Healthcare on the brink: navigating the challenges of an aging society in the United States

npj Aging, Год журнала: 2024, Номер 10(1)

Опубликована: Апрель 6, 2024

Abstract The US healthcare system is at a crossroads. With an aging population requiring more care and strained facing workforce shortages, capacity issues, fragmentation, innovative solutions policy reforms are needed. This paper aims to spark dialogue collaboration among stakeholders inspire action meet the needs of population. Through comprehensive analysis impact society, this work highlights urgency addressing issue importance restructuring be efficient, equitable, responsive.

Язык: Английский

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Home Care for the Elderly: An Integrated Approach to Perception, Quality of Life, and Cognition

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(5), С. 539 - 539

Опубликована: Апрель 25, 2024

This study investigated the impact of home care, health status, and cognition. A qualitative quantitative approach was employed through a cross-sectional with sample 60 elderly individuals in need care municipality Itatiba, São Paulo, Brazil. The analysis utilized Discourse Collective Subject (DCS), EQ-5D, EQ VAS, Mini-Mental State Examination (MMSE). consisted 40.0% male 60.0% female individuals. majority (61.6%) received weekly visits, mainly from community agents, who were responsible for (45%). Positive considerations highlighted, 36.6% emphasizing contribution to treatment continuity. VAS assessment indicated moderately good perception health. EQ-5D revealed significant differences between genders personal (

Язык: Английский

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Perception on health and exercise among indonesian older adults: a sequential exploratory study in javanese rural communities

Retos, Год журнала: 2024, Номер 59, С. 156 - 164

Опубликована: Июль 29, 2024

This study aims to investigate the perceptions of health and exercise among older adults in rural Javanese communities Indonesia. Through a sequential exploratory approach, research uncovers diverse levels knowledge regarding population. There are 40 from three different regency Central Java Province participated filling out Global Physical Activity Questionnaire (GPAQ). Further qualitative analysis used 25 samples through convenient method. Semi-structured interview is conducted confirm results questionnaire explore their perception on exercise. Despite variations, predominant belief emerges participants significant benefits associated with Analysis reveals that considerable majority (87.5%) meet World Health Organization's recommended standards >600 METs/week, primarily work-related physical activities. However, there remains notable disparity prevalence activity during leisure time, particularly engaging sport-related The accumulated METs score dominantly comes work travel-related Qualitative still few initiatives adopt healthy living sports Some believe were never part culture. To address these findings, we urge for strategic interventions stakeholders enhance awareness about importance overall well-being. entails implementation education programs facilitation collective activities at village level. Keywords: health, exercise, adults, communities, GPAQ

Язык: Английский

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Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis

Frontiers in Public Health, Год журнала: 2025, Номер 12

Опубликована: Янв. 22, 2025

Objective This study aims to evaluate factors linked the degree of disability among older adults and explore relationship between dietary inflammatory index (DII) in southern China. Methods Conducted two districts Guangzhou, China, this cross-sectional included 262 with mild-to-severe disabilities. Disability levels were assessed using “Assessment Standard for Long-term Care Disability” from Medical Insurance Bureau, including Activities Daily Living (ADL), Cognitive Ability, Sensory Perception Communication Skills (SPCS). Dietary data collected via Food Frequency Questionnaire (FFQ) used calculate DII intake nutrients (e.g., Protein, Carbohydrate Fat). A multivariable ordinal logistic regression model was employed analyze influence various on adults. Restricted cubic spline sensitivity analyses assess association adult population. Results Inactivity (never exercising, OR = 8.48, 95% CI 2.30–31.31) reduced activity (formerly 4.85, 1.39–16.96), stroke (OR 2.78, 1.61–4.80), dementia 2.69, 1.26–5.78) significantly associated increased disability. After adjusting confounding factors, a higher greater disability, highest quartile showing notably risk 2.61, 1.21–5.61) compared lowest quartile. Conclusion Lack exercise, previous stroke, are correlated Additionally, is more severe

Язык: Английский

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The Experience of Adults' Family Caregivers Using Home Care Services: A Scoping Review

Journal of Advanced Nursing, Год журнала: 2025, Номер unknown

Опубликована: Янв. 24, 2025

ABSTRACT Aim To review the experiences of family caregivers using home care services, perception services and positive negative effects on caregivers. Design A scoping literature was undertaken JBI guidance. Data Sources Databases were searched in November 2023, including PubMed, Web Science, Embase, CINAHL, Cochrane Library CNKI (China National Knowledge Infrastructure). Review Methods Eligible articles included peer‐reviewed describing experience services. Reviewers screened titles abstracts located sources, to screen full‐text articles. table used extract data synthesise results. Results We found that 22 met inclusion criteria, most which published since 2010 this study inconsistent findings across studies impact burden. In addition, still have process use, such as difficulty obtaining service information, believing duration content cannot meet their needs, lack continuity is involved experience. Conclusion Current fully needs Family different expectations policies, institutions nursing staff. Future practices should consider unmet provide them with higher‐quality Impact This provides new evidence there are for use Policymakers can prioritise funding mixed research longitudinal research, primary aim understanding dynamic changes better more comprehensive information health providers. Patient or Public Contribution No patient public contribution.

