scholarly journals The vaccinations recommended to the elderly and patients with chronic diseases

2014 ◽  
Vol 8 (1) ◽  
pp. 30-33
Author(s):  
MAŁGORZATA KOBUSZYŃSKA
Keyword(s):  
Health System ◽  
Chronic Diseases ◽  
Medical Staff ◽  
The Elderly ◽  
Older Age ◽  
Entire Population

Prophylactic vaccinations are the easiest way of the protection against numerous diseases. They are one of the components of prophylaxis. Mass vaccinations are beneficial for the entire population as they contribute to the reduction of the health system expenses. The medical staff play an important role in educating patients about the range of possible vaccinations. It is very essential to note, however, that the lack of financing of recommended vaccinations is the reason for low the percentage of patients who received the vaccinations, but patients’ knowledge of the advantages of regular vaccinations is also of significant value. People responsible for giving vaccinations ought to inform the patients skillfully about the benefits and risks of them and their negligence. Each person at the older age and those suffering from chronic diseases should be informed about recommended vaccinations.

Evaluating Elders' Bio-Psycho-Social Health Dimensions Using Their Smartphones

2020 ◽  
pp. 166-177
Author(s):  
Enrique Moguel ◽  
José García-Alonso ◽  
Javier Berrocal ◽  
Juan M. Murillo
Keyword(s):  
Health System ◽  
Functional Status ◽  
Chronic Diseases ◽  
Health Professionals ◽  
The Elderly ◽  
Developed Countries ◽  
Mobile Technologies ◽  
Social Health ◽  
Coordinated Care ◽  
Elder People

The percentage of elder people in developed countries is increasing rapidly. A high percentage of them usually present multiple and chronic diseases. A patient with several diseases requires specific and coordinated care that is difficult to configure. Different frameworks can evaluate their functional status and identify the required care, together with the associated cost to the health system. Nevertheless, these frameworks are usually questionnaires that have to be periodically performed by the patients with the assistance of already overloaded professionals. In this chapter, the authors make use of mobile technologies to build a system capable of monitoring the activities of the elderly and analysing these data to assess their bio-psycho-social status. The experiments carried out show us that it correctly evaluates these patients and reduces the effort required by health professionals.

scholarly journals Priority of the elderly and patients with chronic diseases in COVID-19 vaccination: Letter to Editor

2021 ◽  
pp. 302-306
Keyword(s):  
Chronic Diseases ◽  
Medical Staff ◽  
The Elderly ◽  
Future Planning

From the earliest days of coronavirus 2019 (COVID-19) outbreaks, all countries have been trying to develop vaccines and medications to fight the virus. Finally, a year after the COVID-2019 pandemic, several companies developed vaccines that were safe against this disease. However, the lack of doses of these vaccines created problems for various countries. Ethically, some groups should be highly prioritized according to their need and necessity of receiving the vaccine. Based on the results of current studies, safe and effective vaccination can be effective for the elderly and patients with chronic diseases and prevent the death of such people extensively. Since the national vaccination in Iran has started on February 12, 2021, with the priority of the medical staff, it is necessary to pay more attention to the elderly and patients with chronic diseases in future planning regarding the COVID-19 vaccination.

scholarly journals Fairness evaluation of health financing between 2007 to 2010 in China

2020 ◽  
Author(s):  
Guan Wang ◽  
Qing Shen
Keyword(s):  
Health Behavior ◽  
Health System ◽  
Chronic Diseases ◽  
Chronic Conditions ◽  
Health Financing ◽  
The Elderly ◽  
Communicable Diseases ◽  
World Health ◽  
Health Conditions ◽  
Non Communicable Diseases

Abstract Background: Population aging and the increasing burden of non-communicable diseases (NCDs) are increasingly a strain on health systems. The World Health Organization (WHO) uses fairness of health financing as one of the criteria for assessing health system performance. The Chinese government has undertaken a series of health reforms to reduce the pace of disease transition towards non-communicable diseases, as well as protecting people from catastrophic health expenditures. The aim of this study was to assess the fairness of health financing among the elderly with different health conditions in China during the year of 2007 to 2010. Methods: The data source was the WHO Study on global AGEing and adult health (SAGE) Wave 1, a national weighted data collected from adults older than 50 years. In this study, 10099 respondents were included for analysis. Chi-square and partial proportional odds model test were applied to assess the distribution of socioeconomic and health behavior factors among different chronic conditions. Fairness of healthcare financing analysis was used to evaluate how the burden of health financing is distributed according to the household ability to pay (ATP). Dominance tests were applied for comparing different ways of health financing among health conditions. Results: More than half of the elderly had at least one chronic condition, and around 20% people suffered from multi-morbidity. Several socioeconomic as well as health behavior factors were found associated with developing NCDs. Out-of-pocket payment dominated other health finance sources in Non-NCD, single morbidity and multi-morbidity groups with a regressive pattern. Even though mandatory insurance had covered more than 70% of the elder population in China, due to the relative lower proportion reimbursement for chronic diseases, people still had to pay a lot for seeking healthcare between 2007 to 2010. Conclusion: When reimbursement for chronic diseases is relatively low, high mandatory insurance coverage does not ensure fairness of health financing. The Chinese health system should be developed further in order to meet the needs of elderly with different chronic conditions.

