scholarly journals Entre lo que se dice y lo que se calla: visitando el concepto de empatía en la atención integral a la salud del adulto mayor

2021 ◽  
Vol 2 (1) ◽  
pp. 74-91
Author(s):  
Roberth Steven Gutiérrez Murillo ◽  
Walfrido Kühl Svoboda ◽  
Carmen Justina Gamarra ◽  
Érica Ferreira de Souza
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Care ◽  
Social Care ◽  
Health Problems ◽  
Comprehensive Health Care ◽  
Health And Social Care ◽  
Comprehensive Health ◽  
Care Systems ◽  
Population Segment

La atención integral a la salud del adulto mayor es considerada una de las tareas más dinámicas y complejas para los sistemas públicos de salud y de asistencia social. Esta revisión narrativa constituye un ensayo crítico-analítico, de reflexión gerontológica sobre la práctica empática en la producción de actos de salud direccionados a resolver los problemas socio-sanitarios del segmento poblacional envejecido. Con tal visión, se propone una comprensión conceptual y práctica de la empatía, a través de la identificación de sus potencialidades y limitaciones en el contexto de la clínica geriátrica-gerontológica. Comprehensive health care for older adults is considered one of the most dynamic and complex tasks for public health and social care systems. This narrative review constitutes a critical-analytical essay of gerontological reflection on the empathic practice in the production of health acts aimed at solving the socio-health problems of the aging population segment. With such view, a conceptual and practical understanding of empathy is proposed, through the identification of its potentialities and limitations in the context of the geriatric-gerontological clinic. A atenção integral à saúde do idoso é uma das tarefas mais dinâmicas e complexas dos sistemas de saúde pública e de assistência social. Esta revisão narrativa constitui um ensaio crítico-analítico, de reflexão gerontológica sobre a prática empática na produção de atos de saúde dirigidos a resolver os problemas sócio-sanitários do segmento populacional envelhecido. Com tal visão, propõe-se uma compreensão conceitual e prática da empatia, através da identificação das suas potencialidades e limitações no contexto da clínica geriátrico-gerontológica.

How the Health and Social Care Bill 2011 would end entitlement to comprehensive health care in England

The Lancet ◽  
2012 ◽  
Vol 379 (9814) ◽  
pp. 387-389 ◽  
Author(s):  
Allyson M Pollock ◽  
David Price ◽  
Peter Roderick ◽  
Tim Treuherz ◽  
David McCoy ◽  
...  
Keyword(s):  
Health Care ◽  
Social Care ◽  
Comprehensive Health Care ◽  
Health And Social Care ◽  
Comprehensive Health

scholarly journals Háziorvosok és idősellátás egy kérdőíves kutatás tükrében

2018 ◽  
Vol 159 (8) ◽  
pp. 312-319
Author(s):  
Anett Mária Tróbert ◽  
Zsuzsanna Széman
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Social Care ◽  
The Elderly ◽  
Care Process ◽  
Efficient Operation ◽  
Health And Social Care ◽  
Care Systems ◽  
Care System

Abstract: According to statistical data, the number of healthy life years is not increasing in proportion with the longer average life expectancy. In the ageing societies, the long-term care systems are increasingly overburdened; cost-efficient operation and the related coordination of services is one of the key questions for their sustainability. The present separation of the health care and social care systems causes numerous difficulties. One aim of the online research by questionnaire was to survey the attitude of general practitioners – who play a very important part in care for the elderly – towards their elder patients, the patients’ family members, and social workers providing eldercare. The other aim was to gather information on shortcomings experienced by doctors in the care system and on what possibilities general practitioners see for the improvement of eldercare. Semi-structured questionnaires were applied and analysed by descriptive and content methodology. The questionnaires were sent out to 5060 addresses around the country: a total of 145 were returned filled in. The respondents made many recommendations for the improvement of eldercare in the categories of development of social services, family support, development of health services, and societal cooperation. The areas in need of development named by the general practitioners are closely interrelated: the reform of social care would support the health care system and vice versa. More effective operation of the health and social care systems would ease the burdens of families, and at the same time encourage more active participation of families in the care process. And the systematic education of society and communities is a long-term investment that would strengthen a positive attitude towards old age and a value-oriented view of the ageing process that is one of the basic conditions for successful social integration of the elderly. Orv Hetil. 2018; 159(8): 312–319.

