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Carmen García-Peña1, Luis Miguel Gutiérrez-Robledo2, Rosa Estela García-Chanes3

  • 1Directora general, Instituto Nacional de Geriatría. Ciudad de México, México.. mcgarciapena@gmail.com.

Salud Publica De Mexico
|February 20, 2025
PubMed
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This study advocates for prioritizing older adults in national care systems, recognizing care as a right. It proposes a new framework for assessing dependency and integrating health and social care for an aging population.

Area of Science:

  • Gerontology
  • Public Health Policy
  • Social Care Systems

Background:

  • The national care system debate often overlooks the needs of older adults, focusing instead on gender and child care.
  • Growing aging population and increasing health needs necessitate a re-evaluation of care provision.
  • Existing long-term care systems in Mexico are underdeveloped.

Purpose of the Study:

  • To support the development of a care agenda that prioritizes older adults.
  • To establish care as a fundamental right and analyze the burden of illness on dependency.
  • To propose a novel approach to calculating dependency beyond Activities of Daily Living (ADL).

Main Methods:

  • Conceptual analysis of care, distinguishing between long-term care and palliative care.

Related Experiment Videos

  • Critique of current dependency assessment metrics.
  • Review of national and intergenerational care systems, particularly long-term care in Mexico.
  • Main Results:

    • A significant gap exists in long-term care systems for older adults in Mexico.
    • Current dependency assessment methods may not fully capture the complexity of care needs.
    • Integrating health and social care systems is crucial for addressing the needs of an aging population.

    Conclusions:

    • A comprehensive care agenda must explicitly include and prioritize older adults.
    • Rethinking dependency assessment and strengthening long-term care infrastructure are essential.
    • Policy recommendations include legislation for residences, training, and community-based care approaches.