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Plans To Control Doctors' Pay Big Issue In Massachusetts
Massachusetts officials are proud of their low rate of uninsured people, but the state also hosts the highest health care costs in the country, a problem that jeopardizes their achievement in expanding coverage, NPR"s Morning Edition reports. A commission charged with overseeing the insurance plan for 310,000 government workers recently voted - unanimously - that doing away with the current, fee-for-service model for paying doctors was the first step to controlling those costs. "Massachusetts policymakers want to replace fee-for-service with "global payment" - paying groups of health providers a flat yearly fee for each patient they cover," NPR reports (Knox, 8/5).

Secretary Sebelius Releases New Success Story Report: Community-Based Prevention Program In Nebraska Helps Prevent Heart Disease And Stroke
HHS Secretary Kathleen Sebelius today released the second in a series of health care success story reports that document innovative programs and initiatives that can serve as models for a reformed American health care system. Today"s report highlights the Nebraska WISEWOMAN program. WISEWOMAN is a community intervention program funded by the Centers for Disease Control and Prevention that helps prevent heart disease and stroke by providing screenings and counseling for low-income women. The report is available at http://www.healthreform.gov.
News of the day
Troubled Mental Health Trust Symptomatic Of Failings Nationwide, UK
A damning report from the Care Quality Commission has found multiple failings in inpatient care for patients at West London Mental Health Trust, ranging from sub-standard buildings, overcrowding, lack of staff and insufficient staff training, to failure to implement changes that could help prevent suicides on wards. In some areas, there were long delays in considering changes to help reduce suicide risk, and on one inpatient unit, bed occupancy was regularly running at over 110 per cent, resulting in patients sleeping on sofas due to lack of beds.
Medical Devices

Complaints By The Elderly Valuable Information Or Trivialities?

What is done when the elderly lodge complaints about their services? elderly care? Why is it that staff describe complaints made by the elderly as "trivialities"? In two recent studies, Tove Persson, doctoral student at the School of Health Sciences, shows that staff, as well as social services directors in local administrations often trivialize complaints from the elderly, which in turn makes it difficult for the elderly to influence their everyday lives. "It is valuable for us to receive your thoughts, ideas and complaints positive as well as negative it gives us a chance to improve our work". Statements such as this are used by many Swedish municipalities. In fact, similar rhetoric is used in several EU countries to encourage the elderly to make their voices heard. The "European Social Network" emphasizes that social services wish to listen to the service users and support the personal fulfilment of the elderly. Yet, Tove Persson"s studies expose serious flaws in the practice of listening at least in Sweden. Officially, complaints are "valuable tools for quality improvements", but two recent studies show that complaints by elderly citizens are often trivialized or played-down by the authorities responsible and by staff involved in elderly care. Persson has studied 100 social service directors (responsible for elderly care) and found that the organization of complaints lodged by the elderly is a bit of a haphazard affair in Sweden. Many municipalities, for instance, did not provide the elderly with information about how to complain, and in some municipalities the elderly had to submit their complaints via the Internet. Even though the service directors said they received too few complaints from the elderly, quite paradoxically, they often played down the importance of the few complaints they did receive by describing these as trivial: "It is often trivialities they complain about. You know, if some of the home help staff forget a visit and things like that." Similar rhetoric was exposed in Persson"s second study where nursing home staff described residents" complaints about food, bedtimes and loneliness as petty details. By describing nearly all kinds of complaints as unimportant, the staff could justify their negligence regarding these complaints. Despite official ambition to listen to the elderly, it still seems to be difficult for the elderly to make their voices heard. Vetenskapsrç¥det (The Swedish Research Council)


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