Artykuły w czasopismach na temat „Aged healthcare”
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Yamada, Yuichiro. "3) Community Healthcare in Super-aged Society". Nihon Naika Gakkai Zasshi 105, nr 3 (2016): 417–21. http://dx.doi.org/10.2169/naika.105.417.
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Hills, William, Matthew Murphy i Karen Hills. "Tele-Healthcare in Research and Education: Age Differences in Access and Utilization of Healthcare Resources". Innovation in Aging 5, Supplement_1 (1.12.2021): 1016–17. http://dx.doi.org/10.1093/geroni/igab046.3642.
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Abstract Societal needs highlighted during the pandemic have led to significant changes in healthcare, including the rapid development and implementation of tele-care consumer options. This study examined video-based, virtual healthcare access and utilization before and during the pandemic. Participants included traditional college-aged students, middle-aged adults, and retirement-aged persons (n = 685); measures included access to physical and mental health services, consumer satisfaction with type of services accessed, and anticipated use of virtual healthcare following the pandemic. Results showed that approximately half of participants (49.2%) had experience with virtual healthcare, with most of these cases during the pandemic. Virtual healthcare was more often used for physical compared to mental healthcare services, with college-aged participants more likely to use mental healthcare services than adult and retirement-aged participants. Laptop computers were most widely used to access services, with smartphone use proportionally lower in retirement-aged participants (31.4%). Overall satisfaction with virtual services was high (Mdn = 5 on a 6-point Likert scale), but college-aged participants trended toward a lower satisfaction (Mdn = 4.25) than other age categories. These results support that virtual healthcare service development and access experienced significant growth during the pandemic. Age differences in the types of services, types of devices, and satisfaction with virtual services all suggest a similar theme for age-related considerations of life stage, life responsibilities, and comfort and familiarity with technology that must be addressed for virtual healthcare to reach its full potential and reach equitably across the lifespan.
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Gill, Liz, Lesley White i Ian Douglas Cameron. "Service co‐creation in community‐based aged healthcare". Managing Service Quality: An International Journal 21, nr 2 (22.03.2011): 152–77. http://dx.doi.org/10.1108/09604521111113447.
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Hong, Sungjae. "Social Determinants of Unmet Healthcare Needs: Comparison Between Middle-Aged and Older People". Innovation in Aging 4, Supplement_1 (1.12.2020): 379. http://dx.doi.org/10.1093/geroni/igaa057.1220.
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Abstract This study aims to 1) examine unmet healthcare needs by age groups and 2) compare the social determinants of unmet healthcare needs between older and middle-aged people in Korea. This study employed a nationally representative dataset of the 2017 Healthcare Service Experience Survey in Korea. Unmet healthcare needs consisted of three categories by healthcare type: 1) clinic visitation, 2) treatment, and 3) medication. Independent variables include demographic, socioeconomic, and health status. Logistic regression models were estimated to reveal the social determinants of unmet healthcare needs of older (age≥65; N=2,178) and middle-aged (age 40~64; N=5,062) people. There was a positive gradient of unmet healthcare needs prevalence by age group, having the highest prevalence among older people (10.8%). While older people living alone were 1.70 times more likely to report any of unmet healthcare needs, there was no significant relationship between the two among middle-aged people. In addition, the effect of chronic disease morbidity on the probability of unmet healthcare needs was stronger among older people than it is among middle-aged people (OR=3.50 and 2.90, respectively). In contrast, the effect of household income was weaker than it is among middle-aged people (OR=1.73 and 2.95, respectively). The gradient of unmet healthcare needs by age group asks gerontologists and public healthcare scholars to focus on older people regarding unmet healthcare needs. Also, the difference between middle-aged and older people on social determinants of unmet healthcare needs implies different psychosocial pathways of unmet healthcare needs between the two age groups.
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Murphy, Matthew, William Hills i Karen Hills. "Age Differences in Anticipated Use of Virtual Healthcare Services After the Pandemic". Innovation in Aging 5, Supplement_1 (1.12.2021): 990–91. http://dx.doi.org/10.1093/geroni/igab046.3558.
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Abstract Healthcare has undergone a significant transformation during the pandemic, with virtual services being rapidly developed and implemented to keep pace with societal needs. This study documented this change in healthcare by examining access and use of video-based, virtual service use before and during the pandemic. Participants for the study (n = 685) included three groups, including retirement-aged persons, middle-aged adults, and traditional college-aged students. Measures for the study included access to and utilization of physical and mental health services, satisfaction with services accessed, and anticipated access and use of virtual services following the pandemic. Results showed that most participants (94.2%) believed that virtual healthcare would persist after the pandemic; three-quarters of adults (75.2%) but only half of college-aged (52.8%) and retirement-aged (57.6%) participants anticipated using virtual healthcare in the future. Prior use and satisfaction with virtual healthcare services mediated anticipated future use for retirement-aged participants (p < .001), but only satisfaction with virtual healthcare was a marginal predictor for college-aged participants (p = .051), and neither were predictors for adult-aged participants. These results support that people believe virtual healthcare will persist after the end of the pandemic, but that there are age-related differences in who anticipates using these services in the future, and which factors will make the most difference in attracting clients. These differences can impact how healthcare providers market and develop further tele-health services to increase the likelihood of use by retirement-aged participants, and suggests that client satisfaction is a key mediator for different age groups.
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Choi, Namkee G., Diana M. DiNitto i Bryan Y. Choi. "Unmet Healthcare Needs and Healthcare Access Gaps Among Uninsured U.S. Adults Aged 50–64". International Journal of Environmental Research and Public Health 17, nr 8 (15.04.2020): 2711. http://dx.doi.org/10.3390/ijerph17082711.
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Lack of health insurance (HI) is a particular problem for near-older Americans aged 50–64 because they tend to have more chronic health conditions than younger age groups and are at increased risk of disability; however, little recent research has focused on HI coverage and healthcare access among this age group. Using the U.S. National Health Interview Survey data for the years 2013 to 2018, we compared HI coverage and healthcare access between the 50–64 and 65+ age groups. Using logistic regression analysis, we then examined the sociodemographic and health characteristics of past-year healthcare access of near-older Americans without HI to those with private HI or public HI (Medicare without Medicaid, Medicaid without Medicare, Medicare and Medicaid, and VA/military HI). We estimated the odds of healthcare access among those without HI compared to those with private or public HI. Near-older Americans without HI were at least seven times more likely to have postponed or foregone needed healthcare due to costs, and only 15% to 23% as likely to have had contact with any healthcare professional in the preceding 12 months. Expanding HI to near-older adults would increase healthcare access and likely result in reduced morbidity and mortality and higher quality of life for them.
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Nusbaum, Margaret R. H., Amrit R. Singh i Amanda A. Pyles. "Sexual Healthcare Needs of Women Aged 65 and Older". Journal of the American Geriatrics Society 52, nr 1 (styczeń 2004): 117–22. http://dx.doi.org/10.1111/j.1532-5415.2004.52020.x.
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Shenoy, K. T., T. Sheela Shenoy i P. Sankara Sarma. "Access to healthcare and morbidity among aged in Kerala". Journal of Clinical Epidemiology 51 (luty 1998): S42. http://dx.doi.org/10.1016/s0895-4356(98)90136-6.
