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donderdag 20 juli 2017

The Lancet: [Articles] Population health and regional variations of disease burden in Japan, 1990–2015: a systemati...

[Articles] Population health and regional variations of disease burden in Japan, 1990–2015: a systematic subnational analysis for the Global Burden of Disease Study 2015
Japan has been successful overall in reducing mortality and disability from most major diseases. However, progress has slowed down and health variations between prefectures is growing. In view of the limited association between the prefecture-level health system inputs and health outcomes, the potential sources of regional variations, including subnational health system performance, urgently need assessment.
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[Comment] Health inequality across prefectures in Japan
Japan has exemplary records in human development as measured by a human development index of 0·903 in 2016 (ranked 17th in the world).1 Universal access to health services with no financial barrier for every citizen in Japan launched in 1961 and has contributed to nearly equitable access and relatively small gaps in health status across regions and socioeconomic groups in the country.2 Ageing is homogeneously distributed across all communities,3 which has led to high demand for health care in all prefectures (provinces).
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[Comment] Prevention and management of dementia: a priority for public health
Today, nearly 50 million people worldwide have dementia, with this figure projected to increase to 75 million by 2030 and to 132 million by 2050,1 largely driven by population ageing. Dementia causes not only disability and dependency for individuals affected by the disorder, but can also have a profoundly detrimental effect on family and other carers, who are at high risk of developing depression and anxiety disorders.2 The cost of caring for people with dementia is more than US$800 billion per year globally, rising to $2 trillion by 2030.
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[Perspectives] Gill Livingston: transforming dementia prevention and care
It was during a placement as a junior doctor in the 1980s at Friern Barnet, one of the largest psychiatric hospitals in Europe, that Gill Livingston first witnessed the real human impact of dementia. "People were living in old Victorian wards of 24 people with little privacy. It seemed a terrible way to live", she recalls. The experience sparked a lifelong interest and a passion to improve the lives of people with dementia and their carers. But for Livingston it also became a personal concern when dementia affected her own family.
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[The Lancet Commissions] Dementia prevention, intervention, and care
Acting now on dementia prevention, intervention, and care will vastly improve living and dying for individuals with dementia and their families, and in doing so, will transform the future for society.
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