University of East Anglia, Norwich, U.K.
University of Kent, Kent, U.K.
Cad Saude Publica. 2020 Apr 3;36(3):e00162819. doi: 10.1590/0102-311X00162819. eCollection 2020.
The increasing numbers of people at very old ages pose specific policy challenges for health and social care and highlight the need to rethink established models of service provision. The main objective of this paper is to introduce the concept of "avoidable displacement from home" (ADH). The study argues that ADH builds on and adds value to existing concepts, offering a holistic, person-centered framework for integrated health and social care provision for older people. It also demonstrates that this framework can be applied across different levels, ranging from macro policymaking to organizational and individual decision-making. The paper pays attention to the Brazilian context but argues that ADH is a universally applicable concept.
超高龄人口数量的不断增加给医疗和社会保健带来了特殊的政策挑战,凸显了重新思考既定服务提供模式的必要性。本文的主要目的是介绍“可避免的居家转移”(ADH)的概念。研究认为,ADH 建立在现有概念的基础上并增加了其价值,为老年人提供了一种整体的、以个人为中心的医疗和社会保健综合服务框架。它还表明,该框架可以适用于从宏观政策制定到组织和个人决策等不同层面。本文关注巴西的情况,但认为 ADH 是一个普遍适用的概念。