A LIFE SUPPORT NETWORK FOR ELDERLY PEOPLE LIVING IN A RURAL AREAS

2008 ◽  
Keyword(s):  
Elderly People ◽  
Rural Areas ◽  
Life Support ◽  
Support Network

scholarly journals The evolution trend of availability of China’s community-based care services and its impact on the cognitive function of elderly people: 2008-2018

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Zhang Yue ◽  
Nan Xiang ◽  
Huwei Li ◽  
Erpeng Liu
Keyword(s):  
Cognitive Function ◽  
Health Services ◽  
Elderly People ◽  
Rural Areas ◽  
Urban Areas ◽  
Life Support ◽  
Medical Support ◽  
Community Based ◽  
Care Services ◽  
Evolution Trend

Abstract Background To address the challenge of the aging population, community-based care services (CBCS) have been developed rapidly in China as a new way of satisfying the needs of elderly people. Few studies have described the evolution trend of availability of CBCS in rural and urban areas and evaluated their effectiveness. This study aims to show the availability of China’s CBCS and further analyze the effect of the CBCS on the cognitive function of elderly people. Methods Longitudinal analysis was performed using data from the 2008 to 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). A total of 23937 observations from 8421 elderly people were included in the study. The Chinese version of the Mini-Mental State Examination (MMSE) was used to assess cognitive function. We aggregated similar CBCS to generate three binary variable categories (daily life support, emotional comfort and entertainment services, medical support and health services) indicating the availability of CBCS (1 = yes, 0 = no). Multilevel growth models were employed to estimate the association between CBCS and cognitive function while adjusting for many demographic and socioeconomic characteristics. Results The availability of CBCS increased a lot from 2008 to 2018 in China. Although the availability of CBCS in urban areas was higher than that in rural areas in 2008, by 2018 the gap narrowed significantly. Emotional comfort and entertainment services (B = 0.331, 95% CI = 0.090 to 0.572) and medical support and health services (B = 1.041, 95% CI = 0.854 to 1.228) were significantly and positively associated with cognitive function after adjusting for the covariates. Conclusion There was a significant increase in the availability of CBCS from 2008 to 2018 in China. This study sheds light on the positive correlation between CBCS and cognitive function among Chinese elderly individuals. The results suggest that policymakers should pay more attention to the development of CBCS and the equity of the supply of CBCS in urban and rural areas.

scholarly journals Multi-dimensional Accessibility Barriers in Care Services for the Rural Elderly with Disabilities: A Qualitative Study in China

2021 ◽  
Author(s):  
Yuan Wang ◽  
Cai Yun Qi
Keyword(s):  
Elderly People ◽  
Rural Areas ◽  
Urban Areas ◽  
Care Service ◽  
Rural China ◽  
People With Disabilities ◽  
Support Network ◽  
Care Services ◽  
Accessibility Barriers ◽  
Disabled Elderly

Abstract Background As the aging of the population increases, the number and growth rate of disabled elderly people in rural China are significant. However, their special care needs and barriers to accessibility have been neglected in existing research. This paper covers a multi-dimensional investigation into accessibility barriers in care services for elderly people with disabilities in rural China. Methods In-depth interviews with 13 rural disabled elderly people in China took place using qualitative methods. Results Based on a welfare pluralism approach, the results showed that in comparison with urban areas, care services for disabled elderly people in rural areas are more subject to social barriers. This can be seen in the limited state (lack of resources, rigorous qualification of eligibility, uneven distribution, and irregular implementation); the absent market (low levels of consumption, high cost pressures, self-exclusion, and traditional cultural constraints); absent NGOs and volunteers (difficulties in access for NGOs and volunteers outside the area and formation difficulties of local NGOs and volunteers); as well as low-quality care in households and communities (unprofessional care from the spouse, unsustainable care from offspring, and unavailable community-based care). Conclusion A multi-subject support network should be established to remove accessibility barriers to care service provision for elderly people with disabilities in rural areas through active intervention and interaction.

scholarly journals P3: BURDEN OF PEDIATRIC BASAL CELL CARCINOMA NEVUS SYNDROME ON THE PATIENTS AND FAMILIES FROM THE PERSPECTIVES OF PARENTS AND GUARDIANS