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Nortvedt, P., R. Pedersen, K. H. Grothe, M. Nordhaug, M. Kirkevold, A. Slettebo, B. S. Brinchmann i B. Andersen. "Clinical prioritisations of healthcare for the aged--professional roles". Journal of Medical Ethics 34, nr 5 (1.05.2008): 332–35. http://dx.doi.org/10.1136/jme.2007.020693.
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Rao, Hamna. "Reforms Needed in Aged Patient’s Care". International Journal of Frontier Sciences 2, nr 1 (1.01.2018): 56–64. http://dx.doi.org/10.37978/tijfs.v2i1.34.
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Today’s health workforce is constantly engaged to enhance the standards of healthcare services and ensuring comprehensive healthcare standards to the community. Queensland’s health workforce is Australia’s second largest health workforce (1) and serving proportionately in all areas of QLD, making efforts to make health better by making research, surveys and developmental planning in rural and regional areas. Aged Care is currently the most concerned health issue among OECD countries (2) as aged population continues to grow and it’s challenging for Australian health sector to meet the standards of quality care in provision of aged care health services. As per Australian Institute of Health and Welfare statistics it is projected that Australia will constitute 22% of aged population in next 30 years (AIHW).
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Loy, Jennifer, i Natalie Haskell. "Future care: rethinking technology enhanced aged care environments". Journal of Enabling Technologies 12, nr 2 (18.06.2018): 91–100. http://dx.doi.org/10.1108/jet-12-2017-0054.
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Purpose Cutting-edge hospital and residential care architecture and interior design aim to address the emotional and practical needs of patients, staff and visitors. Yet, whilst improving on past practice, current approaches to design still rarely recognise or respond to individuals. The purpose of this paper is to provide a review of design-led research into digital technology across disciplines for the personalisation of healthcare environments and is informed by the authors’ ongoing hospital-based research. Design/methodology/approach This review is based on a design anthropology framework providing insight into designing for changing the experience for older patients in current healthcare contexts and future focused strategies, integrating digital technologies and human-centred design across scale and disciplines. It is informed by ongoing hospital studies based on design-led research methodology, drawing on design anthropology and ethnographical methods. Findings Technology enhanced, human-centred, assistive devices and environments implemented into healthcare across scale are developing but integration is needed for meaningful experiences. Research limitations/implications This review is a positioning paper for design-led research into digital technology across scale and medium. Practical implications This paper provides the basis for practical research including the ongoing hospital-based research of the authors. Social implications This approach potentially enhances emotional experiences of connected healthcare. Originality/value Future care scenarios are proposed, with technology and human experience as key drivers. Individualised and personalised solutions better cater for diversity. Within this context, it is strategic to question and test new ways of crafting the older persons care experience. This paper brings new direction to this discussion.
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Wiltshire, Jacqueline, Carla Sampson, Keith Elder i Paul Musey. "AFFORDABILITY, PERCEIVED RACISM, AND HEALTHCARE SYSTEM DISTRUST AMONG AFRICAN AMERICAN WOMEN AGED 45 AND OVER". Innovation in Aging 6, Supplement_1 (1.11.2022): 794–95. http://dx.doi.org/10.1093/geroni/igac059.2868.
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Abstract Unaffordable healthcare costs—a major concern for Americans--disproportionately affect African Americans (AA), who are more likely to distrust the healthcare system due to past mistreatment and discrimination. However, the relationships between affordability, mistreatment, discrimination, and healthcare system distrust are unclear. Using cross-sectional survey data from a community-based sample of 313 African American women aged 45 and over, we assessed the relationships between the ability to get needed care due to costs, negative healthcare experiences, perceived racism, and healthcare system distrust. Linear regression and mediation analyses were conducted to assess relationships. Approximately 23% of women reported the inability to get needed care because of costs, and 44% had a negative experience with a healthcare provider. Healthcare system distrust was higher among women unable to get healthcare because of costs (β = 2.66; p = 0.005) or had a negative experience with a healthcare provider (β = 3.02; p < 0.001). However, perceived racism in the healthcare system, a significant predictor of distrust (β = 0.81; p < 0.001), attenuated the relationships between inability to get health care because of costs (β = 1.74; p = 0.051) and negative experience with a healthcare provider (β = 1.79; p = 0.013). Perceived racism explains 34% and 46%, respectively, of the relationships between affordability, negative experience with healthcare provider, and healthcare system distrust. These findings are important given the relevance of building trust and understanding needs to address health inequities. Future research should explore whether these findings hold for AA men and other minoritized groups.
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Giang, Thanh-Long, Dinh-Tri Vo i Quan-Hoang Vuong. "COVID-19: A Relook at Healthcare Systems and Aged Populations". Sustainability 12, nr 10 (20.05.2020): 4200. http://dx.doi.org/10.3390/su12104200.
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Using data from the WHO’s Situation Report on the COVID-19 pandemic from 21 January 2020 to 30 March 2020 along with other health, demographic, and macroeconomic indicators from the WHO’s Application Programming Interface and the World Bank’s Development Indicators, this paper explores the death rates of infected persons and their possible associated factors. Through the panel analysis, we found consistent results that healthcare system conditions, particularly the number of hospital beds and medical staff, have played extremely important roles in reducing death rates of COVID-19 infected persons. In addition, both the mortality rates due to different non-communicable diseases (NCDs) and rate of people aged 65 and over were significantly related to the death rates. We also found that controlling international and domestic travelling by air along with increasingly popular anti-COVID-19 actions (i.e., quarantine and social distancing) would help reduce the death rates in all countries. We conducted tests for robustness and found that the Driscoll and Kraay (1998) method was the most suitable estimator with a finite sample, which helped confirm the robustness of our estimations. Based on the findings, we suggest that preparedness of healthcare systems for aged populations need more attentions from the public and politicians, regardless of income level, when facing COVID-19-like pandemics.
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Ma, C., Y. Jiang, Y. Li, Y. Zhang, X. Wang, S. Ma i Y. Wang. "Healthcare underutilization in middle-aged and elderly adults in China". Public Health 166 (styczeń 2019): 65–68. http://dx.doi.org/10.1016/j.puhe.2018.10.003.
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Suh, Guk-Hee. "Mental healthcare in South Korea". International Psychiatry 2, nr 7 (styczeń 2005): 10–12. http://dx.doi.org/10.1192/s1749367600007086.
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The Korean peninsula is located between China and Japan. After the Second World War, the Republic of Korea was established in the southern half of the Korean peninsula. South Korea has a total area of 98 480 km2 and a population of 48 598 175 (July 2004 estimate). The per capita gross domestic product (GDP), in terms of purchasing power parity, is US$17 700 (2003 estimate) (Central Intelligence Agency, 2004). The illiteracy rate (among those aged over 15 years) is 1.9% (0.7% for males and 3% for females) (2003 estimate). Life expectancy at birth is 75.6 years (72.0 years for males and 79.5 years for females) and the infant mortality rate is 7.2 per 1000 births (2004 estimate). The unemployment rate is 3.4% (2003 estimate). The proportion of the population aged 65 and over is currently 8.7% (2004 estimate) (Korea National Statistics Office, 2003). Over 40% of the total Korean population (i.e. some 20 million) lives in Seoul and its vicinity. South Korea is highly urbanised and modernised. Besides central government, local government is based on seven metropolitan cities and nine provinces.
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Popoola, K. O., O. Ojo i E. Umara. "Factors Influencing Aged Preferences for Healthcare Services in Selected Rural Communities of Ayedaade Local Government Area, Osun State". Environmental Technology and Science Journal 13, nr 1 (6.09.2022): 134–46. http://dx.doi.org/10.4314/etsj.v13i1.11.
