Dintrans Pablo Villalobos
Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.
Rev Panam Salud Publica. 2018 Dec 28;42:e168. doi: 10.26633/RPSP.2018.168. eCollection 2018.
Chile is facing changes associated with the demographic transition. So far, these challenges have been framed as age related. This has contributed to approaching a broad set of issues from a narrow perspective. The focus on aging has fragmented a multidisciplinary problem into different parts-particularly health and social policies-with different actors dealing with it from the perspective of their own sector. This process has generated an incomplete picture, preventing the definition and measurement of dependency and long-term care, and hindering a coordinated response to these issues. This article advocates for a change in the definition of the problem, by adopting the concept of long-term care, in order to gain a deeper and more comprehensive perspective on the issues arising from the situation that Chile is experiencing.
智利正面临与人口结构转变相关的变化。到目前为止，这些挑战一直被视为与年龄相关的问题。这导致从狭隘的角度来处理一系列广泛的问题。对老龄化的关注将一个多学科问题分割成不同部分，尤其是卫生和社会政策，不同行为体从各自部门的角度来应对这些问题。这一过程产生了不完整的情况，阻碍了对依赖性和长期护理的定义和衡量，并妨碍了对这些问题的协调应对。本文主张通过采用长期护理的概念来改变问题的定义，以便对智利正在经历的情况所产生的问题有更深入、更全面的认识。
