scholarly journals Care Preferences Among Middle-Aged and Older Adults With Chronic Disease in Europe: Individual Health Care Needs and National Health Care Infrastructure

2015 ◽  
Vol 56 (4) ◽  
pp. 687-701 ◽  
Author(s):  
Christine A. Mair ◽  
Ana R. Quiñones ◽  
Maha A. Pasha
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Chronic Disease ◽  
National Health ◽  
Health Care Needs ◽  
Middle Aged ◽  
Care Needs ◽  
National Health Care ◽  
Individual Health ◽  
Health Care Infrastructure

scholarly journals Gendered Association Between Employment Status and Unmet Health Care Needs Among Middle-Aged Koreans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 226-226
Author(s):  
Si Young Song ◽  
Hey Jung Jun ◽  
Susanna Joo ◽  
Sun Ah Lee
Keyword(s):  
Health Care ◽  
Employment Status ◽  
Working Women ◽  
Social Contexts ◽  
Moderating Effect ◽  
Health Care Needs ◽  
Middle Aged ◽  
Care Needs ◽  
Significant Difference ◽  
Unmet Health Care Needs

Abstract Previous studies show that working people are less likely to experience unmet health care needs than non-workers. Also, employment and health are located in gendered social contexts. The present study aims to examine the moderating effect of gender on the association between employment status and unmet health care needs among middle-aged Koreans. We conducted logistic regression using the Korean Health Panel data (in 2016 and 2017; N=2,573, age range=45-64). Having experiences unmet health care needs in 2017 was the binary dependent variable. Employment status in 2016 was the binary independent variable and gender was the moderating variable. Age, education level, marital status, annual income, household type, type of medical security, disability, self-rated health, the number of chronic diseases, and stress level in 2016 were also in the analytic model based on the Andersen’s health behavioral model. The percentages of middle-aged people experiencing unmet health care needs were 18% for working men, 11% for non-working men, 13% for working women, and 16% for non-working women. The result showed there was significant moderating effect of gender (B= .72, p< .05). Specifically, working men were less likely to experience unmet health care needs than non-working men. On the contrary, there was not the significant difference in experiencing unmet health care needs between working and non-working women. It indicates that it is necessary to supplement medical services for especially for middle-aged men who are not employed because they might experience considerable amounts of unmet health care needs.

scholarly journals Health Care Needs and Services for Elder and Disabled Population: Findings from a Barcelona Study

2020 ◽  
Vol 17 (21) ◽  
pp. 8071
Author(s):  
Jessica Rodriguez-Pereira ◽  
Jesica de Armas ◽  
Lorenzo Garbujo ◽  
Helena Ramalhinho
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Modern Society ◽  
Health Care Needs ◽  
Health Care Demand ◽  
Care Needs ◽  
Care Services ◽  
Health Care Infrastructure ◽  
The Relationship ◽  
Population Segment

Health care is a pillar of modern society. This study focuses on the use of descriptive analytics to provide demographic and territorial insights that will be of strategic importance in planning subsequent projects meant to improve health care services. We especially focus on the assessment of the elder and disabled population health care needs in Barcelona, and evaluate to what extent the current health care infrastructure is successful in covering the demand of these fragile population segment. This work is developed around three main assessments in the municipality of Barcelona: the elder and disabled health care demand, the available health care services, and the relationship between demand and services, showing that territorial and demographic aspects are relevant in assessing the health needs of the population.

Research Forum on Challenges in Hearing Health Care for the Oldest Older Adults

2015 ◽  
Vol 24 (2) ◽  
pp. 98-99
Author(s):  
Judy R. Dubno
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Physical Disabilities ◽  
Treatment Options ◽  
Lifestyle Changes ◽  
Health Care Needs ◽  
Social Emotional ◽  
Care Needs ◽  
Needs Assessments ◽  
Hearing Health

Purpose The purpose of this article is to introduce the invited Research Forum on challenges in hearing health care for the oldest older adults, which was presented at the 2014 HEaring Across the Lifespan conference (HEAL 2014). Method A brief overview of the three presentations in the special session is provided along with general conclusions. Conclusions Hearing health care needs of the oldest older adults are multifactorial and are related to auditory and cognitive declines; social, emotional, and lifestyle changes; and increasing physical disabilities and other comorbidities. Improved clinical outcomes for hearing health require personalized needs assessments by interprofessional teams and shared decision making on treatment options.

scholarly journals Psychosocial resources in middle-aged and older adults with complex health care needs: results of a qualitative study

2020 ◽  
Author(s):  
Imad Maatouk ◽  
Stefanie Wilke ◽  
Friederike Böhlen ◽  
Christoph Nikendei ◽  
Ben Schöttker ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Home Visits ◽  
Health Care Needs ◽  
Vulnerable Group ◽  
Care Needs ◽  
Randomized Controlled ◽  
Supportive Counseling

Abstract Background Older adults with multiple chronic somatic diseases are challenged by mental comorbidities and social environmental changes resulting in complex bio-psychosocial healthcare needs. Comparatively few studies have addressed the coping strategies and resources of this highly vulnerable group. This study used the INTERMED interview method as a basis to investigate the resources of home-dwelling older adults with complex health care needs. Methods Following a randomized controlled trial this qualitative study analyzed detailed notes taken by a trained psychosomatic doctor during 24 interventional supportive counseling home visits. The randomized controlled trial participants were recruited from the ESTHER cohort study, a population-based study of older adults conducted in the state of Saarland, Southwest Germany. Patients with complex health care needs identified with the INTERMED interview received the supportive counseling home visit intervention, which followed the principles of narrative-based medicine and explored the personal resources of the participants. Notes from 24 supportive counseling home visits were analyzed using thematic content analysis. Results The qualitative analysis from 24 home visits identified 387 single codes, from which two main categories and 14 subcategories were derived. Participants with complex health care needs named currently available present resources and personal/long-lasting resources representing the main categories. Eight main categories were derived within the field of currently available resources that were deemed helpful to cope with the actual situation. Personal/long-lasting resources comprise statements that reflect personal experiential and attitudinal resources gained through socialization and internalization of interpersonal experiences. Conclusion The highly vulnerable group of complex patients reported many social, personal and structural resources that play significant roles in helping them to deal with their current situation. Home care professionals need skills to recognize and use the many different potential resources each client is able to access, which could enhance their well-being.

Evaluating User Centered Design of E-Health for Older Adults

2016 ◽  
Vol 1 (2) ◽  
pp. 24-50
Author(s):  
Tracy L. Mitzner ◽  
Katinka Dijkstra
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Acceptance ◽  
Aging In Place ◽  
Health Care Needs ◽  
User Centered Design ◽  
Care Needs ◽  
Older Users ◽  
The Impact ◽  
User Centered

Health care related technology, or E-health, has the potential to lessen the impact of the growing aging population on the health care system and support older adults' preference for aging in place. However, for technologies to be adopted by older users, research is needed to understand older adults' unique health care needs, their preferences for support, and their perceptions of technologies designed for health care. Specifically directed toward older users, this article highlights the need for user-centered design and the implications for technology acceptance, and describes studies that employed systematic subjective methods such as focus groups, interviews, and questionnaires to provide a rich, detailed depiction of older users' interactions with E-health. User-centered design evaluations involving older adults can help designers create products and services that are more likely to be adopted by older adult end users.

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