Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Mental Health Services: Organized services to provide mental health care.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Reproductive Health Services: Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Child Health Services: Organized services to provide health care for children.Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Maternal Health Services: Organized services to provide health care to expectant and nursing mothers.Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Health Surveys: A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Health Promotion: Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Adolescent Health Services: Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.Preventive Health Services: Services designed for HEALTH PROMOTION and prevention of disease.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Health Planning: Planning for needed health and/or welfare services and facilities.Mental Health: The state wherein the person is well adjusted.Health Services Administration: The organization and administration of health services dedicated to the delivery of health care.Occupational Health Services: Health services for employees, usually provided by the employer at the place of work.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Attitude to Health: Public attitudes toward health, disease, and the medical care system.National Health Programs: Components of a national health care system which administer specific services, e.g., national health insurance.Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Family Planning Services: Health care programs or services designed to assist individuals in the planning of family size. Various methods of CONTRACEPTION can be used to control the number and timing of childbirths.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Women's Health Services: Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.Public Health Administration: Management of public health organizations or agencies.Urban Health Services: Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.United States Public Health Service: A constituent organization of the DEPARTMENT OF HEALTH AND HUMAN SERVICES concerned with protecting and improving the health of the nation.Health Services, Indigenous: Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.Health: The state of the organism when it functions optimally without evidence of disease.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Great BritainHealth Behavior: Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.United States Indian Health Service: A division of the UNITED STATES PUBLIC HEALTH SERVICE that is responsible for the public health and the provision of medical services to NATIVE AMERICANS in the United States, primarily those residing on reservation lands.Health Education: Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.Health Care Rationing: Planning for the equitable allocation, apportionment, or distribution of available health resources.United StatesWorld Health: The concept pertaining to the health status of inhabitants of the world.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Health Priorities: Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Oral Health: The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.Rural Health: The status of health in rural populations.Regional Health Planning: Planning for health resources at a regional or multi-state level.Dental Health Services: Services designed to promote, maintain, or restore dental health.Public Health Practice: The activities and endeavors of the public health services in a community on any level.EnglandOccupational Health: The promotion and maintenance of physical and mental health in the work environment.Health Status Disparities: Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Health Care Sector: Economic sector concerned with the provision, distribution, and consumption of health care services and related products.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Health Facilities: Institutions which provide medical or health-related services.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Contract Services: Outside services provided to an institution under a formal financial agreement.Health Manpower: The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.United States Dept. of Health and Human Services: A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.Catchment Area (Health): A geographic area defined and served by a health program or institution.Urban Health: The status of health in urban populations.Personal Health Services: Health care provided to individuals.Financing, Government: Federal, state, or local government organized methods of financial assistance.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Community Health Planning: Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)Women's Health: The concept covering the physical and mental conditions of women.Healthcare Disparities: Differences in access to or availability of medical facilities and services.School Health Services: Preventive health services provided for students. It excludes college or university students.Environmental Health: The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Rural Population: The inhabitants of rural areas or of small towns classified as rural.Marketing of Health Services: Application of marketing principles and techniques to maximize the use of health care resources.Student Health Services: Health services for college and university students usually provided by the educational institution.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.World Health Organization: A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.Politics: Activities concerned with governmental policies, functions, etc.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Public Sector: The area of a nation's economy that is tax-supported and under government control.Reproductive Health: The physical condition of human reproductive systems.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Health Literacy: Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Health Plan Implementation: Those actions designed to carry out recommendations pertaining to health plans or programs.Diagnostic Services: Organized services for the purpose of providing diagnosis to promote and maintain health.Maternal-Child Health Centers: Facilities which administer the delivery of health care services to mothers and children.Interinstitutional Relations: The interactions between representatives of institutions, agencies, or organizations.Financing, Organized: All organized methods of funding.Infant, Newborn: An infant during the first month after birth.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.LondonAllied Health Personnel: Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Social Work: The use of community resources, individual case work, or group work to promote the adaptive capacities of individuals in relation to their social and economic environments. It includes social service agencies.Privatization: Process of shifting publicly controlled services and/or facilities to the private sector.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Organizational Case Studies: Descriptions and evaluations of specific health care organizations.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Social Justice: An interactive process whereby members of a community are concerned for the equality and rights of all.Policy Making: The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.Library Services: Services offered to the library user. They include reference and circulation.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Fees and Charges: Amounts charged to the patient as payer for health care services.Public Health Nursing: A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Nursing Services: A general concept referring to the organization and administration of nursing activities.Health Benefit Plans, Employee: Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.Utilization Review: An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.Organizational Objectives: The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.Insurance Coverage: Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)Health Occupations: Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Consumer Participation: Community or individual involvement in the decision-making process.