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Over the years, there has been a growing recognition of the challenges of aged healthcare and care preferences especially the rural aged and the need for it to be addressed. Hence, this study examined factors influencing aged preferences for healthcare services in three rural communities of Ayedaade Local Government Area of Osun State by adopting combinations of methods. A total of 127 structured questionnaires were administered to the elderly (60 years and older) in the designated localities. In addition to this, nine people were interviewed in the three communities studied. It was revealed that health personnel such as doctors, nurses, among others were rarely available and those available were not responsive at the healthcare facilities. Also, the healthcare facilities had limited number of rooms and the available roomsand beds were in poor conditions. The study further revealed traditional care as the aged most preferred healthcare in the three communities and factors such as distance to the health, long waiting time and literacy level were found to be influencing their preferences. The study suggested the need to put into consideration aged preferences in planning choices connected to health care services especially those in the rural areas. Also, there is the need for health care services provided to be monitored appropriately by the relevant government agencies.
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Inacio, Maria C., Sarah Catherine Elizabeth Bray, Craig Whitehead, Megan Corlis, Renuka Visvanathan, Keith Evans, Elizabeth C. Griffith i Steve L. Wesselingh. "Registry of Older South Australians (ROSA): framework and plan". BMJ Open 9, nr 6 (czerwiec 2019): e026319. http://dx.doi.org/10.1136/bmjopen-2018-026319.
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IntroductionAustralia’s ageing population puts significant demands on the aged care and healthcare sectors. To monitor the provision of aged care and healthcare services to older people, each government body has an individual data collection system. Together these systems can be the basis for creating the evidence necessary to support future allocation of resources for our ageing community. The Registry of Older South Australians (ROSA) is a cross-sector multidisciplinary (ie, aged care and healthcare) platform built to address the challenges of monitoring people in aged care settings. This protocol describes the ROSA’s framework and plans.Methods and analysisA registry to capture 16 000 South Australians/year undergoing an aged care eligibility assessment was designed. ROSA will contain information captured by the Commonwealth and South Australian state Health Authority, linked by two data integrating authorities, and housed on a secured data platform. ROSA will contain information on the sociodemographic, health, function, psychological, social, home and safety assessment and concerns characteristics, aged care services, general health services, and mortality of people receiving aged care services. Registered participants will be prospectively monitored until their death and yearly updates of their aged care and healthcare services information will be added to the registry.Ethics and disseminationROSA will longitudinally monitor the services provided to a population that puts costly demands on the state healthcare and aged care systems, identify unwanted variation, and underpin future research. ROSA’s expected outputs include an annual report, a research agenda that focuses on high burden conditions and potentially economically impactful questions, educational materials, and risk profiling tools. ROSA was approved by the South Australian Department for Health and Ageing HREC (HREC/17/SAH/125) and the Australian Institute of Health and Welfare HREC (EO2018/2/429).
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Andersson, Matthew A., Lindsay R. Wilkinson i Markus H. Schafer. "Does the Association Between Age and Major Illness Vary by Healthcare System Quality?" Research on Aging 41, nr 10 (4.08.2019): 988–1013. http://dx.doi.org/10.1177/0164027519864720.
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This study builds on research into global aging, by offering a multiple-indicator test of whether national healthcare system quality modifies the association between age and major illness. Recent individual-level data on morbidity among respondents aged 50 or older (16 countries; 2014 European Social Survey) are merged with nation-level healthcare indicators. Healthcare system quality is assessed using a subjective, evaluation-based approach and an objective, attributable-mortality approach. Lagged nation-level economic and health indicators are controlled to help isolate healthcare system effects. Results across subjective and objective approaches to healthcare system quality are strikingly consistent. While older individuals showed approximately a 10% reduction in probability of major illness when residing in countries with higher healthcare quality, associations between age and morbidity indices combining number and severity of illness showed greater modification by healthcare quality, with reductions around 18%. Taken together, results are suggestive of healthcare’s protective role in reducing age-related illness and disability.
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Fang, Xin, Noleen Bennett, Courtney Ierano, Rodney James i Karin Thursky. "Ophthalmic Antimicrobial Prescribing in Australian Healthcare Facilities". Antibiotics 11, nr 5 (12.05.2022): 647. http://dx.doi.org/10.3390/antibiotics11050647.
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The National Antimicrobial Prescribing Survey (NAPS) is a web-based, standardized tool, widely adopted in Australian healthcare facilities to assess the reasons for, the quantity of, and the quality of antimicrobial prescribing. It consists of multiple modules tailored towards the needs of a variety of healthcare facilities. Data regarding ophthalmological antimicrobial use from Hospital NAPS, Surgical NAPS, and Aged Care NAPS were analysed. In Hospital NAPS, the most common reasons for inappropriate prescribing were incorrect dose or frequency and incorrect duration. Prolonged duration was also common in Aged Care prescribing: about one quarter of all antimicrobials had been prescribed for greater than 6 months. All three modules found chloramphenicol to be the most prescribed antimicrobial with a high rate of inappropriate prescribing, usually for conjunctivitis.
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Kittle, Krystal, Kyungmin Kim, Karen Fredriksen Goldsen i Kathrin Boerner. "EFFECTS OF DISCRIMINATION/VICTIMIZATION ON HEALTHCARE UTILIZATION VIA HEALTHCARE BARRIERS". Innovation in Aging 6, Supplement_1 (1.11.2022): 44. http://dx.doi.org/10.1093/geroni/igac059.168.
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Abstract Aging lesbian, gay, bisexual, and transgender (LGBT) adults are a health disparate population with unique healthcare challenges. Using data from the Aging with Pride: National Health, Aging, Sexuality/Gender Study (NHAS; N = 2,560), we examined contextual factors that influence the healthcare utilization of LGBT middle-aged and older adults. Causal indirect, direct, and total causal effects based on counterfactuals were computed to assess mediational links between discrimination/victimization and healthcare utilization via healthcare barriers. Discrimination/victimization had an indirect effect on health screenings via fear accessing health services both inside and outside of the LGBT community, financial barriers to care or medication, and being uninsured. Discrimination/victimization also had an effect on routine checkups and having a regular provider, via fear seeking health services outside of the LGBT community, financial barriers and being uninsured. Findings can be utilized in LGBT cultural competency trainings for health and human service providers serving aging LGBT people.
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Schildmeijer, Kristina Görel Ingegerd, Maria Unbeck, Mirjam Ekstedt, Marléne Lindblad i Lena Nilsson. "Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology". BMJ Open 8, nr 1 (styczeń 2018): e019267. http://dx.doi.org/10.1136/bmjopen-2017-019267.
