Silver Opportunity : Building integrated services for older adults around primary health care / edited by Xiaohui Hou, Jigyasa Sharma, Feng Zhao.

Format:

Book

Contributor:

Hou, Xiaohui, editor.

Sharma, Jigyasa, editor.

Zhao, Feng, editor.

Language:

English

Subjects (All):

Integrated delivery of health care.

Older people--Health and hygiene--Government policy.

Older people.

Physical Description:

1 online resource (xvii, 193 pages) : illustrations, maps

Edition:

First edition.

Place of Publication:

Washington, DC : World Bank Group, [2023]

Summary:

We live in a rapidly aging world, in which people who are age 60 and older outnumber children under the age of five. This book reveals large and growing gaps in care for older adults in countries at all income levels and shows how to leverage reforms for improving health outcomes for older adults and create healthier, more prosperous communities. Aimed at policy makers and other health and development stakeholders who want to promote healthier aging, this publication compiles the latest evidence on care needs and gaps for aging populations. It argues that primary health care should be the cornerstone of integrated service delivery for older people, but primary health care systems must first build their capacity to respond to older people's health needs. It presents an original framework for policy action to advance primary health care centered, integrated senior care; documents the experiences of pioneering countries in delivering community-based care to older people; and provides recommendations for decision-makers. The framework presents four policy levers with which to improve health care for seniors-- financing, innovation, regulation, and evaluation and measurement-- or FIRE. Finally, the book posits that by acting now, countries can leverage population aging to accelerate progress toward health equity and universal health coverage.

Contents:

Front Cover

Contents

Foreword

Acknowledgments

About the Editors and Authors

Abbreviations

Overview and Framework for Action

Introduction

A Challenge That Will Not Wait

Diverse Populations with Complex Needs

Aging in the Time of COVID-19

What This Book Contributes

Investing in Healthy Aging: Toward a "Triple Dividend" for Health Systems and Societies

Fulfilling the UHC Promise: PHC-Centered, Integrated Care for Aging Populations

Today's Reality: Shortfalls in Age-Responsive Care Worldwide

Tackling PHC Gaps for Healthier Aging

Closing Care Gaps: Where Do Countries Start?

Understanding the Care Needs and Preferences of Diverse Older Populations

PHC-Centered Integrated Care for Aging Populations: A Framework for Action

Levers for Age-Responsive Health System Change: Presenting the FIRE Framework

Informing Action through the FIRE Framework

Methods and Limitations

Structure of the Volume

Notes

References

Chapter 1 High-Quality Health Systems for an Aging Population: Primary Care Models with Users at the Center

Key Messages

The Health and Service Needs of an Aging Population

Context Matters: Health Services at Home and in Institutional Settings

Primary Care for Older Adults: Frameworks and Functions

Toward a Fit-for-Purpose Primary Care Model with Older Users at the Center

Conclusions

Note

Chapter 2 Financing Primary Health Care for Older Adults: Framework and Applications

Conceptual Background

Financing Framework for PHC of Older Adults

A Review of Selected Country Cases

Policy Recommendations

Chapter 3 Innovations in Models of Care for an Aging Population

The Current Landscape of LTC Services in LMICs: An Overview

Innovations in LTC in HICs

Innovations in LTC in LMICS

Discussion and Policy Considerations

Conclusion

Chapter 4 How Digital Health Technology Is Transforming Health Care for Older Adults

Delivering Health to Older Adults in a Digital World

Transforming Service Delivery for Older Populations

Challenges and Barriers to Implementation

Chapter 5 Designing Integrated Care for an Aging Population: Regulation and Governance for Healthy Aging

Core Values in Regulating Primary Health Care for Older People

Stakeholders and Their Roles

Managing Good Governance Mechanisms (Regulatory Devices)

Country Example #1: Japan

Country Example #2: Thailand

Chapter 6 Evaluating Care of Older Adults in Low- and Middle-Income Countries

Demand-Side Evaluation

Supply-Side Evaluation

Concluding Remarks

Annex 6A Measures for Long-Term Care Outcomes

Chapter 7 Community-Based Integrated Care in Japan

Historical and Institutional Background of Japan's Community-Based Integrated Care System

