Mohan Anu, Jaihind Jothikaran Teddy Andrews, Gudi Nachiket, A K Abhijith, Ashok Lena
Department of Social and Health Innovation, Prasanna School of Public Health, Manipal, Karnataka, India.
Department of Social and Health Innovation, Prasanna School of Public Health, Manipal, Karnataka, India
BMJ Open. 2025 Jan 6;15(1):e079621. doi: 10.1136/bmjopen-2023-079621.
WHO Southeast Asian Region (WHO SEARO) is home to 1.94 billion people accounting for one-fourth of the global population.
The primary objective of this scoping review is to describe the various policy interventions implemented in countries of the WHO SEARO to address the consequences of ageing.
The Arksey and O'Malley framework for scoping review was used to explore existing policy interventions on aged care.
WHO SEARO.
Ten articles and 33 grey literature discussing the various aged care interventions adopted by WHO SEARO countries were identified through a comprehensive search performed across five databases, PubMed (NCBI), Embase (Elsevier), Web of Science (Clarivate) and Scopus (Elsevier) and Google Scholar.
The review indicates that healthcare, long-term care and rehabilitation, maintenance and welfare, and old age social security are the critical domains of existing policy intervention. The grey literature, including policies, acts, legislations, agendas and plans of action adopted by WHO SEARO countries, concludes that existing interventions are spread across the differential aspects of ageing and aged care. The notable delimitations of the given policy interventions are ambiguity regarding the monitoring of the programmes, lack of benchmark standards for evaluation of progress, inadequate attention to rural poverty and lack of decentralisation.
WHO SEARO countries can respond better to ageing by reinforcing areas such as caregiver support and allowances, public financing in older care, old age health insurance, public-private partnership in mobile and institutional caring and social security systems including old age and disability pension.
世界卫生组织东南亚区域（WHO SEARO）拥有19.4亿人口，占全球人口的四分之一。
本综述的主要目的是描述WHO SEARO各国为应对老龄化后果而实施的各种政策干预措施。
采用Arksey和O'Malley的综述框架来探索现有的老年护理政策干预措施。
WHO SEARO。
通过在五个数据库（PubMed（NCBI）、Embase（爱思唯尔）、Web of Science（科睿唯安）、Scopus（爱思唯尔）和谷歌学术）中进行全面检索，确定了10篇文章和33篇灰色文献，这些文献讨论了WHO SEARO各国采用的各种老年护理干预措施。
该综述表明，医疗保健、长期护理与康复、维持与福利以及老年社会保障是现有政策干预的关键领域。灰色文献，包括WHO SEARO各国通过的政策、法案、立法、议程和行动计划，得出结论认为，现有干预措施涵盖了老龄化和老年护理的不同方面。给定政策干预措施的显著局限性在于项目监测的模糊性、缺乏评估进展的基准标准、对农村贫困问题关注不足以及缺乏权力下放。
WHO SEARO各国可以通过加强以下领域的工作来更好地应对老龄化问题，如照顾者支持与津贴、老年护理的公共融资、老年健康保险、移动和机构护理中的公私伙伴关系以及包括老年和残疾养老金在内的社会保障体系。
