Skip to main content
SpringerLink
Log in

Equity in Health Services for Ageing

  • Chapter
  • First Online:
Education for the Elderly in the Asia Pacific

Part of the book series: Education in the Asia-Pacific Region: Issues, Concerns and Prospects ((EDAP,volume 59))

  • 475 Accesses

Abstract

Health services play one of the important roles in achieving equity in health. In the absence of equity awareness, health services searching for practice excellence will themselves inadvertently be causing health inequity rather than closing the gap. The elderly are increasingly occupying considerable capacities of health services to all. This chapter analyses the situation of the health service for ageing and summarises the problems and obstacles preventing equity in health services. The finding should lead to strategic planning to reduce the gaps in restorative and rehabilitative health among the elderly themselves; otherwise the gaps among intergeneration may be too late and too costly, taking examples of dental health and non-communicable diseases into account. The goals of healthy ageing with converging inequity gaps require the interactions of health services with other social sectors as well as the reorientation of the health services to the whole spectres of acute, intermediate, long-term and end-of-life care.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Acharya, S., Ghimire, S., Jeffers, E. M., & Shrestha, N. (2019). Health care utilization and health care expenditure of Nepali older adults. Frontiers in Public Health, 7, 24. https://doi.org/10.3389/fpubh.2019.00024

    Article  Google Scholar 

  • Arensberg, M. B. (2018). Population aging: Opportunity for business expansion. An invitational paper presented at the Asia-Pacific Economic Cooperation (APEC). International Workshop on Adaptation to Population Aging Issues, July 17, 2017, Ha Noi, Viet Nam. Journal of Health, Population and Nutrition, 37(7). https://doi.org/10.1186/s41043-018-0138-0

  • Busetto, L., Kiselev, J., Luijkx, K. G., Steinhagen-Thiessen, E., & Vrijhoef, H. J. M. (2017). Implementation of integrated geriatric care at a German hospital: A case study to understand when and why beneficial outcomes can be achieved. BMC Health Services Research, 17, 180. https://doi.org/10.1186/s12913-017-2105-7

    Article  Google Scholar 

  • Cavaletti, A. C. L., Caldas, C. P., & de Lima, K. C. (2018). Social context and geographic space: An ecological study about hospitalizations of older persons. Value in Health Regional Issues, 17, 8–13.

    Article  Google Scholar 

  • Chuakhamfoo, N. N., Phanthunane, P., Chansirikarn, S., & Pannarunothai, S. (2020). Health and long-term care of the elderly with dementia in rural Thailand: A cross-sectional survey through their caregivers. BMJ Open, 10(3), e032637. https://doi.org/10.1136/bmjopen-2019-032637

    Article  Google Scholar 

  • Clark, H., Coll-Seck, A. M., Banerjee, A., Peterson, S., Dalglish, S. L., Ameratunga, S., et al. (2020). A future for the world’s children? A WHO-UNICEF-Lancet Commission. Lancet. https://doi.org/10.1016/S0140-6736(19)32540-1.

  • Dixon, J., King, D., Matosevic, T., Clark, M., & Knapp, M. (2015). Equity in the provision of palliative care in the UK: Review of evidence. London School of Economics and Political Science.

    Google Scholar 

  • Fredriksson, M., Eriksson, M., & Tritter, J. (2018). Who wants to be involved in health care decisions? Comparing preferences for individual and collective involvement in England and Sweden. BMC Public Health, 18(18). https://doi.org/10.1186/s12889-017-4534-y

  • Goodman-Casanova, J. M., Dura-Perez, E., Guzman-Parra, J., Cuesta-Vargas, A., & Mayoral-Cleries, F. (2020). Telehealth home support during COVID-19 confinement for community-dwelling older adults with mild cognitive impairment or mild dementia: Survey study. Journal of Medical Internet Research, 22(5), e19434.

    Article  Google Scholar 

  • Green, J., Gordon, R., Kobel, C., Blanchard, M., & Eagar, K. (2015). AN-SNAP V4 User Manual. Centre for Health Service Development, University of Wollongong.

    Google Scholar 

  • Ilinca, S., Rodrigues, R., & Schmidt, A. E. (2017). Fairness and eligibility to long-term care: An analysis of the factors driving inequality and inequity in the use of home care for older Europeans. International Journal of Environmental Research and Public Health, 14(10), 12–24. https://doi.org/10.3390/ijerph14101224

    Article  Google Scholar 

  • Jin, L. J., Lamster, I. B., Greenspan, J. S., Pitts, N. B., Scully, C., & Warnakulasuriya, S. (2016). Global burden of oral diseases: Emerging concepts, management and interplay with systemic health. Oral Diseases, 22, 609–619. https://doi.org/10.1111/odi.12428

    Article  Google Scholar 

  • Kasemsup, V., Sakunphanit, T., Bundhamcharoen, K., Nipaporn, S., & Tansirisithikul, R. (2016). Thai country case study. In V. Yiengprugsawan, J. Healy J, & H. Kendig (Eds.), Health system responses to population ageing and noncommunicable diseases in Asia. Comparative Country Studies Volume 2, Number 2. World Health Organization (on behalf of the Asia Pacific Observatory on Health Systems and Policies).