2016 ◽  
Vol 64 (3) ◽  
pp. 818.1-818
Author(s):  
FT Siddiqui ◽  
JA Solomon
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Burden Of Disease ◽  
Life Support ◽  
Medical Specialty ◽  
Support Network ◽  
Children And Families ◽  
The Social ◽  
Age Of Diagnosis

Purpose of StudyLittle is known about the disease burden for children and families of children with Basal Cell Carcinoma Nevus Syndrome. Our study focused on bringing this burden to light.Methods UsedUsing an internet accessible survey, we asked parents and guardians about the ways in which BCCNS has affected their families. The survey was promoted through the Basal Cell Carcinoma Syndrome Life Support Network to its membership, as well as through social media. Forty-seven parent/guardians responded.Summary of ResultsIt was found that at least 75% of children were diagnosed with BCCNS by the age of ten or earlier, which suggests that the burden of disease starts much earlier than previously reported. Moreover, at least 19% of parents or guardians reported that their children had 50 or more BCCs by the age of diagnosis. Sixty-percent of patients must see five or more healthcare specialists within one calendar year, and 33% of children must go see a healthcare provider (of any specialty) 8–10 times within one calendar year.ConclusionsIt is our hope that these results will help clinicians be aware of the possible diagnosis of BCCNS at earlier ages in these children. An earlier diagnosis could provide the social and medical specialty-specific support services that may prevent the development of psychosocial and other medical consequences that arise from the burden of disease of BCCNS.

Study of Accessibility to the Home of Dependent Elderly People in Rural Areas

2020 ◽  
pp. 259-265
Author(s):  
Virginia Iglesias Moreno ◽  
Pablo Sánchez-García ◽  
Cristina Franco-Antonio ◽  
Esperanza Santano-Mogena ◽  
Yolanda Castaño-Blanco ◽  
...  
Keyword(s):  
Elderly People ◽  
Rural Areas ◽  
Dependent Elderly

scholarly journals Knowledge Provision Model Through Distance Learning Method for Promoting Quality of Life of the Elderly in Rural Areas of Thailand

2021 ◽  
Vol 10 (2) ◽  
pp. 129
Author(s):  
Sumalee Sungsri
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Rural Areas ◽  
Social Relationship ◽  
Elderly Care ◽  
The Elderly ◽  
Community Leaders ◽  
The World ◽  
Quantitative And Qualitative Methods

Thailand is becoming an elderly society like many countries in the world. The number of elderly people is increasing continuously every year. In order to enable the elderly to live with good quality of life in the rapidly changing society, knowledge and information related to their health and living factors are considered to be necessary for them. Therefore, this study was carried out in order to develop a model of knowledge provision for promoting quality of life of the elderly in rural areas of the country. The samples were drawn from every region of the country which included 480 elderly people, 480 elderly caretakers, and 160 people representing the community leaders, community committee members and staff of local government agencies. Both quantitative and qualitative methods were employed for data collection. The study found that there were five areas of knowledge for promoting quality of life of the elderly: physical health, mental health, social relationship, economic, and learning. The model of knowledge provision to the elderly synthesized from the study could enable the elderly to gain necessary knowledge deemed useful for promoting their quality of life. The elderly, the elderly care caretakers and related people were found to be satisfied with the model.

Pediatric Prehospital Care in Urban and Rural Areas

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 681-690 ◽  
Author(s):  
James S. Seidel ◽  
Deborah Parkman Henderson ◽  
Patrick Ward ◽  
Barbara Wray Wayland ◽  
Beverly Ness
Keyword(s):  
Emergency Medical Services ◽  
Rural Areas ◽  
Urban Areas ◽  
Pediatric Patients ◽  
Life Support ◽  
Prehospital Care ◽  
Advanced Life Support ◽  
Medical Services ◽  
Care Providers ◽  
Emergency Medical