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ObjectiveHome healthcare is an increasingly common part of healthcare. The patients are often aged, frail and have multiple diseases, and multiple caregivers are involved in their treatment. This study explores the origin, incidence, types and preventability of adverse events (AEs) that occur in patients receiving home healthcare.DesignA study using retrospective record review and trigger tool methodology.Setting and methodsTen teams with experience of home healthcare from nine regions across Sweden reviewed home healthcare records in a two-stage procedure using 38 predefined triggers in four modules. A random sample of records from 600 patients (aged 18 years or older) receiving home healthcare during 2015 were reviewed.Primary and secondary outcome measuresThe cumulative incidence of AEs found in patients receiving home healthcare; secondary measures were origin, types, severity of harm and preventability of the AEs.ResultsThe patients were aged 20–79 years, 280 men and 320 women. The review teams identified 356 AEs in 226 (37.7%; 95% CI 33.0 to 42.8) of the home healthcare records. Of these, 255 (71.6%; 95% CI 63.2 to 80.8) were assessed as being preventable, and most (246, 69.1%; 95% CI 60.9 to 78.2) required extra healthcare visits or led to a prolonged period of healthcare. Most of the AEs (271, 76.1%; 95% CI 67.5 to 85.6) originated in home healthcare; the rest were detected during home healthcare but were related to care outside home healthcare. The most common AEs were healthcare-associated infections, falls and pressure ulcers.ConclusionsAEs in patients receiving home healthcare are common, mostly preventable and often cause temporary harm requiring extra healthcare resources. The most frequent types of AEs must be addressed and reduced through improvements in interprofessional collaboration. This is an important area for future studies.
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Wang, Ching-Sung, Tsung-Ching Lin, Teng-Hui Wang i Da-Lin Lee. "A Healthcare Edition of Sporting Equipment for Middle-Aged and Elderly". Computational and Mathematical Methods in Medicine 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/745954.
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The aging phenomenon results in body organ system debilitating, which causes the balance weakening and makes a fall, fracture rate, and further medical cost to increase. The lack of exercise has been linked to increasing the incidence of hypertension, coronary artery disease, osteoporosis, degenerative arthritis, and diabetes. Chronic disease affects patients both in psychological and physiological functions which limit their daily activity. In the past, many researches pointed out that these patients can improve their balance sensation by exercise. Because of the above reasons, this research implementation forms a wireless platform of information connection system and medical data analysis. First of all, the target population in the society focuses on those elderly with the common chronic diseases, such as skeletal muscle diseases and degenerative arthritis. Using the hydraulic resist practicing equipment as the mainstay intervention can help examinee collecting the practice value and further analysis. The platform of information accords not only the data prior and after the exercise but also graphic data presentation and analysis from the medical staff members providing services in the society. It can also provide the medical unit to create data mold and a body health counselor when services in the society.
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Peytremann-Bridevaux, I., i B. Santos-Eggimann. "Healthcare utilization of overweight and obese Europeans aged 50–79 years". Journal of Public Health 15, nr 5 (27.03.2007): 377–84. http://dx.doi.org/10.1007/s10389-007-0103-7.
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Pedersen, R., P. Nortvedt, M. Nordhaug, A. Slettebo, K. H. Grothe, M. Kirkevold, B. S. Brinchmann i B. Andersen. "In quest of justice? Clinical prioritisation in healthcare for the aged". Journal of Medical Ethics 34, nr 4 (1.04.2008): 230–35. http://dx.doi.org/10.1136/jme.2006.018531.
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Gill, Liz, Lesley White i Ian Douglas Cameron. "Interaction in community-based aged healthcare: Perceptions of people with dementia". Dementia 10, nr 4 (28.06.2011): 539–54. http://dx.doi.org/10.1177/1471301211409626.
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This research sought to understand how people with dementia perceive interaction in the context of their service experience. Using the client data from a qualitative study that was conducted over three years and employed both inductive and deductive techniques, the data from 22 client interviews were consolidated and then analysed. Seven themes related to service experience were identified: Awareness; Communication; Dependency; Expectations; Experience; Position; and Relationship. These themes provide insights that could assist service providers to better understand and facilitate interaction with their clients. The study highlights that clients with dementia wish to be given the opportunity to have input to the creation of their service. Itpoints out that service organizations need to develop tailored mechanisms that will allow this to occur; and the study provides information that could be used to facilitate the achievement of a responsive, client-centred community-based aged healthcare service.
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Wang, Xiang, Chang-Franw Lee, Jiabei Jiang i Xiaoyang Zhu. "Factors Influencing the Aged in the Use of Mobile Healthcare Applications: An Empirical Study in China". Healthcare 11, nr 3 (30.01.2023): 396. http://dx.doi.org/10.3390/healthcare11030396.
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Mobile healthcare applications are of significant potential value in the development of the aged-care industry due to their great convenience, high efficiency, and low cost. Since the cognition and utilization rates of mobile healthcare applications for the elderly are still low, this study explored the factors that affect the elderly’s adoption of mobile healthcare applications. This study conducted a questionnaire survey on the elderly in China and received 365 valuable responses. This study combined the technology acceptance model, protection motivation theory, and perceived risk theory to build a research model of factors affecting the use of mobile healthcare applications by the elderly. The data were analyzed using a structural equation model. The results were as follows: according to the empirical research, (1) perceived usefulness and perceived ease of use positively affect the use attitude of the elderly; perceived usefulness and user attitude positively affect the behavior intention of the elderly; perceived ease of use positively affects perceived usefulness; (2) perceived severity has a significant positive correlation with use attitude; perceived susceptibility and attitude to use have no significant impact; (3) perceived risk is negatively correlated with the use attitude and behavioral intention. The above-mentioned factors should be taken into consideration during the development of mobile healthcare applications for the aged to upgrade the overall service quality of mobile healthcare applications, thus enhancing the operational level of mobile healthcare applications and the health literacy of the aged.
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Schmeida, Mary, i Ramona McNeal. "Consulting Online Healthcare Information". International Journal of Computers in Clinical Practice 1, nr 1 (styczeń 2016): 42–52. http://dx.doi.org/10.4018/ijccp.2016010104.
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Home caregivers provide multidimensional support to family and friends who are aged, disabled, and unable to care for self. Often experiencing the negative effects of caregiver stress, they face potential physical and emotional strain, changes in health requiring emergency treatment, and financial burden. Today, families are turning to mobile technology to lessen their burden and to cope with the stress of caring for members through activities including healthcare information searches. The purpose of this study is to explore how the Internet is helping caretakers to make decisions on the selection of doctors and treatment options. Multivariate regression analysis and individual level data from the Pew Internet and American Life Project is used. The authors' findings suggest that while caregivers are using the Internet for making decisions on family health needs, they are not as likely to use it to protect their own health.
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Khasanah, Uswatun, Ferry Efendi, Eka Mishbahatul M. Has, Qorinah Estiningtyas Sakilah Adnani, Kadar Ramadhan, Yessy Dessy Arna i Wedad M. Almutairi. "Healthcare-seeking behavior for children aged 0–59 months: Evidence from 2002–2017 Indonesia Demographic and Health Surveys". PLOS ONE 18, nr 2 (9.02.2023): e0281543. http://dx.doi.org/10.1371/journal.pone.0281543.
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Background and objective Healthcare-seeking behavior for children is crucial for reducing disease severity. Such behavior can improve child health outcomes and prevent child morbidity and mortality. The present study sought to analyze the determinants of mothers’ engagement in healthcare-seeking behavior for children with common childhood diseases, focusing on mothers of children aged 0–59 months in Indonesia. Methods This cross-sectional study comprised a secondary data analysis using the 2002–2017 Indonesia Demographic and Health Survey (IDHS) databases. We included all women surveyed aged 15–49 years old who had children under five years of age. We weighted the univariate, bivariate, and multivariate logistic regression analysis of healthcare-seeking behavior for children aged 0–59 months. Results We analyzed data for 24,529 women whose children were under five years of age at the time of survey. Common diseases, such as diarrhea, fever, and acute respiratory infection (ARI) were the most frequently cited reasons for healthcare-seeking behavior. During 2002–2017, the proportion of mothers seeking healthcare for their children with diarrhea increased from 67.70% to 69.88%, that with fever increased from 61.48% to 71.64% and that ARI increased from 64.01% to 76.75%. Multivariate analysis revealed that child’s age, child’s birth order, mother’s education, ability to meet expenses, distance to nearest healthcare facility, wealth index, place of residence, and region of residence, were significantly associated with healthcare-seeking behavior. Conclusion Various individual and environmental-level factors influence healthcare-seeking behavior for childhood diseases. Available, accessible, and affordable health service facilities are recommended to assist socio-economically and geographically disadvantaged families.
