Journal of health & social policy
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J Health Soc Policy · Jan 2006
Grandparents communicating with grandchildren:fostering intergenerational understanding.
With the onset of increased longevity, intergenerational relationships are ever more common. These transactions by which persons of different generations interact with one another, are multidimensional and play an important role in family strengths, resilience and solidarity. Using an intergenerational framework this paper explores grandparents' experiences with intergenerational relationships with their grandchildren and discusses strategies for fostering communication and understanding across generations. Feedback from older adults who attend three senior centers provide insight and suggestions for enriching intergenerational communication. doi:10.1300/J045v22n03_10.
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J Health Soc Policy · Jan 2004
Inter-state disparities in health care and financial burden on the poor in India.
Over five decades of independence, India has made rapid strides in various sectors. However, its performance in social sectors and particularly the healthcare sector has not been too rosy. Being the State's responsibility the healthcare has traditionally been influenced by individual State's budgetary allocation. ⋯ Nonetheless, overcoming the current levels of regional disparities in healthcare across three income groups of States may also require additional resources. The latter could be mobilized through assistance of donor agencies and appropriate mix of social and private insurance. Ultimately mitigating the problem of regional disparities in healthcare and protecting the poor and vulnerable from financial burden may require establishing and maintaining proper linkages between socio-economic development and healthcare planning.
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J Health Soc Policy · Jan 2003
Comparative StudyThe global problems of child malnutrition and mortality in different world regions.
The study of child mortality occupies a special place in the field of demographic research, since it represents the negative component of population growth. Also, the world food problem has become a familiar topic since the end of the World War II. The idea that population growth will sometime in the future outrun food supplies and universal starvation occurs. ⋯ The results of correlation coefficients reveal that there were positive associations between illiteracy rate, unemployment, poverty, fertility rate, family size, food consumption, maternal mortality rate, population per physician, and child malnutrition and mortality in the whole world regions. Some regions have strong significant associations, such as Sub-Saharan Africa, Asia, and Americas, and other were non-significant association, such as Europe, Middle East, and North Africa. The results suggest that there were negative associations between GNP, household income, protein consumption, and child malnutrition and mortality in all world regions except Europe and Central Asia regions.
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J Health Soc Policy · Jan 2003
The implications of managed care and welfare reform for the integration of health and welfare services.
In this era of managed care and welfare reform, the two systems of public health and public welfare are increasingly focused on a shared population and the services designed to promote self-sufficiency and good health among low-income individuals, families and communities. The two service systems are often constrained by categorical funding mechanisms that contribute to service fragmentation, discontinuity and redundancy. This paper focuses on the changing nature of health and welfare, the impact of categorical funding mechanisms, the barriers to service integration, the potentials for partnership, and concludes with implications for enhancing service integration and the quality of services.
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J Health Soc Policy · Jan 2001
ReviewProviding behavioral incentives for improved health in aging and Medicare cost control: a policy proposal for Universal Medical Savings Accounts.
This paper examines policy options for addressing health care challenges posed by the aging of the baby boom generation. Universal Medical Savings Accounts (UMSAs) are proposed. ⋯ The policy would control costs while promoting quality, accessible, and affordable health care. UMSAs provide new behavioral incentives, both for cost-conscious health care decision-making and for healthy lifestyle choices.