    Google Scholar 

  • Kwok, K. O., Lai, F., Wei, W. I., Wong, S. Y. S., & Tang, J. (2020). Herd immunity: Estimating the level required to halt the COVID-19 epidemics in affected countries. Journal of Infection, 2020. https://doi.org/10.1016/j.jinf.2020.03.027

  • Leung, D. S. Y., & Liu, B. C. P. (2011). Lifelong education, quality of life and self-efficacy of Chinese older adults. Educational Gerontology, 37(11), 967–981. https://doi.org/10.1080/03601277.2010.492732

    Article  Google Scholar 

  • Lumme, S., Manderbacka, K., & Keskimäki, I. (2017). Trends of relative and absolute socioeconomic equity in access to coronary revascularisations in 1995–2010 in Finland: A register study. International Journal for Equity in Health, 16(37). https://doi.org/10.1186/s12939-017-0536-8

  • Mahal, A., & McPake, B. (2017). Health systems for aging societies in Asia and the Pacific. Health Systems & Reform, 3(3), 149–153. https://doi.org/10.1080/23288604.2017.1356429

    Article  Google Scholar 

  • Malecki, K., Wisk, L. E., Walsh, M., McWilliams, C., Eggers, S., & Olson, M. (2015). Oral health equity and unmet dental care needs in a population-based sample: Findings from the survey of the health of Wisconsin. American Journal of Public Health, 105(S3), S466–S474.

    Article  Google Scholar 

  • Marcenes, W., Kassebaum, N. J., Bernabé, E., Flaxman, A., Naghavi, M., Lopez, A., & Murray, C. J. L. (2013). Global burden of oral conditions in 1990-2010: A systematic analysis. Journal of Dental Research, 92(7), 592–597. https://doi.org/10.1177/0022034513490168

    Article  Google Scholar 

  • Narot, P. K., & Kiettikunwong, N. (2019). Ageing population development. In Kobe City experiences. College of Local Administration, Khon Kaen University.

    Google Scholar 

  • Narushima, M., Liu, J., & Diestelkamp, N. (2018). Lifelong learning in active ageing discourse: Its conserving effect on wellbeing, health and vulnerability. Ageing & Society, 38, 651–675. https://doi.org/10.1017/S0144686X16001136

    Article  Google Scholar 

  • OECD/EU Health at a Glance: Europe. (2016). State of health in the EU cycle. Paris: OECD Publishing. Retrieved from https://doi.org/10.1787/9789264265592-en.

  • OECD/WHO. Health at a Glance: Asia/Pacific. (2018). Measuring progress towards universal health coverage. OECD Publishing. Retrieved from. https://doi.org/10.1787/health_glance_ap-2018-en

    Book  Google Scholar 

  • Page, J., Comino, E., Burgess, M., Cullen, J., & Harris, E. (2018). Participation in hospital in the home for patients in inner metropolitan Sydney: Implications for access and equity. Australian Health Review, 42, 557–562. https://doi.org/10.1071/AH18117

    Article  Google Scholar 

  • Petersen, P. E., Kandelman, D., Arpin, S., & Ogawa, H. (2010). Global oral health of older people – Call for public health action. Community Dental Health, 27(Suppl. 2), 257–268. https://doi.org/10.1922/CDH_2711Petersen11

    Article  Google Scholar 

  • Reidpath, D. D., Olafsdottir, A. E., Pokhrel, S., & Allotey, P. (2012). The fallacy of the equity-efficiency trade off: Rethinking the efficient health system. BMC Public Health, 12(Suppl. 1), S3.

    Article  Google Scholar 

  • Sadana, R., Blas, E., Budhwani, S., Koller, T., & Paraje, G. (2016). Healthy ageing: Raising awareness of inequalities, determinants, and what could be done to improve health equity. Gerontologist, 56(S2), S178–S193. https://doi.org/10.1093/geront/gnw034

    Article  Google Scholar 

  • Samy, A. L., Khalaf, Z. F., & Low, W. (2015). Mental health in the Asia-Pacific region: An overview. International Journal of Behavioral Science, 10(2), 9–18.