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McLane, P., K. Tate, B. H. Rowe, C. Estabrooks i Cummings. "MP17: Improving Communications during Aged Care Transitions (IMPACT): lessons learned". CJEM 19, S1 (maj 2017): S70—S71. http://dx.doi.org/10.1017/cem.2017.183.
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Introduction: When patients transition from long term care (LTC) to emergency departments (ED), communication among clinicians in different settings is often poor. We pilot tested a transfer form to facilitate communications of handover information among LTCs, emergency medical services (EMS), and EDs regarding LTC residents transitioning to and from the ED. We interpret implementation challenges in light of the “theoretical domains” implementation framework in order to produce lessons for future healthcare communication interventions. Methods: We provided setting specific training and a user guide to 13 participating sites, collected 90 forms to assess completion rates, and assessed perspectives on the form from 266 surveys of healthcare providers. Throughout the study, staff kept detailed notes on implementation of the form. We retrospectively categorized implementation challenges reported by survey respondents, and/or recorded in staff implementation notes, according to the theoretical domains framework. Results: The LTC patient transfer forms were used in 36.4% of transitions (90/247), and were completed most often by staff in the LTC (57/90, 63%). Survey results indicated that ED and EMS staff felt the information on the form was useful to them, although they rarely completed their sections of the form. Implementation challenges included low awareness/recognition of the form among healthcare providers, belief that the form distracted from patient care, lack of time for form completion, negative reinforcement for LTC staff (who saw little return for the time they invested in completing the form), and mistrust among clinicians who work in different settings. Conclusion: Future efforts to improve healthcare communications must be acceptable for all clinicians. Innovation should balance the workload required among sites/clinicians and the benefits that the intervention offers to sites/clinicians should be explicitly tracked and reported. For this intervention, more effort should be made to inform LTC sites that the transfer information they provide is useful for EMS and ED clinicians. Moreover, gaps in perspectives and lack of trust among clinicians who work in different settings must be recognized and addressed in any multi-site communication intervention.
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Chan, Leroy Lai Yu, Branko George Celler, James Zhaonan Zhang i Nigel Hamilton Lovell. "A Review of Wireless Sensor Networks for Wellness Monitoring in Residential Aged Care". International Journal of Healthcare Delivery Reform Initiatives 1, nr 4 (październik 2009): 32–47. http://dx.doi.org/10.4018/jhdri.2009100103.
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With the increasing shift in the population profile to the older demographic and rising healthcare costs, it is more critical for developed countries to deliver long-term and financially sustainable healthcare services, especially in the area of residential aged care. A consensus exists that innovations in the area of Wireless Sensor Networks (WSNs) are key enabling technologies for reaching this goal. The major focus of this article is WSN design considerations for ubiquitous wellness monitoring systems in residential aged care facilities. Major enabling technologies for building a pervasive WSN will be detailed, including descriptions on sensor design, wireless communication protocols and network topologies. Also examined are data processing methods and knowledge management tools to support the collection of sensor data and their subsequent analysis for health assessment. To introduce future healthcare reform in residential aged care, two aspects of wellness monitoring, vital signs and activities of daily living (ADL) monitoring, will be discussed.
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Nayak, B. Shivananda, Krishnamohan Surapaneni, Pradeep Kumar Sahu, Purnima Bhoi, K. V. N. Dhananjay, Santhi Silambanan, C. R. Wilma Delphine Silvia i in. "The mental health of the health care professionals in India during the COVID-19 pandemic: a cross-sectional study". AIMS Medical Science 9, nr 2 (2022): 283–92. http://dx.doi.org/10.3934/medsci.2022011.
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<abstract> <p>The COVID-19 pandemic has resulted in dramatic challenges to healthcare systems worldwide. There has been an increased awareness to protect frontline workers from COVID-19 exposure and its consequences. To assess the prevalence of healthcare professionals in India during the COVID-19, a cross-sectional web-based survey was conducted with healthcare professionals from medical colleges and hospitals from different states across the country. The study comprised 772 healthcare professionals aged ≥18 years. The main outcome measures studied were anxiety, depression, and stress. Among the healthcare professionals, 37.17%, 33.68%, and 23.7% were reported to have anxiety, depression, and stress respectively. The physicians, female, aged population, and professionals sleeping less than 7 hours are more prone to psychological problems. The results of this study predict the high levels of anxiety, depression, and stress among healthcare professionals in different states of India. Increased COVID-19 cases, high pressure, workload, and lack of training are the main reasons for the psychological problems in healthcare professionals. Proper strategies must be followed in healthcare settings to reduce the burden of stress.</p> </abstract>
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Kaufman, Jessica, Kathleen L. Bagot, Monsurul Hoq, Julie Leask, Holly Seale, Ruby Biezen, Lena Sanci i in. "Factors Influencing Australian Healthcare Workers’ COVID-19 Vaccine Intentions across Settings: A Cross-Sectional Survey". Vaccines 10, nr 1 (21.12.2021): 3. http://dx.doi.org/10.3390/vaccines10010003.
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Healthcare workers’ COVID-19 vaccination coverage is important for staff and patient safety, workforce capacity and patient uptake. We aimed to identify COVID-19 vaccine intentions, factors associated with uptake and information needs for healthcare workers in Victoria, Australia. We administered a cross-sectional online survey to healthcare workers in hospitals, primary care and aged or disability care settings (12 February–26 March 2021). The World Health Organization Behavioural and Social Drivers of COVID-19 vaccination framework informed survey design and framing of results. Binary regression results adjusted for demographics provide risk differences between those intending and not intending to accept a COVID-19 vaccine. In total, 3074 healthcare workers completed the survey. Primary care healthcare workers reported the highest intention to accept a COVID-19 vaccine (84%, 755/898), followed by hospital-based (77%, 1396/1811) and aged care workers (67%, 243/365). A higher proportion of aged care workers were concerned about passing COVID-19 to their patients compared to those working in primary care or hospitals. Only 25% felt they had sufficient information across five vaccine topics, but those with sufficient information had higher vaccine intentions. Approximately half thought vaccines should be mandated. Despite current high vaccine rates, our results remain relevant for booster programs and future vaccination rollouts.
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Marla Burrow, Marla, Jean Gilmour i Catherine Cook. "Healthcare assistants and aged residential care: A challenging policy and contractual environment". Nursing Praxis in New Zealand 33, nr 2 (lipiec 2017): 7–19. http://dx.doi.org/10.36951/ngpxnz.2017.006.
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Tham, Rachel, i Susan Hardy. "Oral healthcare issues in rural residential aged care services in Victoria, Australia". Gerodontology 30, nr 2 (4.04.2012): 126–32. http://dx.doi.org/10.1111/j.1741-2358.2012.00652.x.
