[CURRENT APPROACHES TO SOCIOPLITICAL COMPLEXITY IN ASIA] The development and decline of social complexity in North China: some environmental and social factors

BackgroundChildren’s health and healthcare use are impacted by both medical conditions and social factors, such as their home and community environment. As healthcare systems manage a pediatric population, information about these factors is crucial to providing quality care coordination.MethodsThe authors developed a novel methodology combining medical complexity (using the Pediatric Medical Complexity Algorithm) and social complexity (using available family social factors known to impact a child’s health and healthcare use) to create a new health complexity model at both the population-level and individual-level. System-level data from Oregon’s Medicaid Management Information Systems and Integrated Client Services database was analysed, examining claims data and service utilization, to calculate the health complexity of children enrolled in Medicaid/Child Health Insurance Program (CHIP) across Oregon.ResultsOf the 390 582 children ages 0 to 17 enrolled in Medicaid/CHIP in Oregon from July 2015 to June 2016, 83.4% (n=325 900) had some level of medical and/or social complexity and 22.1% (n=85 839) had health complexity (both medical and social complexity). Statistically significant (p<0.05) differences in health complexity were observed among attributed patients by Oregon’s 16 Coordinated Care Organizations, as well as by a child’s age, county of residence and race/ethnicity.ConclusionsGiven the high proportion of children with health complexity, these findings demonstrate that a large number of Medicaid/CHIP-insured children could benefit from targeted care coordination and differential resource allocation. Reports have been shared with state, county and health system leaders to drive work across the state. This paper describes the collaborative process necessary for other states considering similar work.

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Settlement Patterns and Development of Social Complexity in the Yiluo Region, North China

Journal of Field Archaeology ◽

10.1179/jfa.2004.29.1-2.75 ◽

2004 ◽

Vol 29 (1-2) ◽

pp. 75-100 ◽

Cited By ~ 37

Author(s):

Li Liu ◽

Xingcan Chen ◽

Yun Kuen Lee ◽

Henry Wright ◽

Arlene Rosen

Keyword(s):

Settlement Patterns ◽

North China ◽

Social Complexity

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Social Complexity in the Mid-Holocene Northeastern Bothnian Gulf

European Journal of Archaeology ◽

10.1179/1461957112y.0000000005 ◽

2012 ◽

Vol 15 (1) ◽

pp. 41-60 ◽

Cited By ~ 2

Author(s):

André Costopoulos ◽

Samuel Vaneeckhout ◽

Jari Okkonen ◽

Eva Hulse ◽

Ieva Paberzyte ◽

...

Keyword(s):

Population Density ◽

Social Factors ◽

Social Complexity ◽

Land Uplift ◽

Hunter Gatherers ◽

Major River ◽

Shoreline Displacement ◽

River Mouths ◽

Reduced Mobility ◽

Local Variability

There was a period of reduced mobility, increased population density, and social complexity among hunter–gatherers in northern Bothnian prehistory between about 4050 and 2050 cal BC. We argue that this was made possible by a combination of physical and social factors that include the shortening of the coastline due to isostatic land uplift, the reduction of distances between major river mouths along the Bothnian coast, and the local variability in rate of shoreline displacement at individual river mouths.

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Domestic Integration and Suicide in the Provinces of Canada

Crisis ◽

10.1027//0227-5910.20.2.59 ◽

1999 ◽

Vol 20 (2) ◽

pp. 59-63 ◽

Cited By ~ 20

Author(s):

Antoon A. Leenaars ◽

David Lester

Keyword(s):

Social Factors ◽

Positive Association ◽

Negative Association ◽

Birth Rates ◽

Marriage Rates ◽

Suicide Rates ◽

The Social ◽

Divorce Rates ◽

Low Levels ◽

Over Time

Canada's rate of suicide varies from province to province. The classical theory of suicide, which attempts to explain the social suicide rate, stems from Durkheim, who argued that low levels of social integration and regulation are associated with high rates of suicide. The present study explored whether social factors (divorce, marriage, and birth rates) do in fact predict suicide rates over time for each province (period studied: 1950-1990). The results showed a positive association between divorce rates and suicide rates, and a negative association between birth rates and suicide rates. Marriage rates showed no consistent association, an anomaly as compared to research from other nations.

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Illness Perception and Its Changes During Six Months After Cardiac Rehabilitation

European Journal of Health Psychology ◽

10.1027/2512-8442/a000034 ◽

2019 ◽

Vol 26 (3) ◽

pp. 90-100

Author(s):

Justė Lukoševičiūtė ◽

Kastytis Šmigelskas

Keyword(s):

New York ◽

Social Factors ◽

Nyha Class ◽

Illness Perception ◽

Heart Association ◽

Class Iii ◽

Cognitive Representations ◽

Coronary Syndrome ◽

Type D ◽

New York Heart Association

Abstract. Illness perception is a concept that reflects patients' emotional and cognitive representations of disease. This study assessed the illness perception change during 6 months in 195 patients (33% women and 67% men) with acute coronary syndrome, taking into account the biological, psychological, and social factors. At baseline, more threatening illness perception was observed in women, persons aged 65 years or more, with poorer functional capacity (New York Heart Association [NYHA] class III or IV) and comorbidities ( p < .05). Type D personality was the only independent factor related to more threatening illness perception (βs = 0.207, p = .006). At follow-up it was found that only self-reported cardiovascular impairment plays the role in illness perception change (βs = 0.544, p < .001): patients without impairment reported decreasing threats of illness, while the ones with it had a similar perception of threat like at baseline. Other biological, psychological, and social factors were partly associated with illness perception after an acute cardiac event but not with perception change after 6 months.

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