Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan”
The Astana Declaration on primary healthcare in 2018 was the attempt to revive the ideals of the World Health Organization (WHO) Alma-Ata Declaration 40 years later, together with a call for the political will to provide adequate financing at acceptable quality of care. This approach is taken to ach...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2021-01-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_3758_6050a01ec239fed17e6b37adc642aa4c.pdf |
| _version_ | 1811158777699762176 |
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| author | Kai Hong Phua Lee Gan Goh Dina Sharipova |
| author_facet | Kai Hong Phua Lee Gan Goh Dina Sharipova |
| author_sort | Kai Hong Phua |
| collection | DOAJ |
| description | The Astana Declaration on primary healthcare in 2018 was the attempt to revive the ideals of the World Health Organization (WHO) Alma-Ata Declaration 40 years later, together with a call for the political will to provide adequate financing at acceptable quality of care. This approach is taken to achieve the past ideals of Health for All, given the new challenges of universal health coverage. The economic case for primary healthcare is justified against the growing demand due in part to the growing costs of chronic conditions and the rise of ageing population, other than the supply-side factors of the healthcare industry. Past healthcare systems have evolved greater roles of the state versus the market, but few have involved the Third Sector or civil society in more integrated ways to provide and finance long-term care (LTC) with population ageing. From the extremes of the communist state to capitalist free markets, an optimal public-private system has to reach a balance in access, cost and quality for health and LTC. Recent studies of health and LTC have distilled newer developments in public-private mixes of provision, financing and regulation, in response to the needs of fast-ageing Asian societies. While Japan was the oldest country in the world, other countries in Asia have caught up and are now acknowledged where innovative models of integrated eldercare under economic limits, hold great promise of their transferability to the rest of ageing societies. Besides other forms of integrated LTC delivery with traditional systems, newer forms of financing like savings funds and superannuation have been developed, with participation from government, industry and civil society. There is much to learn from the new Asian models of financing, using appropriate technology and social innovations, and integrating health and social systems for LTC. |
| first_indexed | 2024-04-10T05:30:01Z |
| format | Article |
| id | doaj.art-3c4ee997d206491491f199110652a28f |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:30:01Z |
| publishDate | 2021-01-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-3c4ee997d206491491f199110652a28f2023-03-07T09:04:03ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392021-01-01101323510.34172/ijhpm.2020.153758Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan”Kai Hong Phua0Lee Gan Goh1Dina Sharipova2Graduate School of Public Policy, Nazarbayev Unversity, Nur-Sultan, KazakhstanYong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeGraduate School of Public Policy, Nazarbayev Unversity, Nur-Sultan, KazakhstanThe Astana Declaration on primary healthcare in 2018 was the attempt to revive the ideals of the World Health Organization (WHO) Alma-Ata Declaration 40 years later, together with a call for the political will to provide adequate financing at acceptable quality of care. This approach is taken to achieve the past ideals of Health for All, given the new challenges of universal health coverage. The economic case for primary healthcare is justified against the growing demand due in part to the growing costs of chronic conditions and the rise of ageing population, other than the supply-side factors of the healthcare industry. Past healthcare systems have evolved greater roles of the state versus the market, but few have involved the Third Sector or civil society in more integrated ways to provide and finance long-term care (LTC) with population ageing. From the extremes of the communist state to capitalist free markets, an optimal public-private system has to reach a balance in access, cost and quality for health and LTC. Recent studies of health and LTC have distilled newer developments in public-private mixes of provision, financing and regulation, in response to the needs of fast-ageing Asian societies. While Japan was the oldest country in the world, other countries in Asia have caught up and are now acknowledged where innovative models of integrated eldercare under economic limits, hold great promise of their transferability to the rest of ageing societies. Besides other forms of integrated LTC delivery with traditional systems, newer forms of financing like savings funds and superannuation have been developed, with participation from government, industry and civil society. There is much to learn from the new Asian models of financing, using appropriate technology and social innovations, and integrating health and social systems for LTC.https://www.ijhpm.com/article_3758_6050a01ec239fed17e6b37adc642aa4c.pdfpopulation ageinglong-term carehealthcare financingastana declarationwho declaration on primary healthcare |
| spellingShingle | Kai Hong Phua Lee Gan Goh Dina Sharipova Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan” International Journal of Health Policy and Management population ageing long-term care healthcare financing astana declaration who declaration on primary healthcare |
| title | Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan” |
| title_full | Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan” |
| title_fullStr | Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan” |
| title_full_unstemmed | Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan” |
| title_short | Ageing in Asia: Beyond the Astana Declaration Towards Financing Long-term Care for All; Comment on “Financing Long-term Care: Lessons From Japan” |
| title_sort | ageing in asia beyond the astana declaration towards financing long term care for all comment on financing long term care lessons from japan |
| topic | population ageing long-term care healthcare financing astana declaration who declaration on primary healthcare |
| url | https://www.ijhpm.com/article_3758_6050a01ec239fed17e6b37adc642aa4c.pdf |
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