scholarly journals Fairness evaluation for the elder population in China

2020 ◽  
Author(s):  
Guan Wang ◽  
Qing Shen
Keyword(s):  
Health Behavior ◽  
Health System ◽  
Chronic Diseases ◽  
Chronic Conditions ◽  
Health Financing ◽  
The Elderly ◽  
Communicable Diseases ◽  
Health Conditions ◽  
Non Communicable Diseases ◽  
Elder Population

Abstract Background: Population aging and the increasing burden of non-communicable diseases are increasingly a strain on health systems. The World Health Organization (WHO) uses fairness of health financing as one of the criteria for assessing health system performance. The Chinese government has undertaken taken a series of health reforms to reduce the pace of disease transition towards non-communicable diseases (NCDs), as well as protecting people from catastrophic health expenditures. The aim of this study was to assess the fairness of health financing among the elderly with different health conditions in China. Methods: The data source was the WHO Study on global AGEing and adult health (SAGE) Wave 1, a national weighted data collected from adults older than 50 years. In this study, 10099 respondents were included for analysis. Chi-square and partial proportional odds model test were applied to assess the distribution of socioeconomic and health behavior factors among different chronic conditions. Fairness of health financing analysis was used to evaluate how the burden of health financing is distributed according to the household ability to pay (ATP). Dominance tests were applied for comparing different ways of health financing among health conditions. Results: More than half of the elderly had at least one chronic condition, and around 20% people suffered from multi-morbidity. Several socioeconomic as well as health behavior factors were found associated with developing NCDs. Out-of-pocket payment dominated other health finance sources in all three chronic conditions with a regressive pattern. Even though mandatory insurance had covered more than 70% of the elder population in China, due to the relative lower proportion reimbursement for chronic diseases, people still had to pay a lot for seeking healthcare. Conclusion: When reimbursement for chronic diseases is relatively low, high mandatory insurance coverage does not ensure fairness of health financing. The Chinese health system should be developed further in order to meet the needs of elderly with different chronic conditions.

scholarly journals Fairness evaluation for the elder population in China

2020 ◽  
Author(s):  
Guan Wang ◽  
Qing Shen
Keyword(s):  
Health Behavior ◽  
Health System ◽  
Chronic Diseases ◽  
Chronic Conditions ◽  
Health Financing ◽  
The Elderly ◽  
Communicable Diseases ◽  
Health Conditions ◽  
Non Communicable Diseases ◽  
Elder Population

Abstract Introduction: Population aging and the increasing burden of non-communicable diseases are increasingly a strain on health systems. The World Health Organization (WHO) uses fairness of health financing as one of the criteria for assessing health system performance. The Chinese government has undertaken taken a series of health reforms to reduce the pace of disease transition towards non-communicable diseases (NCDs), as well as protecting people from catastrophic health expenditures. The aim of this study was to assess the fairness of health financing among the elderly with different health conditions in China. Methods: Fairness of health financing analysis was used to evaluate how the burden of health financing is distributed according to the household ability to pay (ATP). The data source was the WHO Study on global AGEing and adult health (SAGE) Wave 1, a national weighted data collected from adults older than 50 years. Chi-square and partial proportional odds model test were applied to assess the distribution of socioeconomic and health behavior factors among different chronic conditions. Kakwani indexes and curves were obtained from concentration index/ curves and Gini coefficient/ATP for progressivity analysis in healthcare financing. Dominance tests were applied for comparing different ways of health financing among health conditions. Results: More than half of the elderly had at least one chronic condition, and around 20% people suffered from multi-morbidity. Several socioeconomic as well as health behavior factors were associated with developing NCDs. Out-of-pocket payment dominated other health finance sources in all three chronic conditions with a regressive pattern. Even though mandatory insurance had covered more than 70% of the elder population in China, due to the relative lower proportion reimbursement for chronic diseases, people still had to pay a lot for seeking healthcare. Conclusion: When reimbursement for chronic diseases is relatively low, high mandatory insurance coverage does not ensure fairness of health financing. The Chinese health system should be developed further in order to meet the needs of elderly with different chronic conditions. Key words : Non-communicable diseases, the elderly, socioeconomic status, health financing, kakwani index

