Diana Hart
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Prevention ◽  
Occupational Health ◽  
Life Expectancy ◽  
Prevention And Control ◽  
Occupational Health Promotion ◽  
And Control

All countries are faced with the problem of the prevention and control of non-communicable diseases (NCD): implement prevention strategies eff ectively, keep up the momentum with long term benefi ts at the individual and the population level, at the same time tackling hea lth inequalities. Th e aff ordability of therapy and care including innovative therapies is going to be one of the key public health priorities in the years to come. Germany has taken in the prevention and control of NCDs. Germany’s health system has a long history of guaranteeing access to high-quality treatment through universal health care coverage. Th r ough their membership people are entitled to prevention and care services maintaining and restoring their health as well as long term follow-up. Like in many other countries general life expectancy has been increasing steadily in Germany. Currently, the average life expectancy is 83 and 79 years in women and men, respectively. Th e other side of the coin is that population aging is strongly associated with a growing burden of disease from NCDs. Already over 70 percent of all deaths in Germany are caused by four disease entities: cardiovascular disease, cancer, chronic respiratory disease and diabetes. Th ese diseases all share four common risk factors: smoking, alcohol abuse, lack of physical activity and overweight. At the same time, more and more people become long term survivors of disease due to improved therapy and care. Th e German Government and public health decision makers are aware of the need for action and have responded by initiating and implementing a wide spectrum of activities. One instrument by strengthening primary prevention is the Prevention Health Care Act. Its overarching aim is to prevent NCDs before they can manifest themselves by strengthening primary prevention and health promotion in diff erent sett ings. One of the main emphasis of the Prevention Health Care Act is the occupational health promotion at the workplace.

Historical and medical aspects of the organization of medical and social services for the elderly and senile people in Russia in the late XX — early XXI centuries

2020 ◽  
pp. 49-57
Author(s):  
Lyudmila Kaspruk
Keyword(s):  
Health Care ◽  
Social Services ◽  
Social Protection ◽  
The Elderly ◽  
Primary Role ◽  
Primary Health ◽  
Geriatric Service ◽  
Delivery Of Medical Care ◽  
Older Citizens

When analyzing the historical and medical aspects of the organization of medical and social services for the elderly and senile people in Russia in the late XX — early XXI centuries not only obvious achievements in this sphere, but also a number of problems requiring solution were identified. The primary role in the delivery of medical care to geriatric patients is assigned to the primary health care sector. However the work of the geriatric service in the format of a single system for the provision of long-term medical and social care based on the continuity of patient management between differ- ent levels of the health care system and between the health and social protection services is not well organized. There is no clear coordination and interaction between health care and social protection institutions, functions of which include providing care to older citizens, and it significantly reduces the effectiveness of the provision of both medical and social services.

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