scholarly journals What Makes the Choice Between Medical-care-intensive and Long-term-care-intensive Beds?

2009 ◽  
Vol 19 (3) ◽  
pp. 221-233
Author(s):  
Mayumi Nishimoto ◽  
Astushi Yoshida
Keyword(s):  
Medical Care ◽  
Long Term Care ◽  
Term Care

scholarly journals A Brunnstrom Stage Evaluation System with Fuzzy-Accelerometer

2019 ◽  
Vol 9 (18) ◽  
pp. 3718
Author(s):  
Te-Jen Su ◽  
Kun-Liang Lo ◽  
Jason Sheng-Hong Tsai ◽  
Wen-An Yeh ◽  
Cho- Feng Kuo
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Evaluation System ◽  
Long Term Care ◽  
Physical Therapists ◽  
Visual Basic ◽  
Term Care ◽  
Visual Basic For Applications ◽  
Stroke Victim

Advances in medical care has reduced the rate of mortality from strokes, but the incidence of stroke has remained stable while the incidence of ministrokes has increased. Most stroke victims require long-term care, imposing a heavy financial and emotional burden on families while incurring a heavy cost to society. Thus, strokes are a key issue in the context of health care in Taiwan. This paper proposes using VBA (Visual Basic for Applications) to build a system for assessing Brunnstrom stages based on the observation of several obvious rehabilitation features The system calculates features for accelerometer readings, which are then used as input parameters for a fuzzy algorithm to obtain the Brunnstrom action level. Experimental results show the proposed approach effectively assesses Brunnstrom level, and that the approach can be used to assist physical therapists in performing longitudinal assessments of stroke victim progress, thus improving evaluation efficiency.

scholarly journals Cost of Care and Pattern of Medical Care Use in the Last Year of Life among Long-Term Care Insurance Beneficiaries in South Korea: Using National Claims Data

2020 ◽  
Vol 17 (23) ◽  
pp. 9078
Author(s):  
Sunjoo Boo ◽  
Jungah Lee ◽  
Hyunjin Oh
Keyword(s):  
Medical Care ◽  
Long Term Care ◽  
Claims Data ◽  
Medical Costs ◽  
Time Of Death ◽  
Term Care ◽  
Medical Care Use ◽  
Long Term Care Insurance ◽  
At Home

In Korea, a substantial proportion of long-term care insurance (LTCI) beneficiaries die within 1 year of seeking the benefit. This study was conducted to evaluate the pattern of medical care use and care cost during the last year of life among Korean LTCI beneficiaries between 2009 and 2013 using the national claims data. The National Health Insurance’s Senior (NHIS-Senior) cohort was used for this retrospective study. The participants were LTCI beneficiaries aged 65 or over as of 2008 who died between 2009 and 2013 (N = 30,433). Medical costs during the last year of life were highest for those who used both medical care services and long-term care (LTC) services and increased as death approached. About half of the participants were hospitalized at the time of death. The use of LTC services at the time of death increased from 13.0 to 22.8%, while those who died at home decreased from 34 to 20%. This study suggests that the use of LTC services did not reduce medical costs by substituting unnecessary inpatient hospitalization. Quality of dying should be considered one of the goals of older adult care, and provisions should be made for palliative care at home or LTC facilities.

Quelques dilemmes, quelques valeurs pour une politique de services de longue durée

1995 ◽  
Vol 14 (2) ◽  
pp. 263-293 ◽  
Author(s):  
François Béland ◽  
Anne Lemay
Keyword(s):  
Medical Care ◽  
Long Term Care ◽  
Chronically Ill ◽  
The Elderly ◽  
Community Services ◽  
Provincial Government ◽  
Main Function ◽  
Term Care ◽  
Care Services

ABSTRACTLong-term care is available for individuals with functional incapacities. Long-term care includes medical, social, and personal hygiene services, which help to maintain the autonomy of the elderly and allows them to live with dignity in spite of loss of autonomy. This definition provides long-term care services with a goal and a clientele. However, are individuals with functional incapacities first and foremost chronically ill? Should long-term care services be conceptualized as independent from medical care? Provincial government policy documents promote a social model of long-term care which privileges community services as opposed to institutional services. What in fact does this choice imply? To what extent have resources been allocated in accordance with these objectives? A study of these questions based on Canadian data on the relationship between illnesses, disabilities and functional incapacity and data from a historical survey of expenditures in Quebec for hospital care, medical care, institutional long-term care and community services indicates that illnesses, disabilities, and functional incapacity, although strongly correlated in an elderly population, cannot be collapsed into one big category for planning services; co-ordinated services in a multidisciplinary approach are needed, not dominance from one professional group. As to costs, an examination of the data shows that in relative terms costs for community care tended to increase significantly in the recent past. Yet it is not clear that there has been a transfer from short-term medical and hospital services to long-term care. However, there has been an important internal change in hospital costs, with the elderly representing the only group whose costs are rising. In short, despite the political rhetoric on long-term care for the elderly promoting a community approach, these services' main function is still the surveillance of the vulnerable elderly in both short- and long-term care facilities; adapting the elderly to their environment and the environment to the elderly play a growing, though minor, role in the overall picture of medical and social services.

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