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发展中的巴西的老年学:公共政策的成就与挑战

Gerontology in the developing Brazil: achievements and challenges in public policies.

作者信息

Nóbrega Otávio T, Faleiros Vicente P, Telles José L

机构信息

Post Graduation Program Stricto Sensu in Gerontology, Universidade Católica de Brasília (UCB), Taguatinga, Brazil.

出版信息

Geriatr Gerontol Int. 2009 Jun;9(2):135-9. doi: 10.1111/j.1447-0594.2008.00499.x.

Abstract

AIM

In the last three decades, the segment of population aged 60 years and older has more than doubled in Brazil. People aged 80 years and older are expected to be the fastest-growing segment in the near future. This aim of this study was to analyze the legal structures currently in place in Brazil and to provide a framework for care policies and practices towards older-adults.

METHODS

This article focuses on past and present major socioeconomic burdens on this segment of the Brazilian population as well as on public achievements to overcome inequities.

RESULTS

Both the public health and the social security systems have been directed to provide preferential assistance to the aged. Nonetheless, the elderly remain the most impoverished segment of Brazil and carry the burden of an overall lack of specialized services. Moreover, socioeconomic inequalities and population diversity in Brazil affects elderly care, adding complexity to this unique scenario.

CONCLUSION

Brazil has adopted legal hallmarks that substantially shifted public practices towards the elderly segment from a philanthropic status to a legitimate right for care and assistance. The demographic transition that took place provides an opportunity for innovative solutions in public policies for older adults in a developing economic environment.

摘要

目的

在过去三十年里,巴西60岁及以上的人口数量增长了一倍多。预计在不久的将来,80岁及以上的人群将成为增长最快的群体。本研究旨在分析巴西目前的法律架构,并为针对老年人的护理政策和实践提供一个框架。

方法

本文关注巴西这部分人口过去和现在面临的主要社会经济负担,以及为克服不平等现象所取得的公共成就。

结果

公共卫生和社会保障系统都旨在为老年人提供优先援助。尽管如此,老年人仍然是巴西最贫困的群体,承受着整体缺乏专业服务的负担。此外,巴西的社会经济不平等和人口多样性影响着老年护理,使这一独特情况更加复杂。

结论

巴西已经采用了一些法律标志,这些标志极大地将针对老年群体的公共实践从慈善性质转变为获得护理和援助的合法权利。所发生的人口结构转变为在发展中的经济环境下制定针对老年人的创新公共政策提供了机会。

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