Integrated Community-Based Health and Social Care Interventions for Older People: A Key Policy Priority for All Countries; Comment on “The Effect of Integrated Care After Discharge From Hospitals on Outcomes Among Korean Older Adults”

Articles in Press

Document Type : Commentary

Author

School of Healthcare and Nursing Sciences, Northumbria University, Newcastle upon Tyne, UK

Abstract

This paper situates Choi and Yoo’s study within broader sets of policy challenges related to rapid increases in numbers of older people in need of long-term care (LTC). These challenges include a need to fundamentally transform health services and to develop fully integrated systems of health and LTC for older people. The paper argues that Korea’s Integrated Pilot Project (IPP) is a key step in this direction, along with similar interventions in Thailand and Brazil. Choi and Yoo’s study adds to a wider body of evidence that these interventions enhance health system efficiency at the same time as improving the lives of older people and their family caregivers.

Keywords

References

  1. Choi JW, Yoo AJ. The effect of integrated care after discharge from hospitals on outcomes among Korean older adults. Int J Health Policy Manag. 2024;13:7997. doi:34172/ijhpm.2023.7997
  2. World Health Organization (WHO). Progress report on the United Nations Decade of Healthy Ageing, 2021-2023. Geneva: WHO; 2023. https://www.who.int/publications/i/item/9789240079694
  3. Hone T, Macinko J, Millett C. Revisiting Alma-Ata: what is the role of primary health care in achieving the Sustainable Development Goals? Lancet. 2018;392(10156):1461-1472. doi:1016/S0140-6736(18)31829-4
  4. Chokshi DA, Cohen L. Progress in primary care-from Alma-Ata to Astana. JAMA. 2018;320(19):1965-1966. doi:1001/jama.2018.16957
  5. Naser AY. Hospitalisation profile in England and Wales, 1999 to 2019: an ecological study. BMJ Open. 2023;13(4):e068393. doi:1136/bmjopen-2022-068393
  6. Maarse JA, Jeurissen PP. The policy and politics of the 2015 long-term care reform in the Netherlands. Health Policy. 2016;120(3):241-245. doi:1016/j.healthpol.2016.01.014
  7. Lloyd-Sherlock P, Billings J, Aredes JS, et al. Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of "avoidable displacement from home." Cad Saude Publica. 2020;36(3):e00162819. doi:1590/0102-311X00162819
  8. Reed S, Oung C, Davies J, et al. Integrating health and social care. A comparison of policy and progress across the four countries of the UK. Nuffield Trust Research Report 2021. https://www.nuffieldtrust.org.uk/sites/default/files/2021-12/integrated-care-web.pdf.
  9. Kim H, Lim W. Long-term care insurance, informal care, and medical expenditures. Journal of Public Economics. 2015;125:128-142.
  10. Surate Solaligue DE, Hederman L, Martin CM. What weekday? How acute? An analysis of reported planned and unplanned GP visits by older multi-morbid patients in the Patient Journey Record System database. J Eval Clin Pract. 2014;20(4):522-526. doi:1111/jep.12171
  11. Andrade V, dos Santos K, Dantas J, Dantas D, Assis Neves Dantas R. Cuidados de urgencia e emergencia ao idoso na assitencia pre-hospitalar: revisao de escopco. 2019. https://www.researchgate.net/publication/342338855_CUIDADOS_DE_URGENCIA_E_EMERGENCIA_AO_IDOSO_NA_ASSISTENCIA_PRE-HOSPITALAR_REVISAO_DE_ESCOPO.
  12. Lee G, Kim C. Social isolation and mental well-being among Korean older adults: a focus on living arrangements. Front Public Health. 2024;12:1390459. doi:3389/fpubh.2024.1390459
  13. Park E, Kim N, Ta Park VM, Rhee Y. Caregiving for community-dwelling older persons in South Korea: current formal and informal care use and expectation. J Appl Gerontol. 2020;39(4):398-403. doi:1177/0733464819866360
  14. Mas M, Inzitari M, Sabaté S, Santaeugènia S, Miralles R. Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care. Age Ageing. 2017;46(6):925-931.
  15. Glinskaya E, Walker T, Wanniarachchi T. Caring for Thailand’s Aging Population. Washington, DC: World Bank; 2021. https://openknowledge.worldbank.org/server/api/core/bitstreams/c72dd727-e785-5748-a33b-83782b8da182/content.
  16. Lloyd-Sherlock P, Fialho de Carvalho P, Giacomin K, Sempe L. Technical Report on Programa Maior Cuidado, Brazil. Washington, DC: Inter-American Development Bank; 2024.  https://publications.iadb.org/en/programa-maior-cuidado-integrated-community-based-intervention-care-older-people.
  17. Lloyd-Sherlock P, Fialho de Carvalho P, Giacomin K,  Sempé L. Addressing pressures on health services in Belo Horizonte, Brazil through community-based care for poor older people: a qualitative study. Lancet Reg Health Am. 2023;27:100619. doi:1016/j.lana.2023.100619
International Journal of Health Policy and Management

Articles in Press, Corrected Proof
Available Online from 20 August 2025

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History

  • Received Date: 27 February 2025
  • Revised Date: 14 August 2025
  • Accepted Date: 17 August 2025
  • First Published Date: 20 August 2025

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