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Medically Underserved Area: A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population.Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Hospitalization: The confinement of a patient in a hospital.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Time Factors: Elements of limited time intervals, contributing to particular results or situations.Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.BrazilCohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Universal Coverage: Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.Genetic Services: Organized services to provide diagnosis, treatment, and prevention of genetic disorders.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Demography: Statistical interpretation and description of a population with reference to distribution, composition, or structure.Hospitals, Public: Hospitals controlled by various types of government, i.e., city, county, district, state or federal.Social Class: A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.Community-Institutional Relations: The interactions between members of a community and representatives of the institutions within that community.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Community Mental Health Centers: Facilities which administer the delivery of psychologic and psychiatric services to people living in a neighborhood or community.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Vulnerable Populations: Groups of persons whose range of options is severely limited, who are frequently subjected to COERCION in their DECISION MAKING, or who may be compromised in their ability to give INFORMED CONSENT.Resource Allocation: Societal or individual decisions about the equitable distribution of available resources.Health Planning Support: Financial resources provided for activities related to health planning and development.Educational Status: Educational attainment or level of education of individuals.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Developing Countries: Countries in the process of change with economic growth, that is, an increase in production, per capita consumption, and income. The process of economic growth involves better utilization of natural and human resources, which results in a change in the social, political, and economic structures.Ambulatory Care Facilities: Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.History, 20th Century: Time period from 1901 through 2000 of the common era.Organizations: Administration and functional structures for the purpose of collectively systematizing activities for a particular goal.Ethnic Groups: A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Continuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.Oceanic Ancestry Group: Individuals whose ancestral origins are in the islands of the central and South Pacific, including Micronesia, Melanesia, Polynesia, and traditionally Australasia.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Budgets: Detailed financial plans for carrying out specific activities for a certain period of time. They include proposed income and expenditures.Public Health Informatics: The systematic application of information and computer sciences to public health practice, research, and learning.Indians, North American: Individual members of North American ethnic groups with ancient historic ancestral origins in Asia.Health Services Misuse: Excessive, under or unnecessary utilization of health services by patients or physicians.New South Wales: A state in southeastern Australia. Its capital is Sydney. It was discovered by Captain Cook in 1770 and first settled at Botany Bay by marines and convicts in 1788. It was named by Captain Cook who thought its coastline resembled that of South Wales. (From Webster's New Geographical Dictionary, 1988, p840 & Room, Brewer's Dictionary of Names, 1992, p377)Administrative Personnel: Individuals responsible for the development of policy and supervision of the execution of plans and functional operations.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Centers for Medicare and Medicaid Services (U.S.): A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.Social Welfare: Organized institutions which provide services to ameliorate conditions of need or social pathology in the community.United States Substance Abuse and Mental Health Services Administration: An agency of the PUBLIC HEALTH SERVICE concerned with the overall planning, promoting, and administering of programs pertaining to substance abuse and mental health. It is commonly referred to by the acronym SAMHSA. On 1 October 1992, the United States Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) became SAMHSA.Financing, Personal: Payment by individuals or their family for health care services which are not covered by a third-party payer, either insurance or medical assistance.Counseling: The giving of advice and assistance to individuals with educational or personal problems.Decision Making, Organizational: The process by which decisions are made in an institution or other organization.Telemedicine: Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.Family Health: The health status of the family as a unit including the impact of the health of one member of the family on the family as a unit and on individual family members; also, the impact of family organization or disorganization on the health status of its members.
Aged Persons Mental Health Service (APMHS)Welcome to the Aged Persons Mental Health Service.. We provide a range of specialist mental health services for people over the ... Mental Health Services*Child & Youth Mental Health Service (CYMHS)*What do we do? ... Adult Mental Health*Central East Mental Health Services*Inpatient Services - Upton House ... Language Services. Eastern Health is committed to ensuring the communities we service receive care that is responsive to their ...
Boston and Simpson Health Service - Boston Residential Aged CareProviding quality healthcare to the Western ...
Project MUSE - Generational Cohorts, Age at Arrival, and Access to Health Services among Asian and Latino Immigrant AdultsBrowse , Medicine and Health , Public Health Generational Cohorts, Age at Arrival, and Access to Health Services among Asian ... Results showed that immigrants arriving in the U.S. as children had better access to services, one exception being middle-aged ... Program Evaluation of the Inner South Community Health Oral Health Program for Priority Populations ... age at arrival, and parental nativity. Using data from the 2003 California Health Interview Survey, this paper examines ...
Free drop-in confidential health services for youths ages 12-24, Monday through Friday, 1:00 p.m. to 5:00 p.m.... ... Third Street Youth Center and Clinic offers health care for youth ages 12-24, including mental, physical and sexual health. To ... For further information about services available, visit the website at www.3rdstyouth.org, or call 415.822.1707. The clinic is ... qualify, individuals need to be participants in Medi-Cal or Healthy Families programs, and some services may require parental ...
Aging Office Contact for St. Croix County | Wisconsin Department of Health ServicesDirector St Croix County Department on Aging 1752 Dorset Lane New Richmond WI 54017 715-381-4360 800-372-2333 Toll-free 715-381 ... St Croix County Department on Aging. 1752 Dorset Lane. New Richmond WI 54017 ... Protecting and promoting the health and safety of the people of Wisconsin. ...
Osaka cops: 'Delivery health' service misled customers with women's ages | The Tokyo ReporterOsaka cops: "Delivery health" service misled customers with women's ages. Tokyo Reporter Staff ... sex service specializing in middle-aged women who pretended to be much younger than their actual ages, reports the Sankei ... The service instructed the women to pretend to be around the age of 20 or younger when with customers. ... aged in their 40s and 50s, to provide services in violation of the Anti-Prostitution Law to two male customers at hotels in ...
Mental Health Services - WISE & Healthy AgingThese services include:. *Mental Health Services. These services for older adults include individual, couple, family and group ... WISE & Healthy Aging offers support groups for caregivers.. *Information and referral services. WISE & Healthy Aging serves as ... WISE & Healthy Aging provides a variety of mental health services for seniors. ... WISE & Healthy Aging has links to many resources available to assist older people. For information and referral services, call ...
