Satchanawakul Nattanee, Liangruenrom Nucharapon, Thang Leng Leng, Satchanawakul Napaphat
Faculty of Liberal Arts, Mahidol University, Salaya, Thailand.
Institute for Population and Social Research, Mahidol University, Salaya, Thailand.
Australas J Ageing. 2025 Mar;44(1):e13378. doi: 10.1111/ajag.13378. Epub 2024 Oct 4.
Given the differing cultural contexts and service needs of older persons in the west and the east, programs or policies should be thoughtfully redesigned to accommodate these diverse societies. This paper presents a systematic scoping review of ageing in place (AIP) strategies in Japan, Singapore and Thailand, emphasising how they are tailored to address the unique challenges of ageing populations in Asia.
A systematic literature search was conducted through seven databases. Empirical, peer-reviewed studies in English that discussed AIP-related programs or policies involving aged populations in the target countries were included. Themes were identified using the policy triangle framework, allowing for a comprehensive comparison of AIP across the countries.
Three key components of AIP, place, support network and workforce, were identified from 44 included studies. Each country exhibits distinctive approaches to implementing these components. Japan has extensive AIP systems with comprehensive services and strong community and family support. Singapore offers innovative aged care with significant government involvement, though on a smaller scale. Thailand's localised initiatives focus on community health care and age-friendly city assessments, with a less developed AIP infrastructure.
The study proposes a comprehensive framework for developing ageing policies in Asia, emphasising the need for a person-centred approach in developing AIP strategies that cater to the diverse needs of ageing populations, and underscores the importance of integrating health-care services, community support and home environment modifications. The three AIP elements advocate for a person-centred approach, providing valuable insights for policymakers to effectively manage challenges of rapidly ageing populations.
鉴于东西方老年人不同的文化背景和服务需求，应精心重新设计项目或政策以适应这些多样化的社会。本文对日本、新加坡和泰国的就地养老（AIP）策略进行了系统的范围综述，着重阐述它们如何针对亚洲老龄化人口的独特挑战进行调整。
通过七个数据库进行了系统的文献检索。纳入了以英文发表的、经过同行评审的实证研究，这些研究讨论了目标国家中涉及老年人口的与就地养老相关的项目或政策。使用政策三角框架确定主题，以便对各国的就地养老进行全面比较。
从44项纳入研究中确定了就地养老的三个关键要素，即场所、支持网络和劳动力。每个国家在实施这些要素方面都有独特的方法。日本拥有广泛的就地养老系统，具备全面的服务以及强大的社区和家庭支持。新加坡提供有政府大量参与的创新型老年护理服务，不过规模较小。泰国的本地化举措侧重于社区医疗保健和对老年友好型城市的评估，其就地养老基础设施不太发达。
该研究提出了一个在亚洲制定老龄化政策的综合框架，强调在制定就地养老策略时需要采用以人为本的方法，以满足老龄化人口的多样化需求，并强调整合医疗保健服务、社区支持和家庭环境改造的重要性。这三个就地养老要素倡导以人为本的方法，为政策制定者有效应对快速老龄化人口的挑战提供了宝贵的见解。
