Search Results for 'economical'

Mapping the Growth of Older America

5. Mapping the Growth of Older America [pdf]

As the American population continues to age, there is a growing concern in some quarters that the government and the private sector might be ill-prepared with the increased demands of an older population. The Brookings Institution published a rather insightful 28-page paper on the growth of older America, authored by noted demographer William H. Frey. Drawing on analyses performed with data from past U.S. Censuses, Frey comments on a number of trends, including the migration of older Americans into economically dynamic Sun Belt areas such as Austin, Atlanta, and Dallas. The report makes excellent use of maps, charts, and graphs that track the projected growth of senior populations by state and the counties with the fastest-growing senior population. For urbanologists and planners, this report will be quite helpful. [KMG]

Ageism in services for transient ischaemic attack and stroke

Unfortunately, British medical Journal is no longer available free on-line and the nearest medical library is either 400 miles or 1,500+ away.

2006;333:508-509 (9 September), doi:10.1136/bmj.38961.641400.BE

Editorial
Ageism in services for transient ischaemic attack and stroke could be cut by emulating successful efforts against ageism in heart disease care

Societies based on market driven economies have deeply embedded value systems that inherently favour economically productive younger citizens and marginalise non-productive older citizens. Health services reflect the societies they serve. One manifestationof institutionalised ageism is overt and covert rationing of health care that discriminates against older people. This might be acceptable if the clinical outcomes of treating older people were inferior. However, the notion of age based rationing of treatment has become unsustainable and unethical as robust evidence has accumulated that shows comparable outcomes for treatment of older and younger people.

In England, decades of health service underfunding have provided an environment in which ageism has flourished—it is endemic. Whenever a clinical stone is turned over, ageism is revealed—for example, in cancer services, coronary care units, prevention of vascular disease, and in mental health services. To this list we must now add the . . . [Full text of this article]

http://bmj.bmjjournals.com/cgi/content/short/333/7567/508?etoc

Press release here
“Ageism endemic in health services”

http://www.eurekalert.org/pub_releases/2006-09/bmj-aei090706.php

Living on cruise ships is cost effective for elderly people

BMJ 2004;329:1065 (6 November), doi:10.1136/bmj.329.7474.1065-b

Janice Hopkins Tanne New York

Living on a cruise ship provides a better quality of life and is cost effective for elderly people who need help to live independently, according to a study published in the Journal of the American Geriatrics Society ( 2004;52: 1-4)[CrossRef][ISI][Medline].

…. says Lee Lindquist, instructor of medicine at Northwestern University’s Feinberg School of Medicine in Chicago, and a geriatrician at Northwestern Memorial Hospital. People older than 65 who enjoy travel, have good cognitive function, but need some help in daily living are ideal candidates for care on a cruise ship.

The typical resident in a US assisted living facility is an 80 year old (age range 66 to 94) widowed, white, ambulatory woman who needs help with about two activities of daily living, such as walking, bathing, toileting, feeding, dressing, and transfers (for example, from bed to chair).

Such people might do better on a cruise ship, at a similar cost, even for many years.
….
In the United States, an assisted living facility costs about $2360 (&#A3;1290; {euro}1850) a month or $28 689 a year. In the northeast and the west of the United States, costs are higher.

A one month cruise in November in the Caribbean would cost $2651. Living on board for the entire year would cost $33 260. The authors calculate that the long term cost for a person to live on a cruise ship from the age of 80 until his or her death would be $230 497 compared with $228 075 for an assisted living facility.


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