Health Servicesaging in place by providing fire safety and falls prevention education and support. Janet Barnes from SCOA and Dori Krahn from ... Category: Health Services. Health Services, Important Notices, Partners. New Partnership: Bourassa & Associates. May 17, 2017. ... Health Services, Important Notices, Partners, Programming. Remembering When Program. April 25, 2017. May 26, 2017. ... General, Health Services. Dental Day YXE. March 28, 2017. March 28, 2017. globewalk2013 ...
Incontinence afflicts women of any age | To Your Health Blog | Providence Health and ServicesWomen of all ages suffer from incontinence. Find out more about ways to strengthen the pelvic floor muscles to treat ... Incontinence is a normal part of aging. False: You are not destined to have urine leakage once you reach a certain age. Your ... As many as 30 percent of women between the ages of 25 and 44 experience stress incontinence or some form of leaking without ... Carr specializes in pelvic floor health and incontinence in women. There isn't a one-size-fits-all solution for every person, ...
Ozcare Gold Coast Community Health: Aged Support Services - StartLocal®Read about Ozcare Gold Coast Community Health in Aged Support Services QLD at StartLocal® ... Trusted Age Care Services #1 Accredited Aged Care Professionals assisting families to navigate the maze of Aged Care... with ... Aged Care support, Dementia, Palliative care, In Home Care, Home Care Packages, Self-Managed Home Care Packages, and more! Read ... What did you like, what didn't you like? Here are some things to think about - How was the customer service? How was the ...
Accessing services - Age - NHS Health ScotlandThe Walk the Talk programme focuses on the barriers young people face when accessing health services such as:. *lack of ... The Kings Fund has produced a briefing on age discrimination in health and social care. It explores the impact of attitudes on ... The briefing also cites examples of the use of age targeted services and the impact on older people.. Attitudes make a ... This section sets out how older and younger people can experience discrimination and barriers to accessing health services. ...
Aging and Adult Services General Information and Announcements | NC Department of Health and Human ServicesResponse to Bed Bugs in Community Aging Programs ... NC Department of Health and Human Services. 2001 Mail Service ... Mental Health, Developmental Disabilities and Substance Abuse Services Grant Opportunities. *Public Health Grant Opportunities ... Services for the Deaf and the Hard of Hearing. Services for the Deaf and the Hard of Hearing*. Back. ... Mental Health, Developmental Disabilities, and Substance Abuse. Mental Health, Developmental Disabilities, and Substance Abuse* ...
The Future of Anti-Aging Skin Care - Phoenix health/wellness services - backpage.comRedefine the future of aging with Rodan & Fields Specials until the end of the month. See the promotions! New Lash Boost!!! ... phoenix.backpage.com is an interactive computer service that enables access by multiple users and should not be treated as the ... Home , Phoenix services , Phoenix health/beauty services Report Ad The Future of Anti-Aging Skin Care. ... The Future of Anti-Aging Skin Care ...
A continuing look at the uninsured : utilization of health care services among working-age adults (19 to 64 years) :: State...A continuing look at the uninsured : utilization of health care services among working-age adults (19 to 64 years) - Page 1 ... A continuing look at the uninsured : - utilization of health care services among working-age adults (19 to 64 years) / ... A continuing look at the uninsured : utilization of health care services among working-age adults (19 to 64 years) ... Utilization of health care services among working-age adults (19 to 64 years) ...
Services and Programs for the Aging Population: Publications - Delaware Health and Social Services - State of DelawareThis is an index of publications for the aging population provided by Delaware Health and Social Services. ... Social Services. Long Term Care Residents Protection. Management Services. Medicaid & Medical Assistance. Public Health. ... Developmental Disabilities Services. State Service Center. Substance Abuse. Mental Health. Visually Impaired. Councils and ... Services and Programs for the Aging Population. Publications. * Publications for Older Delawareans. The contents of this page ...
DSAAPD Aging/Disabilities Info and Support: Health and Wellness - Delaware Health and Social Services - State of DelawareInformation about health and wellness activities provided by the Delaware Division of Services for Aging and Adults with ... Social Services. Long Term Care Residents Protection. Management Services. Medicaid & Medical Assistance. Public Health. ... Developmental Disabilities Services. State Service Center. Substance Abuse. Mental Health. Visually Impaired. Councils and ... The Division of Services for Aging and Disabilities (DSAAPD) partners with a number of community organizations to promote ...
Health and developmental services, birth through age 5 relationships to support children with special needs. :: State Lib Oh...Health and developmental services, birth through age 5 relationships to support children with special needs. ... Health and developmental services, birth through age 5 : relationships to support children with special needs. ... HMG; 'Relationships to Support Children with Special Needs Health and Developmental Services Birth through Age 5'; IDEA; ... Health and developmental services, birth through age 5 relationships to support children with special needs.. ...
Aging Services - Family Caregivers - Contact Us | Health FirstContact us today by e-mail email@example.com. Or use our online form to submit our contact request. A Center for ... 2017 Health First All Rights Reserved , 6450 US Highway 1, Rockledge, FL 32955 , 321.434.4335 ...
HIV, aging and continuity care: strengthening health systems to support services for noncommunicable diseases in low-income...Abstract Although health systems in most low-income countries largely provide episodic care for acute symptomatic conditions, ... HIV, aging and continuity care: strengthening health systems to support services for noncommunicable diseases in low-income ... Health Policy research Preventive Medicine and Public Health. PPT Version , PDF Version ... Abstract Although health systems in most low-income countries largely provide episodic care for acute symptomatic conditions, ...
