Department of Gerontology, Akdeniz University, 07058, Campus, Antalya, Turkey.
Senex: Association for Aging Studies, Ontario, Canada.
J Aging Stud. 2020 Jun;53:100850. doi: 10.1016/j.jaging.2020.100850. Epub 2020 May 16.
Societies experiencing rapid demographic transition may expect to face challenges such as accelerated population aging and increasing care-related needs. Decentralization of welfare states and resultant fragmentation of services is gaining increasing attention. In this study, we offer suggestions of how developing countries might move from fragmentation to integration of social and health care services. Using the Health Survey of Turkey (HST-2012) data with 15,000 households of populations' age 15 and older, we explore challenges to integrating social and health care service strategies in Turkey. Findings include inequities in material and service accessibility between rural and urban settings. Increasing numbers of older widowed women, especially in rural environments, will require direct income assistance over the coming decades. Additional findings include the need for primary and preventative health care services for middle age groups and strategies to address both unemployment among younger generations and barriers to work force participation for women. In conclusion, among rapid transition societies, it will take time to resolve decentralization-related regional inequalities in social and health services. Therefore, information and communications technologies (ICT) should be employed from an intersectionality perspective to more quickly bridge the services integration - regional inequalities gap in Turkey and possibly other societies in transition.
社会在经历快速人口转型时可能会面临人口老龄化加速和护理需求增加等挑战。福利国家权力下放以及服务碎片化日益受到关注。本研究旨在为发展中国家如何从社会和医疗服务碎片化转向整合提供建议。我们使用土耳其健康调查（HST-2012）的数据，该数据涵盖了年龄在 15 岁及以上的 15000 户家庭，探讨了土耳其整合社会和医疗服务战略所面临的挑战。研究结果表明，农村和城市地区在物质和服务的可及性方面存在不平等。未来几十年，越来越多的老年丧偶女性，尤其是在农村地区，将需要直接的收入援助。其他发现还包括需要为中年人群提供初级和预防保健服务，以及解决年轻一代失业和女性劳动力参与障碍的策略。总之，在快速转型社会中，需要时间来解决与社会和卫生服务相关的权力下放所带来的地区不平等问题。因此，应从交叉性的角度利用信息和通信技术（ICT），以更快地弥合土耳其和其他转型社会在服务整合与地区不平等方面的差距。