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Yang, L., H. Zhou, Z. Sheng, C. Liu, D. Chen, J. Hu i Y. Chen. "APPLICATION OF HEALTHCARE INTEGRATION IN PERIOPERATIVE PERIOD MANAGEMENT OF AGED HIP ARTHROPLASTY". Innovation in Aging 1, suppl_1 (30.06.2017): 559. http://dx.doi.org/10.1093/geroni/igx004.1967.
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Durden, T. Elizabeth, i Robert A. Hummer. "Access to Healthcare Among Working-Aged Hispanic Adults in the United States". Social Science Quarterly 87, s1 (grudzień 2006): 1319–43. http://dx.doi.org/10.1111/j.1540-6237.2006.00430.x.
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Guerrero, Alma D., Wendelin M. Slusser, Patricia M. Barreto, Norma F. Rosales i Alice A. Kuo. "Latina Mothers’ Perceptions of Healthcare Professional Weight Assessments of Preschool-Aged Children". Maternal and Child Health Journal 15, nr 8 (24.09.2010): 1308–15. http://dx.doi.org/10.1007/s10995-010-0683-7.
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Novak, Priscilla, i Jie Chen. "Subsyndromal Depression among People Aged 85+ Linked to Higher Monthly Healthcare Spending". American Journal of Geriatric Psychiatry 26, nr 7 (lipiec 2018): 752–53. http://dx.doi.org/10.1016/j.jagp.2018.03.019.
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Li, Xiangjun, Mingsheng Chen, Zhonghua Wang i Lei Si. "Forgone care among middle aged and elderly with chronic diseases in China: evidence from the China Health and Retirement Longitudinal Study Baseline Survey". BMJ Open 8, nr 3 (marzec 2018): e019901. http://dx.doi.org/10.1136/bmjopen-2017-019901.
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ObjectiveIn general, published studies analyse healthcare utilisation, rather than foregone care, among different population groups. The assessment of forgone care as an aspect of healthcare system performance is important because it indicates the gap between perceived need and actual utilisation of healthcare services. This study focused on a specific vulnerable group, middle-aged and elderly people with chronic diseases, and evaluated the prevalence of foregone care and associated factors among this population in China.MethodsData were obtained from a nationally representative household survey of middle-aged and elderly individuals (≥45 years), the China Health and Retirement Longitudinal Study, which was conducted by the National School of Development of Peking University in 2013. Descriptive statistics were used to analyse sample characteristics and the prevalence of foregone care. Andersen’s healthcare utilisation and binary logistic models were used to evaluate the determinants of foregone care among middle-aged and elderly individuals with chronic diseases.ResultsThe prevalence of foregone outpatient and inpatient care among middle-aged and elderly people was 10.21% and 6.84%, respectively, whereas the prevalence of foregone care for physical examinations was relatively high (57.88%). Predisposing factors, including age, marital status, employment, education and family size, significantly affected foregone care in this population. Regarding enabling factors, individuals in the highest income group reported less foregone inpatient care or physical examinations compared with those in the lowest income group. Social healthcare insurance could significantly reduce foregone care in outpatient and inpatient situations; however, these schemes (except for urban employee medical insurance) did not appear to have a significant impact on foregone care involving physical examinations.ConclusionIn China, policy-makers may need to further adjust healthcare policies, such as health insurance schemes, and improve the hierarchical medical system, to promote reduction in foregone care and effective utilisation of health services.
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Kenten, Charlotte, Nothando Ngwenya, Faith Gibson, Mary Flatley, Louise Jones, Susie Pearce, Geoff Wong i in. "Understanding care when cure is not likely for young adults who face cancer: a realist analysis of data from patients, families and healthcare professionals". BMJ Open 9, nr 1 (styczeń 2019): e024397. http://dx.doi.org/10.1136/bmjopen-2018-024397.
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ObjectivesTo understand the experiences of young adults with cancer for whom cure is not likely, in particular what may be specific for people aged 16–40 years and how this might affect care.DesignWe used data from multiple sources (semi-structured interviews with people with cancer, nominated family members and healthcare professionals, and workshops) informed by a preliminary programme theory: realist analysis of data within these themes enabled revision of our theory. A realist logic of analysis explored contexts and mechanisms affecting outcomes of care.SettingThree cancer centres and associated palliative care services across England.ParticipantsWe aimed for a purposive sample of 45 people with cancer from two groups: those aged 16–24 years for whom there may be specialist cancer centres and those 16–40 years cared for through general adult services; each could nominate for interview one family member and one healthcare professional. We interviewed three people aged 16–24 years and 30 people 25–40 years diagnosed with cancer (carcinomas; blood cancers; sarcoma; central nervous system tumours) with a clinician-estimated prognosis of <12 months along with nominated family carers and healthcare professionals. 19 bereaved family members and 47 healthcare professionals participated in workshops.ResultsData were available from 69 interviews (33 people with cancer, 14 family carers, 22 healthcare professionals) and six workshops. Qualitative analysis revealed seven key themes: loss of control; maintenance of normal life; continuity of care; support for professionals; support for families; importance of language chosen by professionals; and financial concerns.ConclusionsCurrent care towards end of life for young adults with cancer and their families does not meet needs and expectations. We identified challenges specific to those aged 16–40 years. The burden that care delivery imposes on healthcare professionals must be recognised. These findings can inform recommendations for measures to be incorporated into services.
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Chou, Hsien-Ming, Shih-Ming Pi i Tsai-Lun Cho. "An Intelligent Healthcare System for Residential Aged Care during the COVID-19 Pandemic". Applied Sciences 12, nr 22 (21.11.2022): 11847. http://dx.doi.org/10.3390/app122211847.
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There are many healthcare possibilities for the elderly, such as hospitals, nursing homes, and home-based care. However, in times of COVID-19, most home-based elderly people did not have sufficient supplies or healthcare as usual. Fulfilling their desire for an independent lifestyle while protecting them from falls, sudden illness, or accidents is difficult. This study represents a smart system for coping with this problem in public healthcare. The existing methods for residential aged care (RAC), such as fall detection, focus on personal profiles and physical symptoms records or use a collaborative filtering method to notify caregivers or family members that the elderly person may be at a high level of risk. However, these methods have many limitations in times of COVID-19, including insufficient risk factors, problems gathering information from mobile sensors, and issues with handling human variability. This study proposes a new method for RAC in times of COVID-19 called the Intelligent Healthcare Agent System (IHAS), which, unlike the old system, incorporates context information, such as indoor and outdoor (IO), standing and lying (SL), and resting and moving (RM). IHAS integrates diverse mobile sensor data and utilizes artificial intelligence (AI) technologies into the research model and learning-oriented prototype system that can manage human variability. Ultimately, this study’s findings should contribute to the existing research and industrial applications of RAC, as well as offer new avenues of study in future research.
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Liu, Xuena, Wei Fang, Haiming Li, Xiaodan Han i Han Xiao. "Is Urbanization Good for the Health of Middle-Aged and Elderly People in China?—Based on CHARLS Data". Sustainability 13, nr 9 (29.04.2021): 4996. http://dx.doi.org/10.3390/su13094996.