Department of Health - New East Arnhem Land Aged Care Service to Create JobsThe Australian Government is supporting communities in East Arnhem Land to establish an Indigenous aged care service for local ... PDF printable version of New East Arnhem Land Aged Care Service to Create Jobs (PDF 355 KB). Joint Media Release. Senator the ... Minister for Aged Care. Minister for Indigenous Health. 25 August 2017. The Turnbull Government is supporting communities in ... New East Arnhem Land Aged Care Service to Create Jobs. The Australian Government is supporting communities in East Arnhem Land ...
Health, Human Services & Aging Committee Meeting - 2/22/2017 - Cuyahoga County CouncilHealth, Human Services & Aging Committee Meeting. Health, Human Services & Aging Committee Meeting. Event date:. 2/22/2017-1:00 ...
Toosey Aged and Community Care | Department of Health and Human ServicesHome , For Health Professionals , For GPs , Disclaimer & Copyright , Tasmania Online , Service Tasmania , Web Accessibility. ... This page is produced by the Department of Health and Human Services , ABN: 1125 5872 006. ... The full address of this page is http://www.dhhs.tas.gov.au/service_information/service_delivery_points/toosey_aged_and_ ... New Bus Service launched linking the North West Regional and Mersey Hospitals ...
JMIR-Tweetations for Young Men, Mental Health, and Technology: Implications for Service Design and Delivery in the Digital AgeTweetations for "Young Men, Mental Health, and Technology: Implications for Service Design and Delivery in the Digital Age" in ...
Orientation to the Geriatric Inpatient Service (Med A) - Center for Aging and HealthThe Acute Care of the Elderly (ACE) Service, or Med A, is an inpatient service that is staffed by a faculty member within the ... UNC Center for Aging and Health and Division of Geriatric Medicine. 5003 Old Clinic / CB# 7550 / Chapel Hill, NC 27599 ... Home › Geriatrics Fellowship Program › Current Fellow Resources › Curriculum › ACE: Inpatient Service * Geriatrics Fellowship ... the remainder of their time during the month should be dedicated to the inpatient service. ...
Old age and health.Concerning ancestor worship and religious service and courtesy in southern islands. | Articleinformation | J...Old age and health.Concerning ancestor worship and religious service and courtesy in southern islands. ...
National Collaborating Centre for Mental Health: The National Collaborating Centre for Mental Health (NCCMH) is one of several centres of the National Institute for Health and Care Excellence (NICE) tasked with developing guidance on the appropriate treatment and care of people with specific conditions within the National Health Service (NHS) in England and Wales. It was established in 2001.Global Health Delivery ProjectSelf-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Public Health Act: Public Health Act is a stock short title used in the United Kingdom for legislation relating to public health.Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.Society for Education Action and Research in Community Health: Searching}}Health policy: Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific health care goals within a society."World Health Organization.Rock 'n' Roll (Status Quo song)Maternal Health Task ForceCommunity mental health service: Community mental health services (CMHS), also known as Community Mental Health Teams (CMHT) in the United Kingdom, support or treat people with mental disorders (mental illness or mental health difficulties) in a domiciliary setting, instead of a psychiatric hospital (asylum). The array of community mental health services vary depending on the country in which the services are provided.Halfdan T. MahlerLifestyle management programme: A lifestyle management programme (also referred to as a health promotion programme, health behaviour change programme, lifestyle improvement programme or wellness programme) is an intervention designed to promote positive lifestyle and behaviour change and is widely used in the field of health promotion.Basic Occupational Health Services: The Basic Occupational Health Services are an application of the primary health care principles in the sector of occupational health. Primary health care definition can be found in the World Health Organization Alma Ata declaration from the year 1978 as the “essential health care based on practical scientifically sound and socially accepted methods, (…) it is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work (…)”.Contraceptive mandate (United States): A contraceptive mandate is a state or federal regulation or law that requires health insurers, or employers that provide their employees with health insurance, to cover some contraceptive costs in their health insurance plans. In 1978, the U.United States Public Health ServiceNational Cancer Research Institute: The National Cancer Research Institute (NCRI) is a UK-wide partnership between cancer research funders, which promotes collaboration in cancer research. Its member organizations work together to maximize the value and benefit of cancer research for the benefit of patients and the public.Behavior: Behavior or behaviour (see spelling differences) is the range of actions and [made by individuals, organism]s, [[systems, or artificial entities in conjunction with themselves or their environment, which includes the other systems or organisms around as well as the (inanimate) physical environment. It is the response of the system or organism to various stimuli or inputs, whether [or external], [[conscious or subconscious, overt or covert, and voluntary or involuntary.Northwest Portland Area Indian Health Board: The Northwest Portland Area Indian Health Board (NPAIHB) is a non-profit tribal advisory organization in Portland, Oregon, run and organized by participating tribes. It was established in 1972 to focus on four areas as they pertain to the health of Native people: health promotion and disease prevention, legislative and policy analysis, training and technical assistance, and surveillance and research.School health education: School Health Education see also: Health Promotion is the process of transferring health knowledge during a student's school years (K-12). Its uses are in general classified as Public Health Education and School Health Education.