Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

Author:

Lloyd-Sherlock Peter1ORCID,Billings Jenny2ORCID,Aredes Janaína de Souza3ORCID,Freire Neto João Bastos4ORCID,Camarano Ana Amélia5ORCID,Macedo Coelho Filho João6ORCID,Firmo Josélia Oliveira Araújo3ORCID,Kalache Alexandre7ORCID,Macinko James8ORCID,Sempé Lucas1ORCID,Giacomin Karla Cristina9ORCID

Affiliation:

1. University of East Anglia, United Kingdom

2. University of Kent, United Kingdom

3. Fundação Oswaldo Cruz, Brazil

4. Secretaria Municipal de Saúde de Fortaleza, Brazil

5. Instituto de Pesquisa Econômica Aplicada, Brasil

6. Universidade Federal do Ceará, Brazil

7. Centro Internacional de Longevidade, Brasil

8. University of California, USA

9. Secretaria Municipal de Saúde de Belo Horizonte, Brazil

Abstract

Abstract: The increasing numbers of people at very old ages pose specific policy challenges for health and social care and highlight the need to rethink established models of service provision. The main objective of this paper is to introduce the concept of “avoidable displacement from home” (ADH). The study argues that ADH builds on and adds value to existing concepts, offering a holistic, person-centered framework for integrated health and social care provision for older people. It also demonstrates that this framework can be applied across different levels, ranging from macro policymaking to organizational and individual decision-making. The paper pays attention to the Brazilian context but argues that ADH is a universally applicable concept.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health

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