There are limited data concerning pediatric prehospital care, although pediatric prehospital calls constitute 10% of emergency medical services activity. Data from 10 493 prehospital care reports in 11 counties of California (four emergency medical services systems in rural and urban areas) were collected and analyzed. Comparison of urban and rural data found few significant differences in parameters analyzed. Use of the emergency medical services system by pediatric patients increased with age, but 12.5% of all calls were for children younger than 2 years. Calls for medical problems were most common for patients younger than 5 years of age; trauma was a more common complaint in rural areas (64%, P = .0001). Frequency of vital sign assessment differed by region, as did hospital contact (P < .0001). Complete assessment of young pediatric patients, with a full set of vital signs and neurologic assessment, was rarely performed. Advanced life support providers were often on the scene, but advanced life support treatments and procedures were infrequently used. This study suggests the need for additional data on which to base emergency medical services system design and some directions for education of prehospital care providers.

scholarly journals Health service inequalities during the COVID-19 pandemic among elderly people living in large urban and non-urban areas in Florida, USA

2020 ◽  
Vol 8 ◽  
pp. 205031212097416
Author(s):  
Xinhua Yu
Keyword(s):  
Emergency Department ◽  
Elderly People ◽  
Rural Areas ◽  
Urban Areas ◽  
Metropolitan Areas ◽  
Elderly Women ◽  
Logistic Models ◽  
Emergency Department Visits ◽  
Hospitalization Rates ◽  
Adjusted Incidence

Objective: Health inequalities were often exacerbated during the emerging epidemic. This study examined urban and non-urban inequalities in health services among COVID-19 patients aged 65 years or above in Florida, USA, from 2 March to 27 May 2020. Methods: A retrospective time series analysis was conducted using individual patient records. Multivariable Poisson’s and logistic models were used to calculate adjusted incidence of COVID-19 and the associated rates of emergency department visits, hospitalizations, and deaths. Results: As of 27 May 2020, there were 13,659 elderly COVID-19 patients (people aged 65 years or above) in Florida and 14.9% of them died. Elderly people living in small metropolitan areas might be less likely to be confirmed with COVID-19 infection than those living in large metropolitan areas. The emergency department visit and hospitalization rates decreased significantly across metropolitan statuses for both men and women. Those patients living in small metropolitan or rural areas were less likely to be hospitalized than those living in large metropolitan areas (35% and 34% vs 41%). Elderly women aged 75 years or above living in rural areas had 113% higher adjusted incidence of COVID-19 than those living in large metropolitan areas, and the rates of hospitalizations were lower compared with those counterparts living in large metropolitan areas (29% vs 46%; odds ratio: 0.37 (0.25–0.54), p < 0.001). Conclusion: For elderly people living in Florida, USA, those living in small metropolitan or rural areas were less likely to receive adequate health care than those living in large or medium metropolitan areas during the COVID-19 pandemic.

Une nouvelle approche pour la caractérisation des aléas et l'évaluation des vulnérabilités des réseaux de support à la vie

2004 ◽  
Vol 31 (2) ◽  
pp. 333-344 ◽  
Author(s):  
Frédéric Petit ◽  
Benoît Robert ◽  
Jean Rousselle
Keyword(s):  
Life Support ◽  
Support Networks ◽  
Global Perspective ◽  
Support Network ◽  
New Approach ◽  
Network Failure ◽  
Network Vulnerabilities ◽  
Entire Society ◽  
External Causes

Life support networks are vital structures, as they are significant in size and essential in nature for the entire society. A network failure may thus involve serious consequences. The analysis of the needs of those in charge of emergency measures has established that the behaviour of life support networks had to be studied not only for extreme events but also for all possible situations of failure. In this context, the role of civil engineers is crucial, since they must assure the safety of infrastructures from design to dismantling. The proposed approach consists of characterizing networks according to the importance and efficiency of their missions, operations, and essential infrastructures. This allows approaching network vulnerabilities from an exhaustive and global perspective. Based on the degree of efficiency of a mission, it is possible to identify the dysfunctioning operations and infrastructures, from which the internal and external causes of faults or failures could be defined. Instead of starting from a hazard and asking the question "What-if", as is currently done, this new approach aims at determining the vulnerabilities of a network by asking the question "Why". Once the potentialities of failures are defined, it will be possible, by using a global method of fusion, to determine the vulnerabilities of the various components of a life support network (missions, operations, infrastructures). This paper describes this new approach and the required criteria for the development of a global methodology for the assessment of anthropic hazard. Our article illustrates this approach with an application to a hydroelectric facility.Key words: risk, vulnerability, reliability, life support network, hydropower.

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