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Aging (scheduling): In Operating systems, Aging is a scheduling technique used to avoid starvation. Fixed priority scheduling is a scheduling discipline, in which tasks queued for utilizing a system resource are assigned a priority each.Mental disorderClosed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Behavior change (public health): Behavior change is a central objective in public health interventions,WHO 2002: World Health Report 2002 - Reducing Risks, Promoting Healthy Life Accessed Feb 2015 http://www.who.Sharon Regional Health System: Sharon Regional Health System is a profit health care service provider based in Sharon, Pennsylvania. Its main hospital is located in Sharon; additionally, the health system operates schools of nursing and radiography; a comprehensive pain management center across the street from its main hospital; clinics in nearby Mercer, Greenville, Hermitage, and Brookfield, Ohio; and Sharon Regional Medical Park in Hermitage.Red Moss, Greater Manchester: Red Moss is a wetland mossland in Greater Manchester, located south of Horwich and east of Blackrod. (Grid Reference ).WHO collaborating centres in occupational health: The WHO collaborating centres in occupational health constitute a network of institutions put in place by the World Health Organization to extend availability of occupational health coverage in both developed and undeveloped countries.Network of WHO Collaborating Centres in occupational health.Resource leak: In computer science, a resource leak is a particular type of resource consumption by a computer program where the program does not release resources it has acquired. This condition is normally the result of a bug in a program.Psychiatric interview: The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment.Minati SenIntegrated catchment management: Integrated catchment management is a subset of environmental planning which approaches sustainable resource management from a catchment perspective, in contrast to a piecemeal approach that artificially separates land management from water management.Northeast Community Health CentreStandard evaluation frameworkHealthy community design: Healthy community design is planning and designing communities that make it easier for people to live healthy lives. Healthy community design offers important benefits:Women's Health Initiative: The Women's Health Initiative (WHI) was initiated by the U.S.Great Lakes Environmental Research Laboratory: right|300px|thumb|Great Lakes Environmental Research Laboratory logo.Essex School of discourse analysis: The Essex School constitutes a variety of discourse analysis, one that combines theoretical sophistication – mainly due to its reliance on the post-structuralist and psychoanalytic traditions and, in particular, on the work of Lacan, Foucault, Barthes, Derrida, etc. – with analytical precision, since it focuses predominantly on an in-depth analysis of political discourses in late modernity.Poundage quota: A poundage quota, also called a marketing quota, is a quantitative limit on the amount of a commodity that can be marketed under the provisions of a permanent law. Once a common feature of price support programs, this supply control mechanism ended with the quota buyouts for peanuts in 2002 and tobacco in 2004.Brooks College of Health: The Brooks College of Health is a college at the University of North Florida. About 1,900 students are enrolled in the school,http://www.Referral (medicine): In medicine, referral is the transfer of care for a patient from one clinician to another.García Olmos L, Gervas Camacho J, Otero A, Pérez Fernández M.European Immunization Week: European Immunization Week (EIW) is an annual regional initiative, coordinated by the World Health Organization Regional Office for Europe (WHO/Europe), to promote immunization against vaccine-preventable diseases. EIW activities are carried out by participating WHO/Europe member states.Private healthcareParamedic: A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services (EMS), such as on an ambulance.Opinion polling in the Philippine presidential election, 2010: Opinion polling (popularly known as surveys in the Philippines) for the 2010 Philippine presidential election is managed by two major polling firms: Social Weather Stations and Pulse Asia, and several minor polling firms. The polling firms conducted surveys both prior and after the deadline for filing of certificates of candidacies on December 1, 2009.
(1/1026) Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review.
BACKGROUND: The high prevalence of pain in older adults and its impact in this age group make it a public health issue, yet few studies of pain relief focus on older adults. Residents of long-term care facilities have more cognitive impairment than their community-living counterparts and may have difficulty reporting the presence and severity of pain. This systematic literature review was conducted to determine the prevalence of pain, and the type and effectiveness of interventions that have been used to treat pain in residents of nursing homes. METHODS: Studies were identified by searching MEDLINE (from January 1966 to May 1997), HEALTH (from January 1975 to May 1997), CINAHL (from January 1982 to April 1997), AGELINE (from January 1978 to April 1997) and the Cochrane Library (1997, issue 1) and by performing a manual search of textbooks and reference lists. Studies of any methodological design were included if they estimated the prevalence of pain in nursing homes or other long-term care institutions or evaluated interventions for the treatment of pain in residents. Of the 14 eligible studies, 12 were noncomparative studies, 1 was a comparison study with nonrandomized contemporaneous controls, and 1 was a randomized controlled trial. Information on several factors was extracted from each study, including study design, number of patients and facilities, main outcomes measured, methods used to identify and detect pain, prevalence and types of pain, and interventions used to treat pain. The strength of the evidence provided by each study was also assessed. RESULTS: In the 6 studies with data from self-reporting or chart reviews, the prevalence of pain ranged from 49% to 83%. In the 5 studies with data on analgesic use only, the prevalence of pain ranged from 27% to 44%. Only 3 studies, with just 30 patients in total, evaluated an intervention for the treatment of pain. INTERPRETATION: Despite the high prevalence of pain in residents of nursing homes, there is a lack of studies evaluating interventions to relieve their pain. The authors make recommendations for future studies in this area. (+info)
(2/1026) Pap screening clinics with native women in Skidegate, Haida Gwaii. Need for innovation.
