WHO Collaborating Center for Public Health Aspects of Musculoskeletal Health and Ageing, Research Unit in Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium; Department of Physical Activity and Rehabilitation Sciences, University of Liège, Liège, Belgium.
WHO Collaborating Center for Public Health Aspects of Musculoskeletal Health and Ageing, Research Unit in Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium.
J Am Med Dir Assoc. 2024 Sep;25(9):105155. doi: 10.1016/j.jamda.2024.105155. Epub 2024 Jul 12.
The global increase in the older population, which is expected to reach 1.5 billion by 2050, poses significant challenges for publicly funded health care systems. Life expectancy, although positive, is leading to an increase in chronic diseases requiring complex and costly health and social solutions. This study explores key strategies to address these challenges.
Qualitative interviews followed by a survey.
The study involved experts, students, artificial intelligence, and participants at a congress.
We first interviewed 5 experts from different countries representing health care management and psychology from Belgium, health economics from Canada, sociology from France, and geriatrics from Switzerland. In addition, a focus group session with medical students in physical therapy and queries to ChatGPT increased the range of perspectives. A synthesis of all opinions or insights was used to formulate concrete strategies. These strategies were incorporated into an online survey that was distributed to 215 participants of the Geriatric and Gerontologic Congress in Montreal, Canada, in September 2023.
All 20 potential solutions were duly acknowledged, with particular attention paid to the following 5 priorities: the urgent need to integrate geriatric training into the education of future health professionals, the promotion of home-based care models, the establishment of comprehensive and integrated care systems, the strengthening of primary care services, and the emphasis on primary prevention strategies.
This study highlights key priorities for addressing the health needs of the older population. By emphasizing education, home-based care, and integrated services and strengthening primary care and prevention, health systems can respond effectively to the challenges of an ageing population. Although these needs may not be entirely unmet, they indicate areas where existing services are insufficient in providing adequate coverage and support to ensure tailored and sustainable health care solutions for older people.
预计到 2050 年，全球老年人口将增加到 15 亿，这给公共资助的医疗保健系统带来了重大挑战。虽然预期寿命有所延长，但这也导致需要复杂和昂贵的医疗和社会解决方案的慢性病增加。本研究探讨了解决这些挑战的关键策略。
定性访谈后进行调查。
该研究涉及来自不同国家的专家、学生、人工智能和大会参与者。
我们首先采访了 5 位来自比利时的医疗保健管理和心理学专家、加拿大的健康经济学专家、法国的社会学专家和瑞士的老年病学专家。此外，还进行了一次物理治疗专业医学生的焦点小组会议，并向 ChatGPT 查询，增加了观点的多样性。对所有意见或见解进行综合，以制定具体策略。这些策略被纳入 2023 年 9 月在加拿大蒙特利尔举行的老年病学和老年学大会的在线调查中。
所有 20 种潜在解决方案都得到了适当的认可，特别关注以下 5 个优先事项：迫切需要将老年医学培训纳入未来卫生专业人员的教育中，促进以家庭为基础的护理模式，建立全面和综合的护理系统，加强初级保健服务，以及强调初级预防策略。
本研究强调了满足老年人口健康需求的关键优先事项。通过强调教育、以家庭为基础的护理和综合服务以及加强初级保健和预防，可以使医疗保健系统有效应对人口老龄化带来的挑战。尽管这些需求可能尚未完全得到满足，但它们表明现有服务在提供足够的覆盖范围和支持方面存在不足，以确保为老年人提供量身定制和可持续的医疗保健解决方案。
