Obstacles to regulating the private sector: The case of Korean long‐term care

Author(s):  
Chang Lyul Jung ◽  
Alan Walker
1994 ◽  
Vol 20 (3) ◽  
pp. 278 ◽  
Author(s):  
Janet Greb ◽  
Larry W. Chambers ◽  
Amiram Gafni ◽  
Ron Goeree ◽  
Roberta Labelle

The Lancet ◽  
1987 ◽  
Vol 330 (8559) ◽  
pp. 630
Author(s):  
RobertD. Kennedy

Author(s):  
Mazlynda Md Yusuf ◽  
Nur Athirah Ruslan ◽  
Muhammad Safwan Hamdy ◽  
Mohamad Yazis Ali Basah

Financing long-term care for elderly people is a crucial issue, either towards the family members or the care institution. Corresponding with the growing number of ageing population in Malaysia, there’s a need of concern on the uncertaintiness of future family care and the need for long-term care services. This changing pattern of healthcare and cost over individual’s lifetime is a key component in actuarial field in developing assumptions and projecting the costs. This paper examined the determinants of awareness towards long-term care preparation among employed adults in Malaysia, between public and private sector employees and also between men and women. 1,000 close-ended questionnaires were distributed to random employees in Malaysia and 450 responds were collected. Two tests were analysed using multiple regression analysis. The results from the regression among employees from different sector shows that dependency and health status are significant towards the awareness of preparing for long-term care cost. However, their financial literacy for long-term care cost during old age are still very low. Another result shows that only health status shows a significant result among women compared to men. These results indicate the level of awareness on financing long-term care cost among employees in Malaysia are still low and needs attention.


2019 ◽  
Vol 14 (1) ◽  
pp. 11 ◽  
Author(s):  
Tommy K. C. Ng ◽  
Ben Y.F Fong ◽  
Catherine K. Y Kwong

Health expenditure at around 5.7% GDP is low for a developed society like Hong Kong, which is unique in having a dual track of public and private services in its health care system. Such phenomenon has been steady over the last three decades, apparently not affected at all by a major change in the Government in 1997. The public and private sections have equal share of the total health dollars consistently over the years, despite the increase of Government’s annual spending from 11% to 17% since 1990, implying a similar trend in the private sector, which is funded predominantly by out of the pocket expenses with some insurance contribution. However, Hong Kong has the longest life expectancy in the world. This has resulted in the increase in the demand for health and long-term care, casting doubt on whether the traditional model of financing and delivery of care will be sustainable. The Government has pledged that that no one is denied adequate medical treatment due to lack of means, a stance in existence for decades and being reflected by the steady state of public and private share of health expenditure. Apart from two major re-structuring of the governance system, there has been little change in the service provision organisations. The system is often criticized for being heavily hospital based and acute-centric, particularly in the public services. Primary care is taken up predominantly by the private sector, mostly in clinical services, not focusing on prevention. It is apparent that there is a significant service gap, that needs to be examined and addressed systematically before a practical solution can be formulated. A more holistic, humanistic and better integrated system of care, with innovative care patterns, shall be the way forward.


2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.


2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.


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