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- BookWorld Health Organization.Summary: "Comprehensive public health action on population ageing is urgently needed. This will require fundamental shifts, not just in the things we do, but in how we think about ageing itself. The World report on ageing and health outlines a framework for action to foster Healthy Ageing built around the new concept of functional ability. This will require a transformation of health systems away from disease based curative models and towards the provision of older-person-centred and integrated care. It will require the development, sometimes from nothing, of comprehensive systems of long term care."--Page 4 of cover.
Contents:
1. Adding health to years
Introduction
The context for action
The international legal and policy frameworks
Current public-health response
more of the same will not be enough
The challenges for policy development
Diversity in older age
The impact of inequity
Outdated stereotypes, new expectations
The world is changing too
Why act on ageing and health?
The rights of older people
Ageing, health and development
The economic imperative
Conclusion
2. Healthy Ageing
What is ageing?
Ageing, health and functioning
A framework for action on ageing and health
Healthy Ageing
Trajectories of Healthy Ageing
A public-health framework for Healthy Ageing
Key issues for public-health action
Dealing with diversity
Reducing inequity
Enabling choice
Ageing in place
3. Health in older age
Demographic and epidemiological changes
Population ageing
Why are populations ageing?
Are the added years in older age being experienced in good health?
Health characteristics in older age
Underlying changes
Health conditions in older age
Other complex health issues in older age
Intrinsic capacity and functional ability
Intrinsic capacity across the life course
Patterns of functioning in countries at different levels of socioeconomic development
Significant loss of functional ability, and care dependence
Key behaviours that influence Healthy Ageing
Physical activity
Nutrition
Key environmental risks
Emergency situations
Elder abuse
4. Health systems
Introduction
Rising demand, barriers to use, poorly aligned services
Demand for health services
Barriers to use
Systems designed for different problems
Economic impact of population ageing on health systems
Responses
The goal: optimize trajectories of intrinsic capacity
Adapt interventions to individuals and their levels of capacity
Implement older-person-centred and integrated care
Align health systems
Conclusion
5. Long-term-care systems
Introduction
The growing need for long-term care
Current approaches to long-term care
The long-term-care workforce: often undervalued and lacking support and training
Financing long-term care: it always has a cost
Care provision: outdated and fragmented
Responding to the challenge of long-term care
Moving towards an integrated system: a revolutionary agenda
General principles of an integrated system of long-term care
Enabling ageing in the right place
Building workforce capacity and supporting caregivers
Promoting integrated care through case management and broader collaboration
Ensuring sustainable and equitable financing
Changing mindsets about long-term care: a political and social challenge
Conclusion
6. Towards an age-friendly world
Introduction
Ability to meet basic needs
Financial security, housing, personal security
What works in improving financial security
What works in ensuring adequate housing
What works in meeting the need for personal security
Abilities to learn, grow and make decisions
What works in fostering the abilities to learn, grow and make decisions
Ability to be mobile
What works to maintain mobility in older age
Abilities to build and maintain relationships
What works to build and maintain relationships
Ability to contribute
What works in facilitating the ability to contribute
The way forward
7. Next steps
Introduction
Key areas for action on Healthy Ageing
Align health systems to the needs of the older populations they now serve
Develop systems for providing long-term care
Creating age-friendly environments
Improve measurement, monitoring and understanding
Conclusion
Glossary
Index.Digital Access WHO 2015 - ArticleMilman N, Larsen L.Ugeskr Laeger. 1977 Jan;139(3):135-9.