PROBLEM ADDRESSED: First Nations women in British Columbia, especially elders, are underscreened for cancer of the cervix compared with the general population and are much more likely to die of the disease than other women. OBJECTIVE OF PROGRAM: To develop a pilot program, in consultation with community representatives, to address the Pap screening needs of First Nations women 40 years and older on a rural reserve. MAIN COMPONENTS OF PROGRAM: Identification of key links to the population; consultation with the community to design an outreach process; identification of underscreened women; implementation of community Pap screening clinics; evaluation of the pilot program. CONCLUSIONS: We developed a Pap screening outreach program that marked a departure from the usual screening approach in the community. First Nations community health representatives were key links for the process that involved family physicians and office staff at a local clinic on a rural reserve. Participation rate for the pilot program was 48%, resulting in an increase of 15% over the previously recorded screening rate for this population. More screening clinics of this type and evaluation for sustainability are proposed. (+info)
(3/1026) The changing elderly population and future health care needs.
The impending growth of the elderly population requires both fiscal and substantive changes in Medicare and Medicaid that are responsive to cost issues and to changing patterns of need. More emphasis is required on chronic disease management, on meaningful integration between acute and long-term care services, and on improved coordination between Medicare and Medicaid initiatives. This paper reviews various trends, including the growth in managed-care approaches, experience with social health maintenance organizations and Program of All-Inclusive Care for the Elderly demonstrations, and the need for a coherent long-term care policy. Such policies, however, transcend health care and require a broad range of community initiatives. (+info)
(4/1026) Systematic review of day hospital care for elderly people. The Day Hospital Group.
OBJECTIVE: To examine the effectiveness of day hospital attendance in prolonging independent living for elderly people. DESIGN: Systematic review of 12 controlled clinical trials (available by January 1997) comparing day hospital care with comprehensive care (five trials), domiciliary care (four trials), or no comprehensive care (three trials). SUBJECTS: 2867 elderly people. MAIN OUTCOME MEASURES: Death, institutionalisation, disability, global "poor outcome," and use of resources. RESULTS: Overall, there was no significant difference between day hospitals and alternative services for death, disability, or use of resources. However, compared with subjects receiving no comprehensive care, patients attending day hospitals had a lower odds of death or "poor" outcome (0.72, 95% confidence interval 0.53 to 0.99; P<0.05) and functional deterioration (0.61, 0.38 to 0.97; P<0.05). The day hospital group showed trends towards reductions in hospital bed use and placement in institutional care. Eight trials reported treatment costs, six of which reported that day hospital attendance was more expensive than other care, although only two analyses took into account cost of long term care. CONCLUSIONS: Day hospital care seems to be an effective service for elderly people who need rehabilitation but may have no clear advantage over other comprehensive care. Methodological problems limit these conclusions, and further randomised trials are justifiable. (+info)
(5/1026) Direct costs of coronary artery bypass grafting in patients aged 65 years or more and those under age 65.
BACKGROUND: Over the past 20 years, there have been marked increases in rates of coronary artery bypass grafting (CABG) among older people in Canada. The objectives of this study were to accurately estimate the direct medical costs of CABG in older patients (age 65 years or more) and to compare CABG costs for this age group with those for patients less than 65 years of age. METHODS: Direct medical costs were estimated from a sample of 205 older and 202 younger patients with triple-vessel or left main coronary artery disease who underwent isolated CABG at The Toronto Hospital, a tertiary care university-affiliated hospital, between Apr. 1, 1991, and Mar. 31, 1992. Costs are expressed in 1992 Canadian dollars from a third-party payer perspective. RESULTS: The mean costs of CABG in older and younger patients respectively were $16,500 and $15,600 for elective, uncomplicated cases, $23,200 and $19,200 for nonelective, uncomplicated cases, $29,200 and $20,300 for elective, complicated cases, and $33,600 and $23,700 for nonelective, complicated cases. Age remained a significant determinant of costs after adjustment for severity of heart disease and for comorbidity. Between 59% and 91% of the cost difference between older and younger patients was accounted for by higher intensive care unit and ward costs. INTERPRETATION: CABG was more costly in older people, especially in complicated cases, even after an attempt to adjust for severity of disease and comorbidity. Future studies should attempt to identify modifiable factors that contribute to longer intensive care and ward stays for older patients. (+info)
(6/1026) A survey of attitudes and knowledge of geriatricians to driving in elderly patients.
OBJECTIVE: To assess the attitudes of consultant members of the British Geriatrics Society to elderly patients driving motor vehicles. DESIGN: An anonymous postal survey assessing knowledge and attitudes to driving in elderly people. A standardized questionnaire was used and five case histories were offered for interpretation. SETTING: The study was co-ordinated from a teaching hospital. SUBJECTS: The 709 consultant members of the British Geriatrics Society. Four hundred and eighteen responses were obtained, which represents a 59% response rate. RESULTS: 275 Respondents (68%) correctly realised that a person aged 70 had a duty to inform the Driving and Vehicle Licensing Authority (DVLA) about their eligibility to drive. The remainder did not. Most (315; 75%) believed that the overall responsibility for informing the DVLA was with the patient. If a patient was incapable of understanding advice on driving because of advanced dementia, 346 (83%) would breach patient confidentiality and inform the authority directly. Where a patient was fully capable of understanding medical advice but ignored it, 72% of geriatricians would have legitimately breached patient confidentiality and informed the DVLA. Most geriatricians (88%) saw their main role as one of providing advice on driving to patients and their families. Enforcing DVLA regulations was not seen as an appropriate function, unless the patient was a danger to themselves or other drivers. CONCLUSIONS: There is a wide variation in knowledge of driving regulations and attitudes to driving in elderly patients. Better education of geriatricians should improve awareness of when elderly drivers can safely continue to drive. (+info)
(7/1026) A national survey of health-service use in Thai elders.