scholarly journals Fairness evaluation for the elder population in China

2020 ◽  
Author(s):  
Guan Wang ◽  
Qing Shen
Keyword(s):  
Health Behavior ◽  
Health System ◽  
Chronic Diseases ◽  
Chronic Conditions ◽  
Health Financing ◽  
The Elderly ◽  
Communicable Diseases ◽  
Health Conditions ◽  
Non Communicable Diseases ◽  
Elder Population

Abstract Background: Population aging and the increasing burden of non-communicable diseases are increasingly a strain on health systems. The World Health Organization (WHO) uses fairness of health financing as one of the criteria for assessing health system performance. The Chinese government has undertaken taken a series of health reforms to reduce the pace of disease transition towards non-communicable diseases (NCDs), as well as protecting people from catastrophic health expenditures. The aim of this study was to assess the fairness of health financing among the elderly with different health conditions in China. Methods: The data source was the WHO Study on global AGEing and adult health (SAGE) Wave 1, a national weighted data collected from adults older than 50 years. In this study, 10099 respondents were included for analysis. Chi-square and partial proportional odds model test were applied to assess the distribution of socioeconomic and health behavior factors among different chronic conditions. Fairness of health financing analysis was used to evaluate how the burden of health financing is distributed according to the household ability to pay (ATP). Dominance tests were applied for comparing different ways of health financing among health conditions. Results: More than half of the elderly had at least one chronic condition, and around 20% people suffered from multi-morbidity. Several socioeconomic as well as health behavior factors were found associated with developing NCDs. Out-of-pocket payment dominated other health finance sources in all three chronic conditions with a regressive pattern. Even though mandatory insurance had covered more than 70% of the elder population in China, due to the relative lower proportion reimbursement for chronic diseases, people still had to pay a lot for seeking healthcare.Conclusion: When reimbursement for chronic diseases is relatively low, high mandatory insurance coverage does not ensure fairness of health financing. The Chinese health system should be developed further in order to meet the needs of elderly with different chronic conditions.

The Biological Clock and Sleep in the Elderly

2006 ◽  
Vol 19 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Myriam Juda ◽  
Mirjam Münch ◽  
Anna Wirz-Justice ◽  
Martha Merrow ◽  
Till Roenneberg
Keyword(s):  
Circadian Rhythms ◽  
Biological Clock ◽  
The Elderly ◽  
Early Morning ◽  
Behavioral Changes ◽  
Older Age ◽  
Age Related ◽  
Theoretical Considerations ◽  
Sleep Difficulties ◽  
Circadian Biology

Abstract: Among many other changes, older age is characterized by advanced sleep-wake cycles, changes in the amplitude of various circadian rhythms, as well as reduced entrainment to zeitgebers. These features reveal themselves through early morning awakenings, sleep difficulties at night, and a re-emergence of daytime napping. This review summarizes the observations concerning the biological clock and sleep in the elderly and discusses the documented and theoretical considerations behind these age-related behavioral changes, especially with respect to circadian biology.

scholarly journals A Wearable Tele-Health System towards Monitoring COVID-19 and Chronic Diseases

2021 ◽  
pp. 1-1
Author(s):  
Wei Jiang ◽  
Sumit Majumder ◽  
Sophini Subramaniam ◽  
Xiaohe Li ◽  
Ridha Khedri ◽  
...  
Keyword(s):  
Health System ◽  
Chronic Diseases

scholarly journals Cardiovascular and musculoskeletal health disorders associate with greater decreases in physical capability in older women

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Juopperi Samuli ◽  
Sund Reijo ◽  
Rikkonen Toni ◽  
Kröger Heikki ◽  
Sirola Joonas
Keyword(s):  
Chronic Diseases ◽  
Musculoskeletal Disorders ◽  
Population Sample ◽  
The Elderly ◽  
Primary Objective ◽  
Baseline Body Mass Index ◽  
Functional Tests ◽  
Physical Capability ◽  
Study Population