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The purpose of this paper is to test whether improved healthcare services can mitigate health hazards resulting from environmental pollution in the urbanization process. Specifically, using China Health and Retirement Longitudinal Study (CHARLS) data and official statistics, this paper constructs comprehensive urbanization indicators and healthcare service indicators by applying the fully arrayed polygonal graphical indication method. Then, we introduce healthcare service indicators, urbanization indicators, environmental pollution indicators, and the interaction term between environmental pollution and healthcare into an ordered-logistics regression model. Our results indicate that improvement in health conditions can decrease the health risks from multiplied emissions of industrial sulfur dioxide, industrial soot and dust, and industrial effluents, but it cannot counteract the adverse health effects of PM2.5. Furthermore, heterogeneity tests show that, when considering the multidimensionality of urbanization, the positive influence of healthcare is the greatest in residential surroundings urbanization and economic urbanization, which reduces the prevalence of chronic diseases by 18.4% and 14.9%, respectively. Among the diverse city types, mixed-economy cities have the most obvious positive effects, where healthcare has the greatest mitigating effect on the health damage caused by industrial sulfur dioxide and industrial soot and dust, decreasing the prevalence of chronic diseases among the middle-aged and elderly by 27.3% and 16.4%, respectively. When considering the regional impacts of urbanization, there is a large difference in the positive effects brought about by medical care, which is reflected mainly in eastern and western China. In eastern China, although healthcare does not offset the health damage of PM2.5, the increase in chronic diseases among the middle-aged and elderly is only 0.5%, while in western China, the increase rises to 22.4%.
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Setiawan, Agus, Poppy Fitriyani, Rizkiyani Istifada i Shefaly Shorey. "Healthcare Providers and Caregivers’ Perspectives on the Quality of Child Health Services in Urban Indonesia: A Mixed-Methods Study". International Journal of Environmental Research and Public Health 18, nr 15 (29.07.2021): 8047. http://dx.doi.org/10.3390/ijerph18158047.
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Although Indonesia’s child mortality rate has decreased in tandem with the global trend, healthcare services can be further improved for children. This study aims to explore the perceptions of healthcare providers and caregivers of children aged below five years to improve child health in urban Indonesia. A mixed-methods study design was adopted. Quantitative data were collected via questionnaires from the caregivers. Qualitative data were collected via semi-structured interviews from the healthcare providers. Analysis of 540 caregiver questionnaires regarding the care provided to their child revealed that the majority of them were very satisfied (46.1%) and satisfied (52.2%) with the care received. Analysis of 12 interviews with healthcare providers derived three major themes: (1) importance of one’s role as a healthcare provider; (2) factors affecting the delivery of healthcare; and (3) the way forward in caring for young children. Although caregivers were very satisfied with the care received for their children, the perception of healthcare providers regarding their responsibility in delivering care to children under five years old provides insights into improving the quality of services for children in Indonesia. Our findings suggest that mortality and morbidity of children aged below five years can be best reduced by optimizing primary and secondary preventive measures.
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BIGGERSTAFF, M., M. A. JHUNG, C. REED, S. GARG, L. BALLUZ, A. M. FRY i L. FINELLI. "Impact of medical and behavioural factors on influenza-like illness, healthcare-seeking, and antiviral treatment during the 2009 H1N1 pandemic: USA, 2009–2010". Epidemiology and Infection 142, nr 1 (25.03.2013): 114–25. http://dx.doi.org/10.1017/s0950268813000654.
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SUMMARYWe analysed a cross-sectional telephone survey of U.S. adults to assess the impact of selected characteristics on healthcare-seeking behaviours and treatment practices of people with influenza-like illness (ILI) from September 2009 to March 2010. Of 216 431 respondents, 8·1% reported ILI. After adjusting for selected characteristics, respondents aged 18–64 years with the following factors were more likely to report ILI: a diagnosis of asthma [adjusted odds ratio (aOR) 1·88, 95% CI 1·67–2·13] or heart disease (aOR 1·41, 95% CI 1·17–1·70), being disabled (aOR 1·75, 95% CI 1·57–1·96), and reporting financial barriers to healthcare access (aOR 1·63, 95% CI 1·45–1·82). Similar associations were seen in respondents aged ⩾65 years. Forty percent of respondents with ILI sought healthcare, and 14% who sought healthcare reported receiving influenza antiviral treatment. Treatment was not more frequent in patients with high-risk conditions, except those aged 18–64 years with heart disease (aOR 1·90, 95% CI 1·03–3·51). Of patients at high risk for influenza complications, self-reported ILI was greater but receipt of antiviral treatment was not, despite guidelines recommending their use in this population.
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Dreyer, Greea, i Matty van Niekerk. "Vocational rehabilitation for young stroke survivors in Gauteng public healthcare: Occupational therapists’ perceptions1". Work 69, nr 1 (26.05.2021): 91–107. http://dx.doi.org/10.3233/wor-213460.
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BACKGROUND: The prevalence of working-aged stroke survivors is increasing yearly. Stroke is an expensive disease, causing financial burden to the government, the family and caregivers of the patient, thus making it imperative for working-aged stroke survivors to work to remain financially independent. Survivors’ need to work necessitates occupational therapists to shift their focus from basic activities of daily living, to rehabilitating work. OBJECTIVES: This study aimed to determine the perceptions of occupational therapists working with younger stroke survivors in public hospitals and clinics in Gauteng South Africa, about rehabilitating working-aged stroke survivors’ work ability. METHODS: Ethical clearance was obtained. A qualitative research design was used to obtain narrative, descriptive data from six focus groups. Therapists from public healthcare settings, who had more than six months’ experience and had worked in neurological rehabilitation within the six months preceding the focus group, were invited to participate. Focus groups were audio recorded and transcribed. Inductive content analysis was used to identify themes and categories. RESULTS: Few participants are involved in rehabilitating younger stroke survivors’ work ability or facilitating return to work (RTW). The study identified perceived barriers and enablers to rendering OT services that meet working-aged stroke survivors’ needs. CONCLUSIONS: Despite enabling employment equity laws in South Africa, OTs working in the public sector appear to experience a sense of futility when trying to rehabilitate young stoke survivors to RTW. Fragmentation of the public sector and limited resources impede successful RTW for working-aged stroke survivors. Survivors’ employment status and motivation to RTW facilitated rehabilitating work ability.
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Shukla, Nidhi, Jamie C. Barner, Kenneth A. Lawson i Karen L. Rascati. "Age-related healthcare services utilization for the management of sickle cell disease among treated Texas Medicaid patients". Journal of Pharmaceutical Health Services Research 12, nr 4 (27.10.2021): 523–30. http://dx.doi.org/10.1093/jphsr/rmab056.
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Abstract Objectives To determine if there are age-related differences in sickle cell disease (SCD)-related healthcare utilization and to describe temporal healthcare utilization following an emergency department (ED) visit or hospitalization in treated SCD patient population. Methods Texas Medicaid prescription and medical claims from 1 September 2011 to 31 August 2016 were used. Patients aged 2–63 years with at least one inpatient or outpatient SCD medical claim and receiving one or more SCD-related medications (hydroxyurea, opioid or non-opioid analgesics) were included. The primary outcomes were utilization of SCD-related ED, inpatient and outpatient visits, all-cause prescription medications and type of SCD-related service at index and subsequent healthcare services. Age group was the primary independent variable. Key findings Overall (N = 2339), healthcare service utilization was relatively higher among age groups 2–12, 18–25 and 26–40. Proportions of patients having ≥1 ED and ≥1 inpatient visits, respectively, were significantly higher among age groups 2–12 (33.2%; 23.0%), 18–25 (29.3%; 25.1%) and 26–40 (32.3%; 22.4%) as compared with age group 13–17 (21.3%; 12.9%). The number of outpatient visits was highest among children aged 2–12 (4.5 ± 7.6, P < 0.0001), while mean number of all-cause medications was the highest for older adults aged 41–63 (22.4 ± 16.3; P < 0.0001). After an index ED visit (N = 598), outpatient visits were the most prevalent healthcare services. After an index hospitalization (N = 203), a subsequent hospitalization was the most prevalent healthcare service. Conclusions Texas Medicaid SCD patients receiving treatment have a high use of healthcare services, especially among children and young adults who are transitioning from childhood to adulthood. Age-specific interventions should be developed to promote optimal care transitions among young adults.
