Abstract
The demand for healthy old-age care is growing rapidly in China. The traditional old-age care model can no longer meet elderly patients’ demands for medical care and old-age care. To promote the development of medical care-integrated old-age care, a solution covering multiple aspects is necessary. In the context of the global development of healthy aging, China recently issued many policies to integrate old-age care with medical care, establishing protection for a large number of disabled elderly people. The Integrated Care of Older People (ICOPE) project is an international program developed by the World Health Organization. This paper reviews China’s medical and old-age care integration model and the opportunities and challenges in implementing the ICOPE in the context of healthy aging in China.
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References
Fang EF, Xie C, Schenkel JA, et al. A research agenda for ageing in China in the 21st century (2nd edition): Focusing on basic and translational research, long-term care, policy and social networks. Ageing Res Rev. 2020;64. doi:https://doi.org/10.1016/j.arr.2020.101174
Life expectancy of Chinese rises to 77.3 years. http://en.nhc.gov.cn/2020-06/07/c_80662.htm. Accessed December 25, 2020.
The World Population Prospects: 2015 Revision ∣ Latest Major Publications — United Nations Department of Economic and Social Affairs. https://www.un.org/en/development/desa/publications/world-population-prospects-2015-revision.html. Accessed December 25, 2020.
Aronson L. Healthy Aging Across the Stages of Old Age. Clin Geriatr Med. 2020;36(4):549–558. doi:https://doi.org/10.1016/j.cger.2020.06.001
Daniel KM. Best Practices for Promoting Healthy Aging. Clin Geriatr Med. 2020;36(4):713–718. doi:https://doi.org/10.1016/j.cger.2020.06.012
Li X, Lu J, Hu S, et al. The primary health-care system in China. Lancet. 2017;390(10112):2584–2594. doi:https://doi.org/10.1016/S0140-6736(17)33109-4
Decade of Healthy Ageing. https://www.who.int/initiatives/decade-of-healthy-ageing. Accessed December 25, 2020.
WHO. WHO ∣ Integrated care for older people (ICOPE): guidance for person-centred assessment and pathways in primary care. http://origin.who.int/ageing/publications/icope-handbook/en/. Published 2019. Accessed June 16, 2020.
Zeng Y, Hesketh T. The effects of China’s universal two-child policy. Lancet. 2016;388(10054):1930–1938. doi:https://doi.org/10.1016/S0140-6736(16)31405-2
Yip W, Fu H, Chen AT, et al. 10 years of health-care reform in China: progress and gaps in Universal Health Coverage. Lancet. 2019;394(10204):1192–1204. doi:https://doi.org/10.1016/S0140-6736(19)32136-1
Beard JR, Officer A, De Carvalho IA, et al. The World report on ageing and health: A policy framework for healthy ageing. Lancet. 2016;387(10033):2145–2154. doi:https://doi.org/10.1016/S0140-6736(15)00516-4
WHO ∣ Integrated care for older people (ICOPE): guidance for person-centred assessment and pathways in primary care. WHO. 2020. http://www.who.int/ageing/publications/icope-handbook/en/. Accessed July 3, 2020.
Briggs AM, Araujo de Carvalho I. Actions required to implement integrated care for older people in the community using the World Health Organization’s ICOPE approach: A global Delphi consensus study. Van Bogaert P, ed. PLoS One. 2018;13(10):e0205533. doi:https://doi.org/10.1371/journal.pone.0205533
Barreto P de S, Guyonnet S, Ader I, et al. The Inspire Research Initiative: A Program for Geroscience and Healthy Aging Research going from Animal Models to Humans and the Healthcare System. J Frailty Aging. April 2020:1–8. doi:https://doi.org/10.14283/jfa.2020.18
Takeda C, Guyonnet S, Sumi Y, Vellas B, Araujo de Carvalho I. Integrated Care for Older People and the Implementation in the INSPIRE Care Cohort. J Prev Alzheimer’s Dis. 2020;7(2):70–74. doi:https://doi.org/10.14283/jpad.2020.8
Framework Implementation of the INSPIRE ICOPE-CARE Program in Collaboration with the World Health Organization (WHO) in the Occitania Region. J Frailty Aging. 2020:1–7. doi:https://doi.org/10.14283/jfa.2020.26
Ma L, Chhetri JK, Zhang Y, et al. Integrated Care for Older People (ICOPE) Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings from ICOPE Pilot in China. Front Med. 2020;7:852. doi:https://doi.org/10.3389/FMED.2020.576079
Chhetri JK, Ma L, Woo J, Chan P. Geriatric medicine in China: an old but emerging subspecialty. Age Ageing. August 2020. doi:https://doi.org/10.1093/ageing/afaa157
Yu P, Liu X, Wang J. Geriatric medicine in China: The past, present, and future. Aging Med. 2018;1(1):46–49. doi:https://doi.org/10.1002/agm2.12008
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This work was supported by the National Key R&D Program of China (2017YFBI401200, 2017YFBI401201, 2017YFBI401202)
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Zhou, Y., Li, Y., Zhu, X. et al. Medical and Old-Age Care Integration Model and Implementation of the Integrated Care of Older People (ICOPE) in China: Opportunities and Challenges. J Nutr Health Aging 25, 720–723 (2021). https://doi.org/10.1007/s12603-021-1595-5
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DOI: https://doi.org/10.1007/s12603-021-1595-5