    Google Scholar 

  • Schoenmakers, D., Lamkaddem, M., & Suurmond, J. (2017). The role of the social network in access to psychosocial services for migrant elderly—A qualitative study. International Journal of Environmental Health and Public Research, 14, 1215. https://doi.org/10.3390/ijerph14101215

    Article  Google Scholar 

  • Shinsho, F. (2001). New strategy for better geriatric oral health in Japan: 80/20 movement and healthy Japan 21. International Dental Journal, 51(3 Suppl), 200–206.

    Article  Google Scholar 

  • Stegeman, I., Otte-Trojel, T., Costongs, C., & Considine, J. (2012). Healthy and active ageing. Brussels: EuroHealthNet and Bundeszentrale für gesundheitliche Aufklaerung (BZgA). Retrieved from http://www.healthyageing.eu/sites/; www.healthyageing.eu/files/featured/Healthy%20and%20Active%20Ageing.pdf.

  • Steele, J. G., Treasure, E. T., O’Sullivan, I., Morris, J., & Murray, J. J. (2012). Adult dental health survey 2009: Transformation in British oral health 1968–2009. British Dental Journal, 213, 523–527.

    Article  Google Scholar 

  • Su, M., Si, Y., Zhou, Z., Shen, C., Dong, W., Fan, X., Wang, X., & Wei, X. (2018). Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China. International Journal for Equity in Health, 17, 82. https://doi.org/10.1186/s12939-018-0796-y

    Article  Google Scholar 

  • UNESCO Institute for Lifelong Learning. (2017). Literacy and numeracy from a lifelong learning perspective. UIL Policy Brief 7. UNESCO Institute for Lifelong Learning.

    Google Scholar 

  • UNFPA Asia and Pacific Regional Office. (2017). Perspectives on population ageing in the Asia-Pacific region. In Where do selected countries stand 15 years after the adoption of the Madrid international plan of action on ageing? UNFPA.

    Google Scholar 

  • Watt, R. G., Williams, D. M., & Sheiham, A. (2014). The role of the dental team in promoting health equity. British Dental Journal, 216, 11–14. https://doi.org/10.1038/sj.bdj.2013.1234

    Article  Google Scholar 

  • Whiteford, H. A., Ferrari, A. J., Degenhardt, L., Feigin, V., & Vos, T. (2015). The global burden of mental, neurological and substance use disorders: An analysis from the Global Burden of Disease Study 2010. PLoS One, 10(2), e0116820. https://doi.org/10.1371/journal.pone.0116820

    Article  Google Scholar 

  • World Health Organisation. (2002). Active aging: A policy framework. Retrieved from https://www.who.int/ageing/publications/active_ageing/en/.

  • World Health Organisation. (2007). Everybody business: Strengthening health systems to improve health outcomes: WHO’s framework for action. WHO.

    Google Scholar 

  • World Health Organisation. (2015). World report on ageing and health. Geneva: WHO. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf?sequence=1.

  • World Health Organisation. (2020). Disability-adjusted life years (DALYs) by region. Retrieved from https://www.who.int/gho/mortality_burden_disease/daly_rates/text/en/.

  • Yiengprugsawan, V., Healy, J., Kendig, H., & Byles, J. (2016). Reflections on health service responses to NCDs in older populations. In V. Yiengprugsawan, J. Healy J, & H. Kendig (Eds.), Health system responses to population ageing and noncommunicable diseases in Asia. Comparative Country Studies Volume 2, Number 2. World Health Organization (on behalf of the Asia Pacific Observatory on Health Systems and Policies).

    Google Scholar 

  • Zhou, H., Lu, S., Chen, J., Wei, N., Wang, D., Lyu, H., et al. (2020). The landscape of cognitive function in recovered COVID-19 patients. Journal of Psychiatric Research, 129, 98–102.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centre for Health Equity Monitoring Foundation, Phitsanulok, Thailand

    Supasit Pannarunothai

Authors
  1. Supasit Pannarunothai
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. College of Local Administration, Khon Kaen University, Khon Kaen, Thailand

    Pennee Narot

  2. College of Local Administration, Khon Kaen University, Khon Kaen, Thailand

    Narong Kiettikunwong

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pannarunothai, S. (2021). Equity in Health Services for Ageing. In: Narot, P., Kiettikunwong, N. (eds) Education for the Elderly in the Asia Pacific. Education in the Asia-Pacific Region: Issues, Concerns and Prospects, vol 59. Springer, Singapore. https://doi.org/10.1007/978-981-16-3326-3_14

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-3326-3_14

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-3325-6

  • Online ISBN: 978-981-16-3326-3

  • eBook Packages: EducationEducation (R0)

Publish with us

Policies and ethics

Search

Navigation