Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

Abstract: 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.

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Bibliographic Details
Main Authors: Lloyd-Sherlock,Peter, Billings,Jenny, Aredes,Janaína de Souza, Freire Neto,João Bastos, Camarano,Ana Amélia, Macedo Coelho Filho,João, Firmo,Josélia Oliveira Araújo, Kalache,Alexandre, Macinko,James, Sempé,Lucas, Giacomin,Karla Cristina
Format: Digital revista
Language:English
Published: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2020000303001
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Summary:Abstract: 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.

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