OBJECTIVES: To examine the pattern of health-service use and associated factors among elderly people in Thailand. DESIGN: A cross-sectional multi-stage random sampling household survey. SUBJECTS: 4480 People aged 60 and over. MAIN OUTCOME MEASURES: Responses to illness among elderly Thai subjects and health-service utilization. RESULTS: Of 1954 elderly Thai subjects who reported that they had had an illness without hospitalization during the last month, 93% had sought treatment and 7% did nothing. Just over a half (52.8%) used health services. Subjects who had self-limiting symptoms or diseases tended to not use health services, while subjects with chronic conditions did. Sixty-two percent paid for treatment themselves while 28% of them had their bills paid by their children. Independent determinants of health-service use included living in a rural area, being well-educated and better off, not drinking alcohol and the severity of illness identified. CONCLUSIONS: We found a low rate of state health-service use. Children had an important role in taking care of parents. (+info)
(8/1026) Integrating healthcare for older populations.
The complex array of needs posed by older adults has frequently produced fragmentation of care in traditional fee-for-service systems. Integration of care components in newer health systems will maximize patient benefits and organizational efficiency. This article outlines the major issues involved in integration of care for older populations. A health system must integrate its care of older adults in many ways: among providers, both in primary care and specialty services; with community-based sources of care; and across sites of care (clinic, hospital, emergency department, and nursing home). Integrating reimbursement structures for various services will serve to create a client-oriented system, as opposed to a finance-centered system, thereby enhancing coordination of care. The extent to which two experimental comprehensive systems, PACE (Program of All-inclusive Care of the Elderly) and SHMO II (Social Health Maintenance Organization), have achieved clinical and financial integration are discussed in detail. Healthcare organizations are encouraged to create integrated models of care and to study the effects of integration on patient outcomes. (+info)
- Results showed that immigrants arriving in the U.S. as children had better access to services, one exception being middle-aged and older Asians. (jhu.edu)
- OSAKA (TR) - Osaka Prefectural Police have busted an allegedly illegal " delivery health " sex service specializing in middle-aged women who pretended to be much younger than their actual ages, reports the Sankei Shimbun (Jan. 27). (tokyoreporter.com)
- Using data from the 2003 California Health Interview Survey, this paper examines generational cohort differences in access to health services among Asian and Latino immigrant adults. (jhu.edu)
- These services for older adults include individual, couple, family and group psychotherapy. (wiseandhealthyaging.org)
- This information is provided by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD). (delaware.gov)
- Carr specializes in pelvic floor health and incontinence in women. (providence.org)
- In addition to physical health issues, some seniors also face mental and emotional issues. (wiseandhealthyaging.org)
- WISE & Healthy Aging provides a variety of mental health services for seniors. (wiseandhealthyaging.org)
- We know we will need help and have trained a number of SFD volunteers and Saskatoon Services for Seniors staff to make home visits. (wordpress.com)
- Abstract Although health systems in most low-income countries largely provide episodic care for acute symptomatic conditions, many HIV programs have developed effective, locally owned and contextually appropriate policies, systems and tools to support chronic care services for persons living with HIV (PLWH). (omicsonline.org)
- The Australian Government is committed to ensuring all Australians have access to high quality aged care services that respect their cultural diversity," Minister Wyatt said. (health.gov.au)
- On May 1, 2017, the Fire Chief Morgan Hackl, presented a report on the Remembering When program to the Standing Policy Committee on Planning, Development and Community Services asking them to forward it to Council for their information. (wordpress.com)
- This is based at the Peter James Centre and we offer services to people who live in the Council areas of Monash, Whitehorse, Manningham, Knox, Maroondah and the Yarra Ranges. (easternhealth.org.au)
- Locally owned and operated since 1986, Bourassa & Associates Rehabilitation Centre is a provider of premium rehabilitation services. (wordpress.com)
- The Saskatoon Council on Aging extends our appreciation to Bourassa & Associates for their support and look forward to a rewarding and exciting partnership. (wordpress.com)
- The Remembering When™ program is a partnership between the Saskatoon Fire Department (SFD) and the Saskatoon Council on Aging. (wordpress.com)
- Working in partnership with locals is vitally important develop and help deliver aged care for the Nhulunbuy community. (health.gov.au)
- The Saskatoon Council on Aging is pleased to welcome Bourassa & Associates as our organizational sponsor and partner. (wordpress.com)
- Council members who are part of this committee expressed their support for their program and stated that the services we provide are valued and necessary. (wordpress.com)
- Eastern Health is committed to ensuring the communities we service receive care that is responsive to their cultural and language needs. (easternhealth.org.au)
- The Australian Government is supporting communities in East Arnhem Land to establish an Indigenous aged care service for local Elders that also creates and sustains local jobs. (health.gov.au)
- The contents of this page feature information about services available and other pertinent information for older Delawareans. (delaware.gov)
- The Division of Services for Aging and Disabilities (DSAAPD) partners with a number of community organizations to promote heathy lifestyles for older Delawareans. (delaware.gov)
- The new service is expected to open in late 2018, and will add to the existing 32 services, mainly in rural and remote locations, funded under the National Aboriginal and Torres Strait Islander Flexible Aged Care Program. (health.gov.au)
- Recent immigrant assimilation literature has highlighted the tremendous heterogeneity that exists within foreign-born and U.S.-born second generation populations-and thus, the importance of a broader generational cohort framework that encompasses nativity, immigrant generation, age at arrival, and parental nativity. (jhu.edu)
