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What Defines an Age-Friendly Health System? Comment on "Developing a Conceptual Framework for an Age-Friendly Health

Margaret Wallhagen¹

¹Department of Physiological Nursing, School of Nursing, University of California, San Francisco, CA, USA.

International Journal of Health Policy and Management

|April 12, 2026

Summary

This commentary examines the concept of age-friendly health systems, questioning its definition and integration into a lifespan health perspective. It highlights the need for clarity on operationalizing age-friendly environments and their outcomes.

Keywords:

Age-Friendly Health Systems Conceptual Frameworks Health Systems Healthy Aging Life-Span

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Area of Science:

Gerontology
Health Policy
Healthcare Management

Background:

Growing aging population necessitates adaptable environments and healthcare.
The concept of an "age-friendly health system" has gained recent attention.
Existing frameworks for age-friendly environments lack consistent operationalization and outcome data.

Purpose of the Study:

To critically discuss the conceptual framework of age-friendly health systems proposed by Karami et al. (2023).
To explore the definition and meaning of "age-friendly" in healthcare.
To examine the integration of age-friendly concepts within a life-span health perspective.

Main Methods:

Conceptual analysis and commentary.
Discussion of a specific framework published in the International Journal of Health Policy and Management.
Literature review and critical evaluation of existing theories.

Main Results:

The commentary identifies ambiguity in the definition of "age-friendly."
It highlights variability in the operationalization of age-friendly environments.
The need for more data on the outcomes of age-friendly health systems is emphasized.

Conclusions:

Further clarification is needed on the core components and meaning of an age-friendly health system.
Integrating age-friendly principles requires a comprehensive life-span approach to health.
The current conceptualization may not fully address the diverse needs of older adults.