Abstract Background Good physical capability is an important part of healthy biological ageing. Several factors influencing physical capability have previously been reported. Long-term reports on physical capability and the onset of clinical disorders and chronic diseases are lacking. Decrease in physical capacity has been shown to increase mortality. This study focuses on the prevalence of chronic diseases. The primary objective of the study was to reveal the association between physical capability and morbidity. Secondary objectives included the validity of self-reported physical capability and the association between baseline physical capability and mortality. Methods The OSTPRE (Kuopio Osteoporosis Risk Factor and Prevention Study) prospective cohort involved all women aged 47–56 years residing in the Kuopio Province, Finland in 1989. Follow-up questionnaires were mailed at five-year intervals. Physical capability questions were first presented in 1994. From these women, we included only completely physically capable subjects at our baseline, in 1994. Physical capability was evaluated with five scale self-reports at baseline and in 2014 as follows: completely physically capable, able to walk but not run, can walk up to 1000 m, can walk up to 100 m and temporarily severely incapable. The prevalences of selected chronic diseases, with a minimum prevalence of 10% in 2014, were compared with the change in self-reported physical capability. Additionally, associations between long-term mortality and baseline physical capability of the whole 1994 study population sample were examined with logistic regression. The correlation of self-reported physical capability with functional tests was studied cross-sectionally at the baseline for a random subsample. Results Our study population consisted of 6219 Finnish women with a mean baseline age of 57.0 years. Self-reported physical capability showed statistically significant correlation with functional tests. Cardiovascular diseases and musculoskeletal disorders show the greatest correlation with decrease of physical capability. Prevalence of hypertension increased from 48.7% in the full physical capability group to 74.5% in the “able to walk up to 100 metres” group (p < 0.001). Rheumatoid arthritis showed a similar increase from 2.1 to 7.4% between these groups. Higher baseline body mass index (BMI) decreases long-term capability (P < 0.001). Women reporting full physical capability at baseline had a mortality rate of 15.1%, in comparison to 48.5% in women within the “able to walk up to 100 m” group (p = 0.357). Mortality increased steadily with worsening baseline physical capability. Conclusions The results of this study show that chronic diseases, particularly cardiovascular and musculoskeletal disorders, correlate with faster degradation of physical capability in the elderly. Similar results are shown for increase in BMI. We also demonstrate that the risk of mortality over a 20-year period is higher in individuals with poor baseline physical capability.

Sociodemographic inequalities in lifestyle patterns of the population of a large Brazilian city

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L P B Medina ◽  
M B A Barros ◽  
A A Barros Filho
Keyword(s):  
Young People ◽  
Salt Intake ◽  
Leisure Time Physical Activity ◽  
The Elderly ◽  
Income Level ◽  
Older Age ◽  
Noncommunicable Diseases ◽  
Food Label ◽  
Short Sleep Duration ◽  
Lifestyle Patterns

Abstract Knowledge of avoidable exposures to noncommunicable diseases from the analysis of health behaviors or practices, and of attitudes and care related to lifestyle is an important strategy in identifying issues emerging to health and opportunities for the prevention of these problems. It was intended to analyze the combination of behaviors related to health, food and lifestyle, identify behavioral patterns and verify the inequalities present in its association with sociodemographic characteristics of the population of Campinas, São Paulo. This is a cross-sectional study conducted in 2014/15 that evaluated 1,205 people aged 20 years or older. From the behaviors regular consumption of raw and cooked vegetables, fruit and beans, consumption of low-fat milk, concern with salt intake, habit of reading food label, concern with the use of pesticides, consumption of organic foods, practice of leisure-time physical activity, consumption of meat with fat, frequent consumption of sausages and soft drinks, current smoking, alcohol abuse and short sleep duration were extracted through analysis factorial by main components. The association of these patterns with the variables gender, age and income were tested. Three lifestyle patterns were identified and nomined. The 'Healthy Advanced' lifestyle pattern was associated with females, the elderly and the best income groups can be identified; the 'Healthy Prudent' was associated with older adults, with the elderly and with the intermediate income segment. The 'Unhealthy' pattern was associated with males, with young people and did not have an association with income. It can be concluded that healthy lifestyle patterns were more present in female groups, with older age and better income level. The less healthy pattern was found more frequently among men and young people. It is noteworthy that this last pattern did not differ between income strata indicating that unhealthy practices may be equally disseminated in these groups. Key messages The better lifestyle patterns were more present in female groups, with older age and better income level. The less healthy pattern was found more frequently among men and young people, and did not differ between income strata.

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