Productivity, care quality and employees' well-being in public and private service housing for elderly people

2008 ◽  
Author(s):  
T. Sinervo ◽  
L. Pekkarinen ◽  
V. Syrja ◽  
A. Noro ◽  
H. Finne-Soveri ◽  
...  
Keyword(s):  
Elderly People ◽  
Well Being ◽  
Care Quality ◽  
Public And Private ◽  
Private Service ◽  
Service Housing

Social Work and Elderly: A Glimpse in India

2008 ◽  
Vol 4 (4) ◽  
pp. 292-302
Author(s):  
Mallikarjun A. Konnur
Keyword(s):  
Elderly People ◽  
Demographic Transition ◽  
Well Being ◽  
The Elderly ◽  
Mortality Reduction ◽  
Elderly Men ◽  
Public And Private ◽  
Men And Women ◽  
Structure Of Population ◽  
Day Care Centres

According to the 2001 Census of India, there is the pyamidic structure of population that means, there are more proportion of young people.  However the projection for 2016 by way of demographic transition indicates larger number of elderly people.  Approaching 80 million in number, India has the second largest population of elderly people after China.  In India, research on examining the socio-economic dynamics of elderly well being is gradually gaining ground, but access to good data continues to be an obstacle. Conventionally, there are two processes considered to be involved in the ageing of a population, i.e., ageing at the base and ageing at the apex of the population. The former results from a decline in fertility, the latter, mortality reduction among the elderly. There are many types of elderly people, such as urban and rural, employed in organized and un-organized sectors and working in public and private sectors. The elderly men and women also constitute a separate group. The solutions to elderly problems in India require various types of arrangements.  For example, the old age homes (for the destitute), Day Care Centres, Rehabilitation Centres, Ashramas or Vishranti Dhamas

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

scholarly journals As predicted by theory: choice and competition in a publicly funded and regulated regional health system yield improved access and cost control

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jonas Wohlin ◽  
Clara Fischer ◽  
Karin Solberg Carlsson ◽  
Sara Korlén ◽  
Pamela Mazzocato ◽  
...  
Keyword(s):  
Cost Control ◽  
Care Quality ◽  
Patient Choice ◽  
Public Healthcare ◽  
Successful Implementation ◽  
Publicly Funded ◽  
Public And Private ◽  
Bundled Payment ◽  
Private Providers ◽  
Number Of Patients

Abstract Background New Public Management (NPM) has been widely used to introduce competition into public healthcare. Results have been mixed, and there has been much controversy about the appropriateness of a private sector-mimicking governance model in a public service. One voice in the debate suggested that rather than discussing whether competition is “good” or “bad” the emphasis should be on exploring the conditions for a successful implementation. Methods We report a longitudinal case study of the introduction of patient choice and allowing private providers to enter a publicly funded market. Patients in need of hip or knee replacement surgery are allowed to choose provider, and those are paid a fixed reimbursement for the full care episode (bundled payment). Providers are financially accountable for complications. Data on number of patients, waiting lists and times, costs to the public purchaser, and complications were collected from public registries. Providers were interviewed at three points in time during a nine-year follow-up period. Time-series of the quantitative data were exhibited and the views of actors involved were explored in a thematic analysis of the interviews. Results The policy goals of improving access to care and care quality while controlling total costs were achieved in a sustained way. Six themes were identified among actors interviewed and those were consistent over time. The design of the patient choice model was accepted, although all providers were discontent with the level of reimbursement. Providers felt that quality, timeliness of service and staff satisfaction had improved. Public and private providers differed in terms of patient-mix and developed different strategies to adjust to the reimbursement system. Private providers were more active in marketing and improving operation room efficiency. All providers intensified cooperation with referring physicians. Close attention was paid to following the rules set by the purchaser. Discussion and conclusions The sustained cost control was an effect of bundled payment. What this study shows is that both public and private providers adhere long-term to regulations by a public purchaser that also controls entrance to the market. The compensation was fixed and led to competition on quality, as predicted by theory.

A Study of Well-being of Elderly People in Three Communities in Zimbabwe

1991 ◽  
Vol 20 (4) ◽  
pp. 275-279 ◽  
Author(s):  
A. O. WILSON ◽  
D. J. ADAMCHAK ◽  
A. C. NYANGURU ◽  
J. HAMPSON
Keyword(s):  
Elderly People ◽  
Well Being

Feelings of well being in elderly people: Relationship to physical activity and physical function

2009 ◽  
Vol 48 (3) ◽  
pp. 306-312 ◽  
Author(s):  
Nuria Garatachea ◽  
Olga Molinero ◽  
Raquel Martínez-García ◽  
Rodrigo Jiménez-Jiménez ◽  
Javier González-Gallego ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Function ◽  
Elderly People ◽  
Well Being

Psychological well-being and coping strategies of elderly people during the COVID-19 pandemic in Hungary

2021 ◽  
pp. 1-8
Author(s):  
Beatrix Lábadi ◽  
Nikolett Arató ◽  
Tímea Budai ◽  
Orsolya Inhóf ◽  
Diána T. Stecina ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Elderly People ◽  
Well Being ◽  
Psychological Well Being ◽  
And Coping

scholarly journals The Importance of Resilience for Well-Being in Retirement

2015 ◽  
Vol 25 (61) ◽  
pp. 191-199 ◽  
Author(s):  
Cristiane Pimentel Nalin ◽  
Lucia Helena de Freitas Pinho França
Keyword(s):  
Factor Analysis ◽  
Elderly Population ◽  
Well Being ◽  
The Elderly ◽  
Hierarchical Regression ◽  
Education Programs ◽  
Public And Private ◽  
Private Organizations ◽  
Economic Satisfaction ◽  
The Mean

The increase in the elderly population has prompted research on retirement. This study investigated the importance of resilience, economic satisfaction, the length of retirement, and planning to well-being during retirement of 270 participants. The majority of this sample were men (64%), and the mean age was 65 years (SD = 5.7). The participants were retired members of 10 public and private organizations in Rio de Janeiro. Factor analysis and hierarchical regression were performed. The results showed that determined resilience (mastery, adaptability, confidence and perseverance) and socioeconomic satisfaction were the main predictors of well-being in retirement and explained 28% of this model. The findings suggest that well-being in retirement is closely related to socioeconomic satisfaction and determined resilience. Additional research should address the importance of resilience for the well-being of retirees who are or not members of retirement associations. Resilience attitudes should be promoted in Retirement Education Programs.

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