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Biomedical subjects

R B Hudson

Publications and source records attributed to R B Hudson.

15 recordsLinked to original sources
PubMed1996

The changing face of aging politics.

The future of aging politics and age-based public policy are in considerable turmoil. Traditional age-based health and social service policies, such as those long associated with Medicare and the Older Americans Act, have increasingly moved in the direction of functional means-testing, through the use of activity-of-daily-living scales and similar mechanisms. Renewed pressure in the income area is also pointing in that direction, whether through benefit taxation (President Clinton) or means-testing of benefits (Concord Coalition). Yet, how this reining in of old age benefits plays out against the real or presumed power of older voters (cf. AARP and Gingrich proposal) remains an intriguing question. As they say, "stay tuned."

Aged↗
PubMed1996

Home and community-based care: recent accomplishments and new challenges.

This article traces the development of home and community-based care to its current place in the worlds of health and social policy. An argument is developed to the effect that such services have by now gained both heightened policy legitimacy and organizational capacity. Building on these contentions, the article goes on to suggest that such services should continue to gain a more prominent place within long-term care policy, and that long-term care issue deserve a more central place within social insurance policy more generally. The article concludes by suggesting that demonstrations of policy efficacy such as those that are taking place in home and community services might help to at least modestly offset the frontal assault which is currently taking place across the range of American social policy.

Aged↗
PubMed1994

A contingency-based approach for assessing policies on aging.

This article assesses the demographic and ideological shifts reshaping aging policy and proposes an approach to rethinking the bases of aging-based and aging-related policy. This approach takes into account new and multiple patterns of need and well-being among the old and, as such, holds the promise of providing both a defense of and a rationale for a range of age-related benefits. As well, it opens the possibility of shifting responsibilities for well-being in old age among government, the private sector, and individuals themselves.

Age Factors↗
PubMed1993

Social contingencies, the aged, and public policy.

Today's older population is notably different than it was a few decades ago, both in well-being and in diversity, a shift that must be acknowledged in public policy. The U.S. social insurance system overprotects against highly likely, predictable, and nonvolatile events at the expense of more unlikely, potentially catastrophic, and less volatile events. The public sector, therefore, should move toward proportionally emphasizing health-related, functionally impairing events rather than income maintenance; the private sector is better suited to insuring against predictable and nonvolatile old-age events. A contingent event scheme would: (a) encourage the growth of long-term-care insurance; (b) help bridge the gap between those arguing for greater "efficiencies" in social welfare spending and those pressing for new universal benefits; and (c) bring a new perspective to the "generational equity" debate.

Aged↗
PubMed1981

A block grant to the states for long-term care.

This article addresses the policy issues and outcomes associated with the block grant option in long-term care (LTC). Block grants are being considered in a number of human service areas currently, especially in the wake of the 1980 elections. The article assumes that Medicaid and other LTC-related policies would be consolidated in a formula-based, capped block grant. The potential advantages are in the areas of responsiveness, coordination and institution-building at the state level. Potential problems include new organizational demands on the designated LTC state agency; political dislocations caused by disaffected agency and provider groups; and unequal competition for LTC resources resulting from the removal of legislative safeguards and hierarchical support. The article concludes on the note that proponents of the block grant option have not addressed a number of the major shortcomings that may accompany an LTC block grant.

Aged↗
PubMed1978

Observations on 10,000 patients in the immediate postoperative period.

During an 18 month period 10,103 patients were admitted to the recovery unit after surgery at a district general hospital. The majority of patients (62%) recovered rapidly from anaesthesia, but 36.5% required up to 2 h before they could return to the wards, and 1.5% required close supervision for more than 2 h. The patients' requirements during the recovery period are discussed, and suggestions on the equipment, staffing and organization of a recovery unit are made.

Aminophylline↗
PubMed1976

Resuscitation teaching room in a district general hospital: concept and practice.

Practical training in cardiopulmonary resuscitation presents a problem because of the shortage of teacher time and the many potential trainees. A resuscitation teaching room in district general hospital has been established, equipped with training mannikins and models, together with wall diagrams and cassette recordings. The arrangement enables many trainees to gain training in small groups with minimal demand on teachers. Experience with the room in use has suggested that the concept may have an application in many district general hospitals and possibly also in large industrial concerns.

Allied Health Personnel↗