Beyond healthcare leadership? The imperative for health and social care systems

2020 ◽  
Vol 33 (4) ◽  
pp. 351-363
Author(s):  
John Duncan Edmonstone
Keyword(s):  
Health Care ◽  
Leadership Development ◽  
Social Care ◽  
Current Model ◽  
Healthcare Leadership ◽  
Content Type ◽  
Health And Social Care ◽  
The Future ◽  
Care Systems ◽  
The Uk

Purpose This paper aims to make the case that there is a need to move beyond a focus on an approach to leadership development which is confined to health care only. It argues that, given the economic, financial, social and organisational context within which health and social care organisations in the UK operate, there is a need to develop leadership within health and social care systems, rather than within the existing “siloed” sectors. Design/methodology/approach The paper considers the context within which health and social care organisations in the UK operate; examines the nature of those organisations; makes the case for focusing on the health and social car system through systems leadership; and identifies the need for leadership, rather than leader development. Findings There is a danger of health and social care organisations “walking backwards into the future” with eyes fixed on the past. The future lies with treating health and social care as a system, rather than focusing on organisations. The current model is individual leader focused, but the emerging model is one of collective multi-agency teams. Originality/value The paper seeks to go beyond a health-care-only focus, by asserting that there is a need to regard health and social care as a single system, delivered by a multiplicity of different organisations. This has implications for the kind of leadership involved and for how this might be developed.

scholarly journals Need for Comprehensive Health Care Quality Measures for Older Adults

2018 ◽  
Vol 21 (4) ◽  
pp. 296-302 ◽  
Author(s):  
Stephanie MacLeod ◽  
Kay Schwebke ◽  
Kevin Hawkins ◽  
Joann Ruiz ◽  
Emma Hoo ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Quality ◽  
Quality Measures ◽  
Care Quality ◽  
Comprehensive Health Care ◽  
Comprehensive Health

Regional themes

2016 ◽  
Author(s):  
Andrew Molodynski
Keyword(s):  
Health Care ◽  
Social Care ◽  
Real Life ◽  
Regional Research ◽  
Stigma Reduction ◽  
Health Care Availability ◽  
Health And Social Care ◽  
Care Systems ◽  
International Conventions ◽  
Care Availability

This chapter draws together the chapters that gave an overview of regional research and practice around the world. It teases out common themes from the different continents. There are vast social and economic differences between these regions and between the health and social care systems of the different countries. There are several common themes, however: the economy and its crucial importance in making health care available and the increasingly wide-ranging legislation but poor ‘real life’ adoption of international conventions and safeguards. There are also causes for optimism, as in the description of the situation in Indonesia following the tsunami and the crucial work on health-care availability, rights, and stigma reduction.

scholarly journals Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study

2019 ◽  
Vol 17 (1) ◽  
pp. 220
Author(s):  
Eun Jeong Hwang ◽  
In Ok Sim
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Health Care ◽  
Blood Glucose ◽  
Care Program ◽  
Control Groups ◽  
Comprehensive Health Care ◽  
Comprehensive Health ◽  
Quasi Experimental ◽  
And Control

This study explored the effects of a comprehensive health-care program (CHCP) on blood pressure, blood glucose, body composition, and depression in older adults living alone. We used a quasi-experimental, two-group, pretest–posttest design. The CHCP consisted of open lectures, health counseling, exercise classes, nutrition counseling, and self-help group meetings at a local senior welfare center. Fifty-eight subjects participated in this study, with thirty subjects in the experimental group and twenty-eight subjects in the control group. Data were analyzed by using the descriptive statistics, χ2-test, and t-test. Comparisons of the pretest and posttest systolic blood pressure (t = −2.530, p < 0.016) and blood glucose (t = 3.089, p < 0.004) between the experimental and control groups showed significant differences. In both the experimental (t = 3.949, p < 0.001) and control groups (t = 3.816, p < 0.002), depression symptoms showed a significant decrease posttest, compared with pretest. Our findings infer that older adults require physical and psychosocial health care and that more efforts must be made to improve the general health and well-being of this population group.

scholarly journals Maternal deaths in developing countries: A preventable tragedy

