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Service Delivery Reforms for Asian Ageing Societies: A Cross-Country Study Between Japan, South Korea, China, Thailand, Indonesia, and the Philippines
- Source :
- International Journal of Integrated Care; Vol 21: April-June 2021; 1, International Journal of Integrated Care, International Journal of Integrated Care, Vol 21, Iss 2 (2021)
- Publication Year :
- 2021
- Publisher :
- Ubiquity Press, 2021.
-
Abstract
- Introduction: Japan’s health policies to address the most advanced-aged society have been the target of focus in Asia, but no studies have investigated this issue using tools for cross-country comparisons. Theory and methods: A cross-country study design was used to compare healthcare reform policies with a framework in Japan, Korea, Thailand, China, Indonesia, and the Philippines. Data were collected via document reviews and key informant interviews. Results: Three distinctions were identified. First, all countries except for the Philippines have policy decisions regarding reforms for the existing service delivery systems for healthcare, long-term care and welfare. Second, the most extensive service delivery reform is currently being implemented in Japan, whose system is shifting to primary health care. Third, the direction of the transformation of service delivery system is different between Thailand and China despite a similar level of ageing society. China has made progress on facility-based care integration between health and social care, whereas Thailand is focusing on home-based care. Conclusions and discussion: Doctor and hospital-based healthcare delivery system requires more drastic reform for an aged society. This fact implies that strengthening primary health care is not only useful for current health issues but also an investment for the aged society near future in low- and middle-income countries.
- Subjects :
- Economic growth
Medicine (General)
Health (social science)
Sociology and Political Science
Service delivery framework
Policy Paper
service delivery reforms
media_common.quotation_subject
Public Health, Health policy
03 medical and health sciences
0302 clinical medicine
R5-920
Political science
Health care
030212 general & internal medicine
China
media_common
integrated care
healthcare service delivery
ageing societies
Service system
Cross country
business.industry
030503 health policy & services
Health Policy
Investment (macroeconomics)
Integrated care
0305 other medical science
business
Welfare
Subjects
Details
- Language :
- English
- ISSN :
- 15684156
- Database :
- OpenAIRE
- Journal :
- International Journal of Integrated Care (IJIC)
- Accession number :
- edsair.doi.dedup.....d25161ef92510387c76e834882d54a74