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Duc, Juliette, Sébastien Barbat-Artigas i Delphine Bosson-Rieutort. "Spatial Analysis of Healthcare Offer and Request for Older People Aged 65 Years and Over in Quebec". Innovation in Aging 4, Supplement_1 (1.12.2020): 904. http://dx.doi.org/10.1093/geroni/igaa057.3327.
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Abstract With years, the health-needs of an individual become numerous and more complex, resulting in the requirement of an even more appropriate offer of health services. However, it is known that different factors make the services and the request of the population to health care unequally, especially the interregional variations. These are represented by a gap between the offer of healthcare and the need of the populations. The aim of this study was 1) to map the relationship between the location of the healthcare services in Quebec and population aged 65 years and over, and 2) to identify the characteristics related to the geographic variations in access to healthcare. We used data from “statcan.gc.ca”, “donneesquebec.ca” and “msss.gouv.qc.ca” regarding the facilities, their capacity, their services, and the populations’ characteristics. Analyses were performed on QGIS and R software. As expected, our results showed that there is a gap between the healthcare needs and the services: older people need a large amount of diverse services which are not always provided by secluded areas. Moreover, it also appeared that the deprivation index is related to the offer of health care. As this project takes part in a global project studying the health care trajectories of older people in Quebec using their administrative health databases, those findings will help better understand the impact of the geographic factors for the interregional variations of healthcare.
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Axon, David Rhys, i Anisa Kamel. "Patterns of Healthcare Expenditures among Older United States Adults with Pain and Different Perceived Health Status". Healthcare 9, nr 10 (5.10.2021): 1327. http://dx.doi.org/10.3390/healthcare9101327.
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The objective of this study was to assess the pattern of healthcare expenditures among United States (U.S.) adults aged ≥50 years with pain and annual total positive healthcare expenditures with different levels of perceived health. The study used the 2018 Medical Expenditure Panel Survey data. Unadjusted and adjusted linear regression models were used to compare logarithmically transformed total healthcare expenditures between those with excellent, very good, good, and fair/poor health. The a priori alpha value was 0.05. The study included 5123 U.S. adults aged ≥50 with self-reported pain (excellent = 8.9%, very good = 28.3%, good = 36.2%, fair/poor = 26.6%). In adjusted analyses, compared to fair/poor health, those with excellent health had the greatest adjusted reduction in expenditures (55% lower), followed by very good health (36.5% lower) and good health (24.9% lower). In conclusion, total positive healthcare expenditures were comparatively lower among those with better perceived health status for older (≥50 years) U.S. adults with pain that interfered with normal work in the past four weeks.
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Herrler, Angélique, Lisa Valerius, Anna Greta Barbe, Vera Vennedey i Stephanie Stock. "Providing ambulatory healthcare for people aged 80 and over: Views and perspectives of physicians and dentists from a qualitative survey". PLOS ONE 17, nr 8 (15.08.2022): e0272866. http://dx.doi.org/10.1371/journal.pone.0272866.
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Background People aged 80 and over frequently face complex chronic conditions and health limitations, including oral health problems, which are primarily addressed by ambulatory (i.e., outpatient) healthcare. This demographic development is expected to affect the provision of care. However, few studies have investigated physicians’ and dentists’ views across the various medical disciplines in non-institutional settings. This study investigated how healthcare providers perceive caring for very old people, and how they feel healthcare should be designed for this patient group. Methods A qualitative online survey comprising nine open-ended items was conducted among physicians and dentists practicing in the ambulatory healthcare sector in North Rhine-Westphalia, Germany. Apart from child and adolescent healthcare, no medical specialties were excluded. The results were analysed using Kuckartz’ approach of structuring qualitative content analysis. A descriptive codebook was developed first. After coding all the material, recurring patterns between the topics were investigated and compared between two groups of participants, physicians and dentists. Results N = 77 cases were included in the analysis, from which n = 21 originated from the field of ambulatory general practice care and internal medicine, n = 19 from specialties (e.g., neurology, urology), and n = 37 from dentistry. Caring for patients aged 80 and over was perceived as challenging because of complex health conditions and treatments such as multimorbidity and polypharmacy, and patients’ cognitive and physical limitations. In characterizing good care in older age, both groups found individual care important, as well as empathetic interactions and good collaboration in networks of healthcare providers. Inadequate reimbursement and limited resources and time were the most important barriers to providing good care, while one of the most important facilitators was healthcare providers’ attitude and motivation. Conclusions Physicians’ and dentists’ conceptions of good healthcare are in line with the conceptualization of patient-centred care. However, the transfer in everyday care delivery is hampered by the current design of healthcare structures. Healthcare providers feel overstrained by the increasing demands placed on them. Adaptations for improvement should focus on building strong networks of cooperating health professions, especially including dental care, and local social support structures.
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Clark, Shannon, Rhian Parker, Brenton Prosser i Rachel Davey. "Aged care nurse practitioners in Australia: evidence for the development of their role". Australian Health Review 37, nr 5 (2013): 594. http://dx.doi.org/10.1071/ah13052.
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Aim To consider evidence surrounding the emerging role of nurse practitioners in Australia with a particular focus on the provision of healthcare to older people. Methods Methods used included keyword, electronic database and bibliographic searches of international literature, as well as review of prominent policy reports in relation to aged care and advanced nursing roles. Results This paper reports on evidence from systematic reviews and international studies that show that nurse practitioners improve healthcare outcomes, particularly for hard to service populations. It also maps out the limited Australian evidence on the impact of nurse practitioners’ care in aged care settings. Conclusions If Australia is to meet the health needs of its ageing population, more evidence on the effectiveness, economic viability and sustainability of models of care, including those utilising nurse practitioners, is required. What is known about the topic? Australia, like many industrialised countries, faces unprecedented challenges in the provision of health services to an ageing population. Attempts to respond to these challenges have resulted in changing models of healthcare and shifting professional boundaries, including the development of advance practice roles for nurses. One such role is that of the nurse practitioner. There is international evidence that nurse practitioners provide high-quality healthcare. Despite being established in the United States for nearly 50 years, nurse practitioners are a relatively recent addition to the Australian health workforce. What does this paper add? This paper positions a current Australian evaluation of nurse practitioners in aged care against the background of the development of the role of nurse practitioners internationally, evidence for the effectiveness of the role, and evidence for nurse practitioners in aged care. Recent legislative changes in Australia now mean that private nurse practitioner roles can be fully implemented and hence evaluated. In the face of the increasing demands of an ageing population, the paper highlights limitations in current Australian evidence for nurse practitioners in aged care and identifies the importance of a national evaluation to begin to address these limitations. What are the implications for practitioners? The success of future healthcare planning and policy depends on implementing effective initiatives to address the needs of older Australians. Mapping the terrain of contemporary evidence for nurse practitioners highlights the need for more research into nurse practitioner roles and their effectiveness across Australia. Understanding the boundaries and limitations to current evidence is relevant for all involved with health service planning and delivery.