2009 ◽  
Vol 15 (2) ◽  
Author(s):  
Gunnar Kvåle ◽  
Bjørg Evjen Olsen ◽  
Sven Gudmund Hinderaker ◽  
Magnar Ulstein ◽  
Per Bergsjø
Keyword(s):  
Public Health ◽  
Health Care ◽  
Maternal Mortality ◽  
Low Income ◽  
Health Care Systems ◽  
Health Problems ◽  
Low Income Countries ◽  
Public Health Importance ◽  
Maternal Deaths ◽  
Care Systems

The neglected tragedy of persistent high maternal mortality in the low-income countries is described. One of the millennium development goals states that the current number of maternal deaths of around 500,000 per year should be reduced by three quarters by 2015. Since the major causes and avenues for prevention are known, this may seem an achievable goal. It is concluded, however, that unless all stakeholders globally and within individual countries will demonstrate a real commitment to translate policy statements into actions, it is unlikely that the goal will be reached. A substantial increase in the resources for reproductive health care services is needed, and the human resource crises in the health care systems must be urgently addressed. Epidemiologists have an important role to play by designing randomized controlled trials for estimating the effect of different health care systems interventions aimed at reducing maternal mortality and other major health problems in low resource settings. The public health importance of such trials may be greater than the potential benefit of randomized trials for investigating effects of new vaccines and drugs. Within the field of perinatal epidemiology the disparity in public health importance of research conducted in the rich versus the poor world is glaring. Time is overdue for perinatal epidemiologists to turn their attention to the areas of the world where the maternal and perinatal health problems are overwhelming.

What Is Happening in Sweden?

2019 ◽  
Vol 49 (2) ◽  
pp. 204-211 ◽  
Author(s):  
Bo Burström
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Policy ◽  
Market Orientation ◽  
Public Health Policy ◽  
Social Care ◽  
Publicly Funded ◽  
Inequalities In Health ◽  
National Review ◽  
Health And Social Care

Election to the parliament was held in Sweden on 9 September 2018. None of the traditional political blocks obtained a majority of the vote. The nationalist Sweden Democrats party increased their share of the vote from 13% in 2014 elections to 17% of the vote in 2018. As no traditional political block wants to collaborate with the Sweden Democrats, no new government has yet been formed, more than 2 months after the election. Health care was a prominent issue in the elections. Health care in Sweden is universal and tax-funded, with a strong emphasis on equity. However, recent reforms have emphasized market-orientation and privatization in order to increase access to care, and may not contribute to equity. In spite of a majority of the population being opposed to profits being made on publicly funded services, privatization of health and social care has increased in the last decades. The background to this is described. Health is improving in Sweden, but inequalities remain and increase. The Swedish Public Health Policy from 2003 has been revised in 2018, on the basis of a national review of inequalities in health. The revised policy further emphasizes reducing inequalities in health.

Future Development of Medical Informatics from the Viewpoint of Health Telematics

2009 ◽  
Vol 48 (01) ◽  
pp. 55-61 ◽  
Author(s):  
K. P. Pfeiffer
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Information And Communication Technology ◽  
Medical Informatics ◽  
Communication Technology ◽  
Social Care ◽  
Care Process ◽  
Health And Social Care ◽  
Care Systems ◽  
Information And Communication

Summary Objectives: The transformation process of the health care systems in most countries in direction of integrated care needs the support of information and communication technology. The central element of this development is the electronic health care record. But there are many other applications around this record and the functionality and usability of these systems has to be improved and extended. Methods: A system-analytic approach to integrated care is used to analyze the possibilities and the role of information and communication technology in current and future health and social care systems. Results: The key elements of the improvements in the next years are the integration of evidence-based knowledge in the care process, the improvement of the usability for patients and health care providers, the development of pro-active systems for decision support, the support of the mobility of patients and the activities of daily living, the integration of data form molecular biology, semantic interoperability and last but not least the processing and analysis of these data. In a series of tables requirements of the functionality of eHealth applications are summarized. Conclusion: Research in medical informatics has to focus on strategic concepts and how to transform the demands of a modern integrated health and social care system into user-friendly, secure and efficient ICT solutions and to support the citizen’s responsibility for her/his own healthcare. But there is also a high demand for research to improve the technology of ICT systems in health and social care.

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