Service Delivery Reforms for Asian Ageing Societies: A Cross-Country Study Between Japan, South Korea, China, Thailand, Indonesia, and the Philippines.
| Autor: | Noda S; Bureau of International Health Cooperation, National Center for Global Health and Medicine, Japan, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, JP., Hernandez PMR; Department of Environmental and Occupational Health, College of Public Health, University of the Philippines Manila, 625 Pedro Gil Street, Ermita, Manila, PH., Sudo K; National College of Nursing, National Center for Global Health and Medicine, Japan, 1-2-1 Umezono, Kiyose-shi, Tokyo 204-8575, JP., Takahashi K; Graduate School of Public Health, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, JP., Woo NE; Yonsei Global Health Center, Yonsei University, Unit 415, Chang-Jo Gwan, Wonju-city, Gangwondo, 220-710, KR., Chen H; School of Public Administration and Policy, Renmin University of China, No. 59, Zhongguancun Street, Haidian District, Beijing, CN., Inaoka K; Graduate School of Nursing Science, International University of Health and Welfare, 4-3 Kozunomori, Narita-shi, Chiba-ken 286-8686, JP., Tateishi E; Division of Planning, Coordination and Information, Okayama Bizen Public Health Center, 1-1-17 Furugyocho, Naka-ku, Okayama-shi, Okayama 703 -8258, JP., Affarah WS; Faculty of Medicine, Mataram University, Jl. Majapahit No. 62, Gomong, Selaparang, Kota Mataram, Nusa Tenggara Barat. 83115, ID., Kadriyan H; Faculty of Medicine, Mataram University, Jl. Majapahit No. 62, Gomong, Selaparang, Kota Mataram, Nusa Tenggara Barat. 83115, ID., Kobayashi J; Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa 903-0213, JP. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of integrated care [Int J Integr Care] 2021 Apr 06; Vol. 21 (2), pp. 1. Date of Electronic Publication: 2021 Apr 06. |
| DOI: | 10.5334/ijic.4739 |
| Abstrakt: | Introduction: Japan's health policies to address the most advanced-aged society have been the target of focus in Asia, but no studies have investigated this issue using tools for cross-country comparisons. Theory and Methods: A cross-country study design was used to compare healthcare reform policies with a framework in Japan, Korea, Thailand, China, Indonesia, and the Philippines. Data were collected via document reviews and key informant interviews. Results: Three distinctions were identified. First, all countries except for the Philippines have policy decisions regarding reforms for the existing service delivery systems for healthcare, long-term care and welfare. Second, the most extensive service delivery reform is currently being implemented in Japan, whose system is shifting to primary health care. Third, the direction of the transformation of service delivery system is different between Thailand and China despite a similar level of ageing society. China has made progress on facility-based care integration between health and social care, whereas Thailand is focusing on home-based care. Conclusions and Discussion: Doctor and hospital-based healthcare delivery system requires more drastic reform for an aged society. This fact implies that strengthening primary health care is not only useful for current health issues but also an investment for the aged society near future in low- and middle-income countries. Competing Interests: The authors have no competing interests to declare. (Copyright: © 2021 The Author(s).) |
| Databáze: | MEDLINE |
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