scholarly journals Population Aging, Health Care, and Fiscal Policy Reform: The Challenges for Japan

2019 ◽  
Vol 121 (2) ◽  
pp. 547-577 ◽  
Author(s):  
Minchung Hsu ◽  
Tomoaki Yamada
Keyword(s):  
Health Care ◽  
Fiscal Policy ◽  
Policy Reform ◽  
Population Aging ◽  
Aging Health

Population aging, health care, and growth

2008 ◽  
Vol 23 (2) ◽  
pp. 571-593 ◽  
Author(s):  
Ken-ichi Hashimoto ◽  
Ken Tabata
Keyword(s):  
Health Care ◽  
Population Aging ◽  
Aging Health

A Theory on the Components of Depression Self-Management in Older Adults

2020 ◽  
Vol 31 (1) ◽  
pp. 160-171
Author(s):  
Meg Polacsek ◽  
Gayelene H. Boardman ◽  
Terence V. McCann
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Policy ◽  
Population Aging ◽  
Management Strategies ◽  
Self Management ◽  
Long Term Conditions ◽  
Self Identity ◽  
Individual Capacity ◽  
Aging Health

Depression is the most prevalent mental illness in older adults and is expected to increase with population aging. Health care policy in higher income countries increasingly promotes the self-management of long-term conditions, including depression. Scant research has considered how older adults understand and practice self-management. In this article, we present the findings of a grounded theory study which sought to explain how older community-based adults experience and self-manage depression. Interviews and observations were conducted with 32 older adults with a formal diagnosis of moderate depression. Participants responded to a diagnosis of depression by Taking stock, Accessing support, and Reclaiming self-identity. Their efforts were influenced by perspectives on age and depression, access to the health care system, and individual capacity for self-management. Improved understanding of how to facilitate self-management strategies may enable older adults to remain independent and healthier for longer, while moderating the risk of a chronic condition worsening.

Strains in the Fiduciary Metaphor: Divided Physician Loyalties and Obligations in a Changing Health Care System

1995 ◽  
Vol 21 (2-3) ◽  
pp. 241-258 ◽  
Author(s):  
Marc A. Rodwin
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Policy Reform ◽  
Legal Problem ◽  
Health Policy Reform ◽  
Teacher Student ◽  
Legal Concepts ◽  
Legal Fictions ◽  
Critical Limits ◽  
Over Time

Owen Barfield, the British solicitor and literary scholar, reminds us that many legal concepts have their origin as metaphors and legal fictions. We often fail to see the nature of legal metaphors, Barfield argues, because over time they ossify and we read them literally rather than figuratively. Look closely at changes in law over time, Barfield advises us, to see how effectively metaphor works in law and language. Many legal categories and procedures we now use had their origin in using a metaphor that revealed a new way of looking at a problem or that helped solve a legal problem. Legal metaphors also help us to identify critical limits and strains in adapting to new facts and circumstances.George Annas has pointed out that our choice of metaphors for medicine can reframe our debates about health policy reform. And Analee and Thomas Beisecker remind us that patient-physician relations have been viewed through many metaphors. These include parent-child relations (paternalism); seller-purchaser transactions (consumerism); teacher-student learning (education); relations among partners or friends (partnership or friendship); or rational parties entering into negotiations or contracts (negotiation or rational contract).

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