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Health services must stop leaving older people behind – WHO

by Public Health Update

International Day of Older Persons 2017, 1 October 

Health services must stop leaving older people behind – WHO
The theme of the International Day of Older Persons 2017 is; 

“Stepping into the Future: Tapping the Talents, Contributions and Participation of Older Persons in Society.”

This year’s day is about enabling and expanding the contributions of older people in their families, communities and societies at large. It focuses on the pathways that support full and effective participation in old age, in accordance with old persons’ basic rights, needs and preferences.
This year’s theme underscores the link between tapping the talents and contributions of older persons and achieving the implementation of the 2030 Agenda and the Madrid International Plan of Action on Ageing, which is currently undergoing its third review and appraisal process.

Between 2015 and 2030, the target date for the Sustainable Development Goals, the number of older persons worldwide is set to increase by 56 per cent — from 901 million to more than 1.4 billion. By 2030, the number of people aged 60 and above will exceed that of young people aged 15 to 24.

Stepping into the future with pledges that no one will be left behind, it is starkly evident that the need to tap into the often overlooked and under-appreciated contributions of older persons is not only essential to older persons’ well-being, but also imperative for sustainable development processes.
The 2017 theme will explore effective means of promoting and strengthening the participation of older persons in various aspects of social, cultural, economic and civic and political life. UN.ORG

Health services must stop leaving older people behind – WHO

29 SEPTEMBER 2017 | GENEVA – On the International Day of the Older Person – 1 October – WHO calls for a new approach to providing health services for older people. WHO highlights the role of primary care and the contribution community health workers can make to keeping older people healthier for longer. The Organization also emphasizes the importance of integrating services for different conditions.
“By the year 2050, 1 in 5 people in the world will be aged 60 and older,” says Dr Tedros Adhanom Ghebreyesus, Director-General of WHO. “It’s our goal to ensure that all older people can obtain the health services they need, whoever they are, wherever they live.”
Yet, even in the rich world, people may not be getting the integrated services they need. In a survey of 11 high-income countries, up to 41% of older adults (age ≥65 years) reported care coordination problems in the past two years.
WHO’s new Guidelines on Integrated Care for Older People recommend ways community-based services can help prevent, slow or reverse declines in physical and mental capacities among older people. The guidelines also require health and social care providers to coordinate their services around the needs of older people through approaches such as comprehensive assessment and care plans.
“The world’s health systems aren’t ready for older populations,” says Dr John Beard, Director of the Department of Ageing and Life course at WHO.
“Everyone at all levels of health and social care, from front-line providers through to senior leaders, has a role to play to help improve the health of older people. WHO’s new guidelines provide the evidence for primary care workers to put the comprehensive needs of older people, not just the diseases they come in to discuss, at the centre of the way they provide care.”
Older adults are more likely to experience chronic conditions and often multiple conditions at the same time. Yet today’s health systems generally focus on the detection and treatment of individual acute diseases.
“If health systems are to meet the needs of older populations, they must provide ongoing care focused on the issues that matter to older people – chronic pain, and difficulties with hearing, seeing, walking or performing daily activities,” adds Beard. “This will require much better integration between care providers.”
Some countries are already making smart investments guided by WHO’s Global Strategy on Ageing and Health.
Brazil has implemented comprehensive assessments and expanded its services for older adults; Japan has integrated long -term care insurance to protect people from the costs of care; Thailand is strengthening the integration of health and social care as close as possible to where people live; while the Ministry of Health in Vietnam will build on its comprehensive health care system and the large number of elderly health care clubs to better meet the needs of older people in their communities. In Mauritius, the Ministry of Health provides universal health coverage for older adults including a network of health clubs and primary care clinics with more sophisticated services in hospitals. The United Arab Emirates are meeting the health needs of older people by creating more age-friendly cities. In France, a new WHO Collaborating Centre called Gerontopole, located in the Toulouse University Hospital, is helping to advance research, clinical practice and training on Healthy Ageing.
“Integrated care can help foster inclusive economic growth, improve health and wellbeing, and ensure older people have the opportunity to contribute to development, instead of being left behind,” concluded Dr Beard.

News release (WHO Media Center)

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