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Designing Fit for Purpose Health and Social Services for Ageing Populations

Bibliographic Data

ID15510522
AuthorsJ Woo (0000-0001-7593-3081, Chinese University of Hong Kong, corresponding author)
Year2017
Volume14
Issue5
Pages457-457
Publication date2017-04-25
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph14050457
PMID28441324
OpenAlexW2609810419
LanguageEN
Citations received8
References cited19

Population ageing is occurring in all countries, regardless of the level of economic development. While the rising burden of chronic diseases and disabilities as a consequence of this demographic transition is well recognized, the increasing prevalence of geriatric syndromes as a public health issue is not as well recognized. Recently the World Health Organization's World Health and Ageing Report emphasized functional ability as an important outcome for aging populations, highlighting the concept of raising intrinsic capacity throughout the life course. The complementary perspective is the prevention of frailty, which has physical, cognitive, social and psychological dimensions. Therefore, services for older people should encompass medical as well as social components. The need and evolution for a transition in health and social services in Hong Kong, a special administrative region of China which has a population with the world's highest life expectancy, is presented as an example of how one developed economy attempts to meet the challenges of population ageing. There is a need to shift to integrated care in the community instead of specialty dominated hospital care, and to establish regular activities in the community to adopt and maintain a lifestyle that reduces frailty and disability (or promotes intrinsic capacity). A top down approach with financial incentives, together with public education to help drive policy changes, are key drivers of change. It is expected that there will be much heterogeneity between different countries in terms of barriers and facilitators, such that each country needs to document their needs and design appropriate services

Business · Demographic change · Economic growth · Economics · Environmental health · Health care · Incentive · Life expectancy · Population · Population ageing · Public health · Frailty in Older Adults · Global Health Care Issues · Health disparities and outcomes · Medicine · Nursing · Gerontology

  • Management of frailty

    Open Access•Elsa Dent, Finbarr C Martins et al.•The Lancet•2019

  • Population ageing and income inequality in rural China

    Open Access•Ming Gao, Fan Jiang et al.•Humanities and Social Sciences…•2024

  • The value of caregiver inclusive practices in geriatric transitions of care

    Open Access•Isabelle Meulenbroeks, Joanne Epp et al.•Health Policy•2021

  • Forging a Frailty-Ready Healthcare System to Meet Population Ageing

    Open Access•Wee Shiong Lim, Wee Lim et al.•International Journal of…•2017

  • How to Improve the Public Trust of the Intelligent Aging Community

    Open Access•Tuochen Li, Siran Wang•International Journal of…•2021

  • Challenges in Using IT Systems for Collaboration in Healthcare Services

    Open Access•Ann Svensson•International Journal of…•2019

  • Frail Older Persons’ Experiences of Information and Participation in Hospital Care

    Open Access•Berit Forsman, Ann Svensson•International Journal of…•2019

  • A Nutritionally Complete Oral Nutritional Supplement Powder Improved Nutritional Outcomes in Free-Living Adults at Risk of Malnutrition

    Open Access•Suey S Y Yeung, Jenny S W Lee et al.•International Journal of…•2022

  • Prevalence of Frailty in Community‐Dwelling Older Persons

    Open Access•Rose M Collard, Han Boter et al.•Journal of the American…•2012

  • Survival, disabilities in activities of daily living, and physical and cognitive functioning among the oldest-old in China

    Open Access•Yi Zeng, Qiushi Feng et al.•The Lancet•2017

  • Global, regional, and national disability-adjusted life-years (Dalys) for 315 diseases and injuries and healthy life expectancy (Hale), 1990–2015

    Open Access•Nicholas J Kassebaum, Megha Arora et al.•The Lancet•2016

  • The World report on ageing and health

    Open Access•Jennifer Beard, John R Beard et al.•The Lancet•2016

  • Measuring the health-related Sustainable Development Goals in 188 countries

    Open Access•Stephen S Lim, Kate Allen et al.•The Lancet•2016

  • Loneliness and social isolation as risk factors for coronary heart disease and stroke

    Nicole Valtorta, Mona Kanaan et al.•Heart•2016

  • Subjective wellbeing, health, and ageing

    Open Access•Andrew Steptoe, Angus Deaton et al.•The Lancet•2015

  • Loneliness and Social Isolation as Risk Factors for Mortality

    Open Access•Julianne Holt-Lunstad, Tony Bagnall Smith et al.•Perspectives on Psychological…•2015

Citations per year0.89
Citation span2017 - 2024 (8)
Highly citedNo

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