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    Vi eldre - krav til andre og til oss selv.

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    Om helsebegrepet og det forebyggende helsearbeid.

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    Health and re-employment in a two year follow up of long term unemployed.

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    The aim was to examine re-employment and changes in health during a two year follow up of a representative sample of long term unemployed.This was a cross sectional study and a two year follow up. Health was measured by psychometric testing, Hopkins symptom checklist, General health questionnaire, and medical examination. Health related selection to continuous unemployment and recovery by re-employment was estimated by logistic regression with covariances deduced from the labour market theories of human capital and segmented labour market.Four municipalities in Greenland, southern Norway.Participants were a random sample of 17 to 63 year old people registered as unemployed for more than 12 weeks.In the cross sectional study, the prevalence of depression, anxiety, and somatic illness was from four to 10 times higher than in a control group of employed people. In the follow up study, there was considerable health related selection to re-employment. A psychiatric diagnosis was associated with a 70% reduction in chances of obtaining a job. Normal performance on psychometric testing showed a two to three times increased chance of re-employment. Recovery of health following re-employment was less than expected from previous studies.Health related selection to long term unemployment seems to explain a substantial part of the excess mental morbidity among unemployed people. An increased proportion of the long term unemployed will be vocationally handicapped as years pass, putting a heavy burden on social services

    Health and re-employment in a two year follow up of long term unemployed.

    No full text
    The aim was to examine re-employment and changes in health during a two year follow up of a representative sample of long term unemployed.This was a cross sectional study and a two year follow up. Health was measured by psychometric testing, Hopkins symptom checklist, General health questionnaire, and medical examination. Health related selection to continuous unemployment and recovery by re-employment was estimated by logistic regression with covariances deduced from the labour market theories of human capital and segmented labour market.Four municipalities in Greenland, southern Norway.Participants were a random sample of 17 to 63 year old people registered as unemployed for more than 12 weeks.In the cross sectional study, the prevalence of depression, anxiety, and somatic illness was from four to 10 times higher than in a control group of employed people. In the follow up study, there was considerable health related selection to re-employment. A psychiatric diagnosis was associated with a 70% reduction in chances of obtaining a job. Normal performance on psychometric testing showed a two to three times increased chance of re-employment. Recovery of health following re-employment was less than expected from previous studies.Health related selection to long term unemployment seems to explain a substantial part of the excess mental morbidity among unemployed people. An increased proportion of the long term unemployed will be vocationally handicapped as years pass, putting a heavy burden on social services

    Tilsynslegerollen ved sykehjem

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    Senil demens - pasienten, familien og helsetjenesten.

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    Samarbeidet mellom region-og sentralsykehus - hvordan kan det bli best mulig?

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    The authors reviews a recent governmental analysis of cooperation between third-line university clinics and local and central hospitals. The hospitals are owned by the government (mainly by the counties), and the various Acts and regulation permit the central authorities to make decisions on all aspects of highly specialized medicine. The analysis concludes that a limited number of problems should be solved by decision of the central government, but only those where national concerns are involved. The counties within a health region should cooperate within a Regional Health Policy Board, to create plans for flow of patients through the health care system, specified for each field of medicine. When such plans have been approved by the Regional Health Policy Board, each county should be willing to accept them. In the event of local disagreement, the central government should decide

    Sykdommer og funksjonshemninger hos eldre.

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