scholarly journals The Best of Times, the Worst of Times: Understanding Pro-cyclical Mortality

2015 ◽  
Vol 7 (4) ◽  
pp. 279-311 ◽  
Author(s):  
Ann H. Stevens ◽  
Douglas L. Miller ◽  
Marianne E. Page ◽  
Mateusz Filipski
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
Quality Of Health Care ◽  
Elderly Women ◽  
The Elderly ◽  
Mortality Rates ◽  
Cyclical Fluctuations ◽  
Employment Rates ◽  
The Relationship

It is well-known that mortality rates are pro-cyclical. In this paper, we attempt to understand why. We find little evidence that cyclical changes in individuals' own employment-related behavior drives the relationship; own-group employment rates are not systematically related to own-group mortality. Further, most additional deaths that occur when the economy is strong are among the elderly, particularly elderly women and those residing in nursing homes. We also demonstrate that staffing in nursing homes moves countercyclically. These findings suggest that cyclical fluctuations in the quality of health care may be a critical contributor to cyclical movements in mortality. (JEL E24, E32, I12, J16, L84)

Auditing Outcomes from a Medicine for the Elderly Service

1997 ◽  
Vol 42 (5) ◽  
pp. 156-157 ◽  
Author(s):  
L. Ramage
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
The Elderly

Measurement of outcome and quality of health care is currently a subject of great interest, as clinicians aim to improve the service they provide to patients, and purchasers try to allocate resources wisely. Measurement of outcome and quality of health care is currently a subject of great interest, as clinicians aim to improve the service they provide to patients and purchasers try to allocate resources wisely. Details of outcomes from a Medicine for the Elderly service are presented and their relevance discussed.

scholarly journals Qualidade da atenção à saúde do idoso atenção primária: uma revisão integrativa

2022 ◽  
Vol 21 (1) ◽  
pp. 545-589
Author(s):  
Ricardo Saraiva Aguiar ◽  
Henrique Salmazo da Silva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Literature Review ◽  
Quality Of Health Care ◽  
Elderly Person ◽  
The Elderly ◽  
Support Network ◽  
Care For The Elderly ◽  
Recursos Humanos

Objective: To investigate, through an integrative literature review, the quality of health care for the elderly in primary care. Material and Methods: Integrative literature review conducted in MEDLINE/PubMed, SciELO, LILACS and BDENF databases between April and May 2020, which generated 780 references. After removal of the duplicates and use of inclusion and exclusion criteria, the final sample consisted of 15 articles. Results: The quality of health care for the elderly in primary care was associated with potential and weaknesses that involved the availability and training of human resources, adoption of evaluation protocols, monitoring and follow-up, supply of inputs and structural variables linked to infrastructure and intersectoral support network. The effectiveness of actions to the elderly in primary care was related to the implementation of the Family Health Strategy, combined with the active action of the community health agent in the territory and the participation of the elderly in the decisions. Conclusion: Strengthening the health care of the elderly in primary care involves short, medium and long-term efforts related to education, human and material resources management, networking, and the formation of ties with the territory and the elderly person. Objetivo: Investigar, a través de una revisión integradora de la literatura, la calidad de la atención en salud del adulto mayor en atención primaria.Materiales y Métodos: Revisión bibliográfica integradora realizada en las bases de datos MEDLINE / PubMed, SciELO, LILACS y BDENF entre abril y mayo de 2020, que generó 780 referencias. Después de eliminar los duplicados y utilizar los criterios de inclusión y exclusión, la muestra final fue de 15 artículos.Resultados: La calidad de la atención en salud del adulto mayor en atención primaria se asoció con fortalezas y debilidades que involucraron la disponibilidad y formación de recursos humanos, adopción de protocolos de evaluación, seguimiento y seguimiento, suministro de insumos y variables estructurales vinculadas a la infraestructura y red de apoyo intersectorial. La efectividad de las acciones para el adulto mayor en atención primaria estuvo relacionada con la implementación de la Estrategia Salud de la Familia, combinada con el desempeño activo del agente comunitario de salud en el territorio y la participación del adulto mayor en las decisiones.Conclusión: El fortalecimiento de la atención a la salud del anciano en la atención primaria implica esfuerzos a corto, mediano y largo plazo relacionados con la educación, la gestión de los recursos humanos y materiales, el trabajo en red y la formación de vínculos con el territorio y el anciano. Objetivo: Investigar, por meio de uma revisão integrativa da literatura, a qualidade da atenção à saúde do idoso na atenção primária. Materiais e Métodos: Revisão integrativa da literatura realizada nas bases de dados MEDLINE/PubMed, SciELO, LILACS e BDENF entre os meses de abril e maio de 2020, as quais geraram 780 referências. Após remoção das duplicatas e emprego dos critérios de inclusão e exclusão a amostra final foi composta por 15 artigos. Resultados: A qualidade da atenção à saúde do idoso na atenção primária esteve associada a potencialidades e fragilidades que envolveram a disponibilidade e treinamento dos recursos humanos, adoção de protocolos de avaliação, acompanhamento e monitoramento, oferta de insumos e variáveis estruturais ligadas à infraestrutura e à rede de apoio intersetorial. A efetividade das ações à pessoa idosa na atenção primária esteve relacionada à implantação da Estratégia Saúde da Família, conjugada com a atuação ativa do agente comunitário de saúde no território e a participação do idoso nas decisões. Conclusão: Fortalecer a atenção à saúde do idoso na atenção primária envolve esforços a curto, médio e longo prazo relacionados à educação, gestão de recursos humanos e materiais, atuação em rede e a formação de vínculo com o território e a pessoa idosa.