- To qualify, individuals need to be participants in Medi-Cal or Healthy Families programs, and some services may require parental permission. (thewesternedition.com)
- We work collaboratively with clients, GP's and other community service providers within the framework of a shared care model. (easternhealth.org.au)
- WISE & Healthy Aging serves as a community resource for general information about aging. (wiseandhealthyaging.org)
- The first stage of development will involve community consultations to discuss job opportunities and the best service model to meet the region's needs," said Minister Scullion. (health.gov.au)
- Locals will be involved from the ground up, to design a sustainable, culturally sensitive service, providing residential care and support to older Aboriginal and Torres Strait Islander people, so they can stay close to their community and country," said Minister Wyatt. (health.gov.au)
- The East Arnhem community will be encouraged to participate in all aspects of the service, from planning through to operation. (health.gov.au)
- Australian Regional and Remote Community Services Ltd was selected in November last year to establish the service, after a competitive tender process. (health.gov.au)
- The service instructed the women to pretend to be around the age of 20 or younger when with customers. (tokyoreporter.com)
- The ban seeks to address discrimination, poor treatment and misunderstandings regarding age, in particular those affecting younger and older people. (healthscotland.com)
- This section sets out how older and younger people can experience discrimination and barriers to accessing health services. (healthscotland.com)
- Welcome to the Aged Persons Mental Health Service. (easternhealth.org.au)
- We provide a range of specialist mental health services for people over the age of 65yrs with a mental illness or those who may experience severe behavioural disturbances associated with Dementia. (easternhealth.org.au)
- We are a multi-disciplinary service which provides holistic mental health treatment. (easternhealth.org.au)
- Third Street Youth Center and Clinic offers health care for youth ages 12-24, including mental, physical and sexual health. (thewesternedition.com)
- In December and January, Akira Iwanaka, the 52-year-old manager of Osaka Married Women Home Delivery, located in the Kyuhoji area of Yao City, sent two female employees, aged in their 40s and 50s, to provide services in violation of the Anti-Prostitution Law to two male customers at hotels in Sakai City. (tokyoreporter.com)
- They play a pivotal role in the early identification process and linkages to services and treatment , when necessary , helping families provide the very best care to their children . (ohiomemory.org)
- HIV, aging and continuity care: strengthening health systems to support services for noncommunicable diseases in low-income countries. (omicsonline.org)
- How was the product or service quality? (startlocal.com.au)
- WISE & Healthy Aging has links to many resources available to assist older people. (wiseandhealthyaging.org)
- Follow the links below for health and wellness information and resources. (delaware.gov)
- This study highlights the value of a generational cohort framework-specifically, the importance of age at arrival-in examining health access among immigrants. (jhu.edu)
- Barriers to service access are compounded by poverty. (healthscotland.com)
- Report prepared for the Office of Health Care Access. (cdmhost.com)
- WISE & Healthy Aging offers support groups for caregivers. (wiseandhealthyaging.org)
- For further information about services available, visit the website at www.3rdstyouth.org , or call 415.822.1707. (thewesternedition.com)
- Please visit their website bourassarehab.com for detailed descriptions of services. (wordpress.com)
- For a complete list of services provided by DSAAPD, please visit the DSAAPD services page , the DSAAPD website or contact DSAAPD . (delaware.gov)
- Protecting and promoting the health and safety of the people of Wisconsin. (wisconsin.gov)
- A Joseph Rowntree Foundation review adopts a 'capability-based' approach to equality, and explores equality and diversity issues in accessing and experiencing services for older people with high support needs. (healthscotland.com)
- The briefing also cites examples of the use of age targeted services and the impact on older people. (healthscotland.com)
- Age UK gathered personal stories from older people which describe a variety of problems, some of which appear to be directly associated with their age. (healthscotland.com)
- Recruiting and training local Indigenous people to work in the purpose-built service will be a key consideration, with up to a dozen full and part time positions expected to be created. (health.gov.au)
- Get three qualification-checked home services or renovation providers to compete to do your job. (startlocal.com.au)
- The longer you stay with this, the better your bladder health will become. (providence.org)
- Health and developmental services, birth through age 5 relationships to support children with special needs. (ohiomemory.org)
- The Home Office has published quick-start guidance to support the introduction of the ban on age discrimination . (healthscotland.com)
- Minister for Indigenous Affairs, Nigel Scullion, and Minister for Aged Care and Minister for Indigenous Health, Ken Wyatt AM, said foundation funding of $340,000 would help the project begin. (health.gov.au)
- not believed by health staff when describing symptoms or their symptoms are misdiagnosed. (healthscotland.com)
- To be eligible for these services, the client must be 55 years of age or older and be MediCal eligible, uninsured or under-insured. (wiseandhealthyaging.org)
- The services offer also include psychosocial assessment and testing, psychiatric consultation, care management and management of medications. (wiseandhealthyaging.org)
- According to police, the club, which has women aged between 35 and 61 on its roster, used 13 different names in newspaper advertisements, including Amateur Wives and Secret Married Women. (tokyoreporter.com)
- However, new studies show that incontinence affects women of all ages and levels of fitness more than previously thought. (providence.org)
- As many as 30 percent of women between the ages of 25 and 44 experience stress incontinence or some form of leaking without warning - and those numbers only account for patients being treated. (providence.org)