critical health care
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2021 ◽  
pp. 107755872110511
Author(s):  
Lindsay Shea ◽  
Sha Tao ◽  
Steven C. Marcus ◽  
David Mandell ◽  
Andrew J. Epstein

Enrollment in Medicaid facilitates access to needed services among transition-age youth on the autism spectrum and youth with intellectual disability (ID). There are long-standing programs to ensure that individuals with ID remain enrolled as they age; similar programs for autistic youth are newer, not as widespread, and may not be as effective. We compared Medicaid disenrollment and re-enrollment between transition-age youth on the autism spectrum, youth with ID, and youth with both diagnoses using a national claims-based prospective cohort study from 2008 through 2012. Autistic youth were most likely to disenroll and least likely to re-enroll. Disenrollment peaked for all three groups at ages 19 and 21. Transition-age youth on the autism spectrum experience more disruptions in access to Medicaid-reimbursed services than youth with ID. More equitable Medicaid enrollment options for autistic individuals are needed to ensure their access to critical health care as they age.


Author(s):  
Ben Y. F. Fong ◽  
Wang-Kin Chiu ◽  
Wendy F. M. Chan ◽  
Ting Yu Lam

Nowadays people are living longer, and there has been a substantial growth in the global elderly population in the past decades. While life expectancy is increasing, there are growing concerns towards the heavy financial and social burdens related to chronic diseases among the elderly. These have been critical health care issues, and healthy ageing is considered a top priority in public health. Diet and eating habits are crucial factors contributing to healthy ageing. These important aspects have attracted much attention in health research, particularly in consideration of the causes and management of chronic conditions which affect most elder adults in the world. Recently, a growing number of investigations have reported significant findings on the association of reduction in the risks of chronic non-communicable diseases with plant-based diets. Meanwhile, there have been worldwide initiatives and programmes implemented for reduction of salt intake. A green diet, which emphasises the consumption of a diet rich in plant foods with minimal portions of red or processed meat and reduced salt intake, is advocated with due consideration to the importance of sustainable environment and healthy ageing. This paper highlights a brief review of the recent advance of knowledge in diet and health, its effects on the elderly and the significance of a green diet on healthy ageing. Implications for a green diet and recommendations for future research are also discussed.


2021 ◽  
Vol 2 ◽  
pp. 59-64
Author(s):  
Vyshnavi A. Rao ◽  
Kamini A. Rao

Coronavirus diease-2019 (COVID-19), a global pandemic, has imposed a lot of challenges and potential risk to women who are planning a pregnancy and women who are pregnant in the COVID era. After the World Health Organization (WHO) declared COVID-19, a global pandemic, pregnancies achieved through medically assisted reproduction/Assisted Reproductive Technologies (ARTs) services experienced a major hit as couples became even more anxious to embark on pregnancy, the obvious reasons being the vertical transmission to the fetus, and use of critical health-care support system if required. Although the effects of coronavirus in terms of pregnancies conceived through the above measures are not known, retrospective studies will be needed to assess the outcomes of pregnancies conceived either naturally or any of the above mentioned procedures. As a precautionary measure, many professional societies worldwide recommended a ban on fertility treatments 1 week after WHO declared this as a pandemic. All reproductive medicine societies had published guidelines regarding stopping of infertility services except for poor responders and oocyte/sperm cryopreservation procedures in cancer patients – undergoing chemotherapy/radiation as there could be a reduction in gamete numbers. The possible reasons being to avoid complications of ART, like virus-induced complications of pregnancy and vertical transmission to fetus in severe respiratory distress syndrome COVID-positive mothers. The measures required to be taken are physical social distancing and critical health-care accessibility services. It has caused a major blow with respect to economic and social framework of our societies.


2020 ◽  
Vol 32 (8) ◽  
pp. 473-475
Author(s):  
Thirunavukarasu Kumanan ◽  
Chrishanthi Rajasooriyar ◽  
Mahesan Guruparan ◽  
Nadarajah Sreeharan

2019 ◽  
Vol 8 (1) ◽  
pp. 16
Author(s):  
Elham Nazari ◽  
Mohammad Hasan Shahriari ◽  
Hamed Tabesh

Introduction: The use of healthcare frameworks and, in particular, policy makers is crucial for designing and evaluating systems. Frameworks provide the ability to measure and compare health system functions in different countries in order to make better and more meaningful decisions, to make comparisons within and between countries, identifying gaps, and sharing information. Researchers also have the ability to use the dimensions of the frameworks to measure progress over time. Due to the importance of the subject, the purpose of this study is to describe the framework concepts and the introduction of framework applications in the field of health care.Material and Methods: This study is based on a search of the ProQuest, PubMed, Google Scholar, Science Direct, Scopus, IranMedex, Irandoc, Magiran, ParsMedline and Scientific Information Database (SID) databases, as well as the study of specialized keyword web sites and the standard was done. After a thorough study, 50 sources were selected according to the study objectives and were used to formulate the final article.Results: The framework can be used to manage health system investments, identify important research areas in the field of health, and define new and useful research.Conclusion: Given the importance of the health framework, the need to provide a framework for other critical health care sectors is essential.


2016 ◽  
Vol 165 (11) ◽  
pp. 816 ◽  
Author(s):  
Stephen M. Shortell ◽  
Diane Rittenhouse

Author(s):  
Martin Kitchener ◽  
Richard Thomas

While the application of critical approaches has helped to reduce the conservatism and improve the relevance of scholarship in areas of health care studies including those concerned with social movements and the body, the impact of critical work has been less marked in health care management studies. After discussing the causes and implications of this phenomenon, this chapter extends the work of Burawoy (2004) and Delbridge (2010) to develop an articulation of Critical Health Care Management Studies (CHMS) as a necessary and distinctive domain of scholarship. We then review progress in developing CHMS in terms of the four main concerns of critical management enquiry: (a) questioning the taken-for-granted, (b) moving beyond instrumentalism and assumptions of performativity, (c) a concern for reflexivity and meanings in research, and (d) challenging structures of domination. We conclude by discussing barriers to progress and presenting an agenda for the development of the CHMS domain.


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