scholarly journals The Relationship between Autonomy and Quality of Health Care among Staff Nurses

2021 ◽  
Vol 6 (1) ◽  
pp. 115-130
Author(s):  
Zainab Alshaikh ◽  
Gehan Diab ◽  
Soha El-Kholy
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Staff Nurses ◽  
The Relationship

scholarly journals Trends in overall mortality and from diseases of the circulatory system in elderly individuals in Rio Branco, Acre, 1980-2012

2018 ◽  
Vol 21 (2) ◽  
pp. 143-154
Author(s):  
Polyana Caroline de Lima Bezerra ◽  
Gina Torres Rego Monteiro
Keyword(s):  
Cause Of Death ◽  
Elderly Women ◽  
Circulatory System ◽  
The Elderly ◽  
Mortality Rates ◽  
Elderly Persons ◽  
System Disease ◽  
Disease Mortality ◽  
Overall Mortality

Abstract Objective: To analyze trends in general mortality and circulatory system disease mortality among elderly persons living in the city of Rio Branco, Acre, Brazil, from 1980 to 2012. Method: A study of the cause of death of elderly people was carried out from the data available in the Brazilian Mortality Information System. Crude and age-based overall and circulatory system mortality rates were calculated. The trend analyses of these rates were performed using the JoinPoint Regression program. Results: Despite the reductions in mortality rates, diseases of the circulatory system remained the main cause of death of the elderly in Rio Branco. The decrease in overall mortality rates was higher among elderly women and those aged 70 years or older. There was a tendency for death rates due to diseases of the circulatory system to decline among elderly men and grow among elderly women. Conclusion: The mortality rate among the elderly in Rio Branco revealed a declining trend. Deaths from diseases of the circulatory system were the leading cause of death, suggesting that research should be carried out to assess the need for investment to ensure that increased longevity is accompanied by good quality of life.

Health Care and Rising Public Budgets

2017 ◽  
Author(s):  
Yue Chim Richard Wong
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Public Spending ◽  
Health Expenditures ◽  
Aging Population ◽  
The Elderly

Increases in public spending on health expenditures alone cannot be accommodated under the present fiscal arrangements without severely sacrificing the quality of health care. Politically, no government can even contemplate such an outcome, given the power of the elderly vote. Health is not the only issue that will be seriously impacting future fiscal budget. The most important issue is how to manage public spending for an aging population.

scholarly journals The Relationship Between Sleep Quality and Lifestyle of the Elderly

Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 188-199
Author(s):  
Morteza Taheri ◽  
◽  
Khadijeh Irandoust ◽  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Elderly Women ◽  
Pearson Correlation ◽  
Physical Activity Behavior ◽  
The Elderly ◽  
Recording Device ◽  
Time In Bed ◽  
The Relationship

Objectives: Elderly lifestyle and factors such as physical activity, sleep quality, and nutritional patterns affect quality of life. The purpose of this study was to determine the relationship between sleep quality and elderly lifestyle with an emphasis on physical activity. Methods & Materials: A descriptive-analytic research method was used in which 130 elderly women aged 60-70 years old in Qazvin City in 1397 at the Sports and Health Consultation Center of Sports and Youth Department of Qazvin Province were selected by available sampling method. The nutritional analysis of the subjects was evaluated before the tests to control the effect of food intake on the results using N4 software. The sleep and physical activity recording device (Actiwatch-8) was used to collect data. Pearson correlation coefficient was used for data analysis. Results: The results of the study showed that there was a significant relationship between physical activity with sleep duration (P=0.04), awakening bouts (P=0.038), actual sleep (P=0.003) and time in bed (P=0.035).  Conclusion: According to the results, the sleep patterns have a direct relationship with physical activity behavior; therefore, it is recommended to increase the duration of activity in order to improve the quality of sleep in the elderly.

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