Язык: Английский

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TOPSIS Framework for Fuzzy Multiple-Attribute Decision-Making with Probabilistic Simplified Neutrosophic Sets and Applications to Community Home-Based Elderly Care Services Quality Evaluation for Disabled Elderly People

International Journal of Fuzzy Systems, Год журнала: 2025, Номер unknown

Опубликована: Март 7, 2025

Язык: Английский

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Examining the Contribution of Nurse Practitioners to Geriatric and Palliative Care in Israel

Nursing Reports, Год журнала: 2025, Номер 15(3), С. 101 - 101

Опубликована: Март 15, 2025

Background/Objectives: Nurse practitioners (NPs) play a pivotal role in delivering medical care, leveraging their specialized training and broader range of authorities than registered nurses, as approved by the Ministry Health. Since 2009, Israel has expanded NP to include diverse specialties such palliative geriatrics, diabetes, surgery, health policy. Introducing new professional into system is complex, resource-intensive process that requires collaboration across stakeholders. Globally, NPs are recognized for preventing hospitalizations achieving improved care outcomes, with high patient satisfaction. However, Israel, NPs’ perceptions contributions remain underexplored. This study aims assess perception, system, attitudes toward development geriatric care. Methods: The mixed-methods included 26 in-depth interviews an online survey 89 (29 geriatrics 60 care). Results: Most women (84%), Israeli natives (69%), Jewish (64%). More half (53%) have 1–4 years experience practitioners, 71% employed full time. Regarding work environment, feel supervisors patients appreciative they considered authorities. qualitative findings also point several challenges work: (1) status vis-à-vis staff insufficiently established; (2) lack practical theoretical learning over time; (3) there shortage positions; (4) sense emotional load difficulty implementing within system. With regard training, 58% were satisfied course, while felt it lacked content. Looking forward, 76% believed next five years, would expand significantly, 88% recommend other nurses become NPs. Conclusions: To maximize potential, recommends clarifying role, expanding authorities, aligning demands, fostering trust between establishment. Branding efforts support NPs, especially essential enhance integration effectiveness

Язык: Английский

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Multiscale spatial heterogeneity of population aging in relation to its influential factors: a case study in the Shaanxi-Gansu region, China

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Март 27, 2025

Objective With the extension of life expectancy and persistently low birth rates, population aging has become a pressing issue in China. This study investigates visualizes multiscale spatial heterogeneity its influential factors (demographic, socioeconomic, healthcare, natural environmental factors) across Shaanxi-Gansu region northwestern China for 2010 2020, aims to offer some insights designing localized policies promote an older adult-friendly society. Methods Using county-level census data nighttime light data, autocorrelation analysis geographically weighted regression were applied explore patterns varying impacts different scales. Results The results reveal progressive significant heterogeneous region. In 2010, demographic had global effects, economic local influenced at regional By healthcare exerted impacts, while influence other varied within each category. Conclusion experienced accelerated along with distinct spatial–temporal patterns. scale magnitude from four types influencing also shifted over period. These findings highlight importance addressing challenges by considering specific characteristics area.

Язык: Английский

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Correlation analysis of the urban community environment and health promotion among adults aged ≥ 55 years: the mediating role of physical activity

BMC Public Health, Год журнала: 2024, Номер 24(1)

Опубликована: Окт. 11, 2024

Physical health (PH), including muscle strength, endurance, and the ability to perform daily physical tasks, gradually declines with increasing age, leading disability an increased disease burden. Both urban community environment (UCE) activity (PA) were linked PH. A total of 625 participants aged 55 years older from Haidian Chaoyang Districts in Beijing, China, included study September December 2023.PH was assessed by a combined score four tests, BMI, chronic disease, depression self-rated health.The Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A), Center for Epidemiological Survey-Depression Scale (CES-D), Activity Elderly (PASE) Social Support Rate Score (SSRS) collected. The analysis carried out SPSS v.20 Amos 24, results validated via structural equation modeling (SEM). positively associated level adults. Specifically, standardized path coefficients indicate that influence built (0.72–0.88) greater than social (0.43–0.55) personal attributes (0.22–0.37) on adults' health. demonstrated both mediating effect indirect effect, highlighting its significant value as variable. has positive impact promoting adults, being their acts mediator between

Язык: Английский

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Research on the aging-suitability of community outdoor spaces in Zhengzhou based on the analytic hierarchy process and semantic differential method

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Окт. 18, 2024

Background As global populations age, the suitability of community outdoor spaces for older adult residents has become a critical urban planning concern. However, comprehensive evaluation methods assessing these are lacking. Objective: This study aims to evaluate aging-suitability in Zhengzhou, China, and provide optimization suggestions planners policymakers. Methods An index system was established using analytic hierarchy process (AHP), with as goal layer. The criteria layer included behavioral activities, green space configuration, transportation road systems, basic service facilities. semantic differential (SD) method employed conduct among three communities (A, B, C) Zhengzhou city. Results revealed that generally had favorable assessment their spaces’ aging-suitability. Community A received highest overall rating. Green configuration systems emerged factors influencing Conclusion combined AHP-SD approach proved effective evaluating spaces. identified key areas improvement each community, variations strengths weaknesses across sites. Implications: Based on findings, proposed four aspects: enhancing improving landscapes, refining upgrading These recommendations can guide policymakers creating more age-friendly environments.

Язык: Английский

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