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International Survey Of Older Adults Finds Shortcomings In Access, Coordination, And Patient-Centered Care

November 20, 2014 Comments off

International Survey Of Older Adults Finds Shortcomings In Access, Coordination, And Patient-Centered Care
Source: Health Affairs

Industrialized nations face the common challenge of caring for aging populations, with rising rates of chronic disease and disability. Our 2014 computer-assisted telephone survey of the health and care experiences among 15,617 adults age sixty-five or older in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States has found that US older adults were sicker than their counterparts abroad. Out-of-pocket expenses posed greater problems in the United States than elsewhere. Accessing primary care and avoiding the emergency department tended to be more difficult in the United States, Canada, and Sweden than in other surveyed countries. One-fifth or more of older adults reported receiving uncoordinated care in all countries except France. US respondents were among the most likely to have discussed health-promoting behaviors with a clinician, to have a chronic care plan tailored to their daily life, and to have engaged in end-of-life care planning. Finally, in half of the countries, one-fifth or more of chronically ill adults were caregivers themselves.

Meat and Poultry Inspection 2.0: How the United States can learn from the practices and innovations in other countries

November 13, 2014 Comments off

Meat and Poultry Inspection 2.0: How the United States can learn from the practices and innovations in other countries
Source: Pew Charitable Trusts/Center for Science in the Public Interest

This food safety report, written by Pew and the Center for Science in the Public Interest (CSPI), highlights the need to modernize the meat and poultry inspection system in the United States to better protect consumers from the health risks posed by contaminated food.

Salmonella, E. coli, and other foodborne bacteria and viruses are nearly impossible to detect with the naked eye. Yet U.S. inspections still rely on methods developed a century ago, primarily visual examination of animals and carcasses.

Meat and Poultry Inspection 2.0 looks at the practices used by five countries and the European Union to better address the microscopic hazards that pose the greatest risks to public health. Pew and CSPI recommend that the United States find opportunities for improving meat and poultry inspection by commissioning comprehensive scientific assessments of its current approach and increasing the collection and analysis of data on food animals and production facilities.

What Would Happen If Health Care in the U.S. Improved?

October 23, 2014 Comments off

What Would Happen If Health Care in the U.S. Improved?
Source: Commonwealth Fund

The United States health care system is the most expensive in the world, but the Commonwealth Fund report Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally shows the U.S. underperforms relative to 11 other industrialized countries on most dimensions of performance. Use this interactive to see what would happen if the U.S. were to raise its health system performance to the levels achieved elsewhere in the world.

Proximity to Coast Is Linked to Climate Change Belief

July 23, 2014 Comments off

Proximity to Coast Is Linked to Climate Change Belief
Source: PLoS ONE

Psychologists have examined the many psychological barriers to both climate change belief and concern. One barrier is the belief that climate change is too uncertain, and likely to happen in distant places and times, to people unlike oneself. Related to this perceived psychological distance of climate change, studies have shown that direct experience of the effects of climate change increases climate change concern. The present study examined the relationship between physical proximity to the coastline and climate change belief, as proximity may be related to experiencing or anticipating the effects of climate change such as sea-level rise. We show, in a national probability sample of 5,815 New Zealanders, that people living in closer proximity to the shoreline expressed greater belief that climate change is real and greater support for government regulation of carbon emissions. This proximity effect held when adjusting for height above sea level and regional poverty. The model also included individual differences in respondents’ sex, age, education, political orientation, and wealth. The results indicate that physical place plays a role in the psychological acceptance of climate change, perhaps because the effects of climate change become more concrete and local.

New Zealanders in Australia: a quick guide

June 10, 2014 Comments off

New Zealanders in Australia: a quick guide
Source: Parliamentary Library of Australia

Under various arrangements since the 1920s, there has been a free flow of people between Australia and New Zealand. Historically, migration flows across the Tasman have been large in both directions, but since the 1960s more New Zealanders than Australian have chosen to cross the Tasman to live. In 2011–12, the number of New Zealand permanent settlers who came to Australia was 44,304. This represents a 28 per cent increase from the figure for 2010‑11. As at June 2013 there were an estimated 640,770 New Zealand citizens present in Australia.

Under the Trans-Tasman Travel Arrangement introduced in 1973, Australian and New Zealand citizens are able to enter each other’s country to visit, live and work indefinitely, without the need to apply for prior authority. New Zealand is the only country in the world that has such an arrangement with Australia. There are no caps on the numbers of New Zealanders who may enter under the arrangement, and the only limitations on entry relate to health and character requirements.

NZ — Suicide Reporting

April 10, 2014 Comments off

Suicide Reporting
Source: Law Commission

The Report recommends that sections 71 to 73 of the Coroners Act 2006 that restrict the reporting of suicide be repealed and replaced by new provisions. Those provisions should only prohibit the reporting of the method of suicide and the fact that a death is a suicide. A person should be able to apply to the Chief Coroner for an exemption from those prohibitions. It also recommends that the Coroners Act requires the Minister of Health to prepare, in consultation with media and mental health experts, a new set of standards for reporting suicide, and to implement an ongoing programme to disseminate, promote, support and evaluate the implementation of those standards.

Gender Differences in Self-employment of Older Workers in the United States and New Zealand

March 20, 2014 Comments off

Gender Differences in Self-employment of Older Workers in the United States and New Zealand (PDF)
Source: Journal of Sociology & Social Welfare

This study examined differences in self-employment of workers age 50+ in the United States (N = 3,948) and New Zealand (N = 1,434). Separate logistic regression analyses were conducted by country and gender. For both U.S. men and women, lower income, higher wealth, and having an employed spouse increased the likelihood of self-employment. Older age, lower income, higher wealth, and household composition increased the odds of being self-employed for men in New Zealand. Women in New Zealand were more likely to be self-employed if they were in a blue-collar occupation, had higher household wealth, higher education, and did not receive pension income. Selfemployment can enable older adults to remain in the labor force longer, thereby fostering continued productivity and engagement.

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