The Philosophy of Long-Term Care

Practicing Community-Based Integrated Care in Japan: Three Cases3

Key Lessons from the Three Cases

Lessons Learned and Recommendations

Chapter 8 Conclusions and Policy Takeaways

Financing: Managing Resources for PHC-Led System Change

Innovation: New Tools for the Aging Challenge

Integrated Care Delivery

Digital Health for Older Adults

Regulation: Leveraging Older Adult Care to Advance Health System Stewardship

Evaluation: Better Measurement Fuels Efficiency

Summary of Policy Recommendations

An Ongoing Learning Agenda

The Way Forward: Systems Integration for the Silver Age

Box

Box 4.1 Examples of Digital Health Technology Use

Figures

Figure O.1 Estimated and Projected Global Population, by Age Group, 1950-2100

Figure O.2 PHC-Centered Integrated Care for an Aging Population: The FIRE Framework

Figure 1.1 Global Disability-Adjusted Life Years Burden, by Cause, for Adults Age 60 and Older, 2019

Figure 1.2 Percentage of Adults with Hypertension Who Were Undiagnosed, Reported a Diagnosis, Who Used Treatment, and Whose Blood Pressure Was Effectively Controlled, by Region and Age Group, 2019

Figure 1.3 Percentage of Adults Age 65 and Older Receiving Long-Term Care in Institutions, 2005 and 2019 (or Nearest Year)

Figure 1.4 Percentage of Adults Age 60 and Older Living in a Solo Household, 2010-18

Figure 1.5 Conceptual Framework for a High-Quality Health System for Older Adults

Figure 1.6 Percentage of Adults Age 65 and Older in 11 Countries Who Had Problems Accessing Health Care Services Because of Their Cost, 2014

Figure 1.7 Percentage of Adults Age 65 and Older in 11 Countries Who Experienced Problems with the Coordination of Their Care, 2013-14

Figure 2.1 Financing Framework for Population Eligibility, Benefits Package, and Means of Financing

Figure 2.2 Out-of-Pocket Spending as a Percentage of Current Health Expenditure and Population Age 65 and Older as a Percentage of Total Population, 2019

Figure 2.3 Selected Country Case Studies: Out-of-Pocket Spending as a Percentage of Current Health Expenditure and Population Age 65 Years and Older as a Percentage of the Total Population, 2019

Figure 5.1 Dedicated Multisectoral Coordinating Body for the Continuum of Long-Term Care

Figure 5.2 Key Stakeholders of a Community-Based PHC System for Older People and Their Roles

Figure 5.3 A Model of Key Driving Factors for Sustainable Actions for UHC for Older Adults in Japan

Figure 5.4 The Framework of Accountability Relationships

Figure 5.5 Conceptual Framework of the Community-Based Integrated Care System in Japan

Figure 5.6 Community-Based Integrated Care Visualizing System

Figure 5.7 Long-Term Care Policy Development in Thailand, 1986-2018

Figure 6.1 The Donabedian Framework to Evaluate the Quality of Care

Figure 7.1 Trends in Population Composition and Aging Rate, Japan, 1950-2019

Figure 7.2 Trends in Hospitalization Rates, by Age Group, Japan, 1965-2020

Figure 7.3 Trends in Outpatient Consultation Rates, by Age Group, Japan, 1965-2020

Figure 7.4 Timeline of Health Care Development in Japan, 1961-2017

Figure 7.5 Long-Term Care Insurance Operating Mechanism in Japan

Figure 7.6 Community Targets in Community-Based Integrated Care

Maps

Map 1.1 Life Expectancy at Age 60 for Men and Women, 2019

Map 7.1 Secondary Medical Area (Kamiina District), Japan

Map 7.2 Fujisawa City's 13 Districts (Areas), Japan

Map 7.3 Higashiomi City and Eigenji District, Japan

Tables

Table 1.1 Elements of Differentiated Primary Care with Older Users at the Center

Table 2.1 Summary of Countries Selected for Review

Table 2.2 Eligibility Criteria, Premium, Cost Sharing, and Market Structure in Selected Countries

Table 2.3 Role of Primary Care for Coordination, Gatekeeping, and Referrals to Long-Term Care

Table 6.1 ADL- and IADL-Based Measures of Disability among Older Adults in Select LMICs

Table 6A.1 Candidate Measures for Long-Term Care Outcomes of Well-Being, Quality of Life, and Personhood

Table 7.1 Outline of Long-Term Care Insurance in Japan

Table 8.1 Policy and Implementation Takeaways in the FIRE Domains.

Notes:

Description based on publisher supplied metadata and other sources.

Description based on print version record.

Includes bibliographical references.

Other Format:

Print version: Hou, XiaoHui Silver Opportunity

ISBN:

9781464819650

OCLC:

1378393501