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Item Open Access Future requirements for and supply of ophthalmologists for an aging population in Singapore.(Hum Resour Health, 2015-11-17) Ansah, John P; De Korne, Dirk; Bayer, Steffen; Pan, Chong; Jayabaskar, Thiyagarajan; Matchar, David B; Lew, Nicola; Phua, Andrew; Koh, Victoria; Lamoureux, Ecosse; Quek, DesmondBACKGROUND: Singapore's population, as that of many other countries, is aging; this is likely to lead to an increase in eye diseases and the demand for eye care. Since ophthalmologist training is long and expensive, early planning is essential. This paper forecasts workforce and training requirements for Singapore up to the year 2040 under several plausible future scenarios. METHODS: The Singapore Eye Care Workforce Model was created as a continuous time compartment model with explicit workforce stocks using system dynamics. The model has three modules: prevalence of eye disease, demand, and workforce requirements. The model is used to simulate the prevalence of eye diseases, patient visits, and workforce requirements for the public sector under different scenarios in order to determine training requirements. RESULTS: Four scenarios were constructed. Under the baseline business-as-usual scenario, the required number of ophthalmologists is projected to increase by 117% from 2015 to 2040. Under the current policy scenario (assuming an increase of service uptake due to increased awareness, availability, and accessibility of eye care services), the increase will be 175%, while under the new model of care scenario (considering the additional effect of providing some services by non-ophthalmologists) the increase will only be 150%. The moderated workload scenario (assuming in addition a reduction of the clinical workload) projects an increase in the required number of ophthalmologists of 192% by 2040. Considering the uncertainties in the projected demand for eye care services, under the business-as-usual scenario, a residency intake of 8-22 residents per year is required, 17-21 under the current policy scenario, 14-18 under the new model of care scenario, and, under the moderated workload scenario, an intake of 18-23 residents per year is required. CONCLUSIONS: The results show that under all scenarios considered, Singapore's aging and growing population will result in an almost doubling of the number of Singaporeans with eye conditions, a significant increase in public sector eye care demand and, consequently, a greater requirement for ophthalmologists.Item Open Access Lives versus Livelihoods? Perceived economic risk has a stronger association with support for COVID-19 preventive measures than perceived health risk.(Scientific reports, 2021-05) Nisa, Claudia F; Bélanger, Jocelyn J; Faller, Daiane G; Buttrick, Nicholas R; Mierau, Jochen O; Austin, Maura MK; Schumpe, Birga M; Sasin, Edyta M; Agostini, Maximilian; Gützkow, Ben; Kreienkamp, Jannis; Abakoumkin, Georgios; Abdul Khaiyom, Jamilah Hanum; Ahmedi, Vjollca; Akkas, Handan; Almenara, Carlos A; Atta, Mohsin; Bagci, Sabahat Cigdem; Basel, Sima; Kida, Edona Berisha; Bernardo, Allan BI; Chobthamkit, Phatthanakit; Choi, Hoon-Seok; Cristea, Mioara; Csaba, Sára; Damnjanović, Kaja; Danyliuk, Ivan; Dash, Arobindu; Di Santo, Daniela; Douglas, Karen M; Enea, Violeta; Fitzsimons, Gavan; Gheorghiu, Alexandra; Gómez, Ángel; Grzymala-Moszczynska, Joanna; Hamaidia, Ali; Han, Qing; Helmy, Mai; Hudiyana, Joevarian; Jeronimus, Bertus F; Jiang, Ding-Yu; Jovanović, Veljko; Kamenov, Željka; Kende, Anna; Keng, Shian-Ling; Kieu, Tra Thi Thanh; Koc, Yasin; Kovyazina, Kamila; Kozytska, Inna; Krause, Joshua; Kruglanski, Arie W; Kurapov, Anton; Kutlaca, Maja; Lantos, Nóra Anna; Lemay, Edward P; Lesmana, Cokorda Bagus Jaya; Louis, Winnifred R; Lueders, Adrian; Malik, Najma Iqbal; Martinez, Anton; McCabe, Kira O; Mehulić, Jasmina; Milla, Mirra Noor; Mohammed, Idris; Molinario, Erica; Moyano, Manuel; Muhammad, Hayat; Mula, Silvana; Muluk, Hamdi; Myroniuk, Solomiia; Najafi, Reza; Nyúl, Boglárka; O'Keefe, Paul A; Osuna, Jose Javier Olivas; Osin, Evgeny N; Park, Joonha; Pica, Gennaro; Pierro, Antonio; Rees, Jonas; Reitsema, Anne Margit; Resta, Elena; Rullo, Marika; Ryan, Michelle K; Samekin, Adil; Santtila, Pekka; Selim, Heyla A; Stanton, Michael Vicente; Sultana, Samiah; Sutton, Robbie M; Tseliou, Eleftheria; Utsugi, Akira; van Breen, Jolien Anne; Van Lissa, Caspar J; Van Veen, Kees; vanDellen, Michelle R; Vázquez, Alexandra; Wollast, Robin; Yeung, Victoria Wai-Lan; Zand, Somayeh; Žeželj, Iris Lav; Zheng, Bang; Zick, Andreas; Zúñiga, Claudia; Leander, N PontusThis paper examines whether compliance with COVID-19 mitigation measures is motivated by wanting to save lives or save the economy (or both), and which implications this carries to fight the pandemic. National representative samples were collected from 24 countries (N = 25,435). The main predictors were (1) perceived risk to contract coronavirus, (2) perceived risk to suffer economic losses due to coronavirus, and (3) their interaction effect. Individual and country-level variables were added as covariates in multilevel regression models. We examined compliance with various preventive health behaviors and support for strict containment policies. Results show that perceived economic risk consistently predicted mitigation behavior and policy support-and its effects were positive. Perceived health risk had mixed effects. Only two significant interactions between health and economic risk were identified-both positive.Item Open Access The association between socioeconomic status and disability after stroke: findings from the Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry.(BMC Public Health, 2014-03-26) Bettger, Janet Prvu; Zhao, Xin; Bushnell, Cheryl; Zimmer, Louise; Pan, Wenqin; Williams, Linda S; Peterson, Eric DBACKGROUND: Stroke is the leading cause of disability among adults in the United States. The association of patients' pre-event socioeconomic status (SES) with post-stroke disability is not well understood. We examined the association of three indicators of SES--educational attainment, working status, and perceived adequacy of household income--with disability 3-months following an acute ischemic stroke. METHODS: We conducted retrospective analyses of a prospective cohort of 1965 ischemic stroke patients who survived to 3 months in the Adherence eValuation After Ischemic stroke--Longitudinal (AVAIL) study. Multivariable logistic regression was used to examine the relationship of level of education, pre-stroke work status, and perceived adequacy of household income with disability (defined as a modified Rankin Scale of 3-5 indicating activities of daily living limitations or constant care required). RESULTS: Overall, 58% of AVAIL stroke patients had a high school or less education, 61% were not working, and 27% perceived their household income as inadequate prior to their stroke. Thirty five percent of patients were disabled at 3-months. After adjusting for demographic and clinical factors, stroke survivors who were unemployed or homemakers, disabled and not-working, retired, less educated, or reported to have inadequate income prior to their stroke had a significantly higher odds of post-stroke disability. CONCLUSIONS: In this cohort of stroke survivors, socioeconomic status was associated with disability following acute ischemic stroke. The results may have implications for public health and health service interventions targeting stroke survivors at risk of poor outcomes.