COCIRCULATING EPIDEMICS, CHRONIC HEALTH PROBLEMS, AND SOCIAL CONDITIONS IN EARLY 20TH CENTURY LABRADOR AND ALASKA

2012 ◽  
Vol 36 (2) ◽  
pp. 402-421 ◽  
Author(s):  
Lisa Sattenspiel ◽  
Svenn-Erik Mamelund
Keyword(s):  
20Th Century ◽  
Health Problems ◽  
Social Conditions ◽  
Early 20Th Century ◽  
Chronic Health ◽  
Chronic Health Problems

Monitoring and Evaluating Managed Care for Children With Chronic Illnesses and Disabilities

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 952-958 ◽  
Author(s):  
Paul W. Newacheck ◽  
Ruth E. K. Stein ◽  
Deborah Klein Walker ◽  
Steven L. Gortmaker ◽  
Karen Kuhlthau ◽  
...  
Keyword(s):  
Managed Care ◽  
Chronic Conditions ◽  
Monitoring And Evaluation ◽  
Health Problems ◽  
Chronic Illnesses ◽  
Satisfaction With Care ◽  
Chronic Health ◽  
Children With Chronic Illnesses ◽  
Chronic Health Problems ◽  
Children With Chronic Conditions

Objective. Children with chronic illnesses and disabilities are increasingly enrolling in managed care arrangements. Yet, the rapid expansion of managed care has unknown consequences for children with chronic conditions and disabilities. As managed care is likely to become the predominant mode of medical practice for children with chronic health problems, information gained from a thorough assessment of existing managed care models could be helpful in indicating adjustments and modifications that could result in improved outcomes for this population. The purpose of this article is to outline a new strategy for collecting needed information on the effects of managed care on children with chronic health problems. Methods. We reviewed the literature on the effects of managed care on children with chronic conditions and disabilities. We identified key domains relevant to monitoring and evaluating managed care for this population. Results. Two research approaches can provide helpful information for assessing the effects of managed care on children with chronic conditions. First, a monitoring strategy could be pursued in which enrollment trends in managed care, enrollee perceptions of access and satisfaction with care, and other general indicators of outcomes would be tracked over time using inexpensive and rapid turnaround data sources. Second, an evaluative strategy could be pursued using experimental or quasiexperimental designs, in which outcomes across a variety of domains for children with chronic conditions in managed care are compared with: (a) outcomes for the same children before enrollment in managed care; or (b) outcomes for similar children remaining in traditional fee-for-service settings. Evaluation and monitoring strategies should focus on outcomes in a number of domains including: (1) access to care; (2) utilization of services; (3) quality of care; (4) satisfaction with care; (5) expenditures for care; (6) health outcomes; and (7) family impact. Conclusion. Assessing outcomes that result from enrollment in managed care for children with chronic health problems presents a formidable challenge. The research strategy outlined in this article presents one approach to meeting that challenge. The monitoring and evaluation strategies described here would require commitment of additional resources on the part of government, private foundations, and/or health plans. Given the paucity of existing information and the stakes for children with chronic conditions and their families, investment of added resources in a comprehensive monitoring and evaluation strategy is essential.

Leisure fitness: A recreation therapy concept design

2012 ◽  
Vol 11 (4) ◽  
pp. 19-26
Author(s):  
John R. Mikula, MA, CTRS, CSCS, HFS ◽  
Paul Smith, BS, CTRS, HFS
Keyword(s):  
Well Being ◽  
Health Problems ◽  
Concept Design ◽  
Recreation Therapy ◽  
Chronic Health ◽  
Endurance Strength ◽  
Chronic Health Problems ◽  
Health And Well Being ◽  
Therapy Intervention

This article examines the benefits of the recreation therapy intervention leisure fitness and its potential for positively affecting the health and well being of those with chronic health problems. Working within a wide variety of settings, qualified recreation therapists facilitate a leisure-fitness (LF) process to promote endurance, strength, mobility, and psycho-social well being among consumers. This article provides a practical concept design for the development and implementation of a recreation therapy LF program.

scholarly journals Common chronic health problems and life satisfaction among Macau elderly people

2016 ◽  
Vol 3 (4) ◽  
pp. 367-370 ◽  
Author(s):  
Sydney X.X. Hu ◽  
Wai In Lei ◽  
Ka Kei Chao ◽  
Brian J. Hall ◽  
Siu Fung Chung
Keyword(s):  
Life Satisfaction ◽  
Elderly People ◽  
Health Problems ◽  
Chronic Health ◽  
Chronic Health Problems

scholarly journals The Use of Complementary and Alternative Medicine Among California Adults With and Without Cancer

2005 ◽  
Vol 2 (4) ◽  
pp. 557-565 ◽  
Author(s):  
Michael S Goldstein ◽  
E. Richard Brown ◽  
Rachel Ballard-Barbash ◽  
Hal Morgenstern ◽  
Roshan Bastani ◽  
...  
Keyword(s):  
Health Status ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Support Groups ◽  
Health Problems ◽  
Chronic Health ◽  
Diagnosis Of Cancer ◽  
Special Diets ◽  
Cam Use ◽  
Chronic Health Problems

This article examines the extent and correlates of complementary and alternative medicine (CAM) use among a population-based sample of California adults that is highly diverse in terms of sociodemographic characteristics and health status. As a follow-up to a state-wide health survey of 55 428 people, 9187 respondents were interviewed by phone regarding their use of 11 different types of CAM providers, special diets, dietary supplements, mind–body interventions, self-prayer and support groups. The sample included all participants in the initial survey who reported a diagnosis of cancer, all the non-white respondents, as well as a random sample of all the white respondents. The relation of CAM use to the respondents' demographic characteristics and health status is assessed. CAM use among Californians is generally high, and the demographic factors associated with high rates of CAM use are the same in California as have been found in other studies. Those reporting a diagnosis of cancer and those who report other chronic health problems indicate a similar level of visits to CAM providers. However, those with cancer are less likely to report using special diets, and more likely to report using support groups and prayer. Health status, gender, ethnicity and education have an independent impact upon CAM use among those who are healthy as well as those who report suffering from chronic health problems, although the precise relation varies by the type of CAM used.

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