审查印度老年人口的卫生保健服务和将AYUSH纳入公共卫生系统的老年保健的可能性。

Ayu Pub Date : 2020-01-01 Epub Date: 2021-07-30 DOI:10.4103/ayu.AYU_172_16
Pallavi Suresh Mundada, Sakshi Sharma, Bharti Gupta, M M Padhi, Aparajit B Dey, K S Dhiman
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引用次数: 0

摘要

背景:在印度这样的发展中国家,60岁以上的人口占10.11%,预计到2050年将增长300%,老年人的医疗保健是一个巨大的挑战。发达国家已经发展出许多老年人护理模式,例如养老院护理、健康保险等。印度政府也在这方面采取了多项措施,包括1999年的《国家老年人政策》、2007年的《父母和老年人赡养和福利法》、2017年的《老年养老金计划》等。然而,印度必须迅速适应这些人口变化所造成的复杂的与健康有关的社会和经济挑战。这可能是卫生系统创新的一个机会,通过发展健康和积极老龄化的观点,尽管这是一个重大挑战。除非全面解决健康问题,即身体、社会、经济、心理和精神方面的问题,否则无法实现老年人的保健。目标:目标是研究印度目前有关老年保健的政策,并提出是否有可能制定一种模式,通过整合该国的传统和土著医学系统,向老年人口提供全面和专门的保健服务。材料和方法:电子检索各类科学期刊的研究和评论文章;电子和手动搜索会议记录,小册子,政府政策文件,新闻稿,阿育吠陀经典文本等,关于印度的老年医疗保健和其他国家的示范医疗保健设施,以及关于印度老年医疗保健的AYUSH系统。结果:国家卫生系统迫切需要适应和修改,以满足老年人的实际需求,制定计划和策略,致力于应对老年人的健康挑战。采用包容性卫生保健干预措施可以改善健康结果,使其更容易被接受、获得和负担得起。结论:在各级卫生保健提供系统中整合AYUSH可能有助于为印度老年保健领域提供独特的更新维度。
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Review of health-care services for older population in India and possibility of incorporating AYUSH in public health system for geriatric care.

Background: In a developing country like India, which has 10.11% population of >60 years age and a projection of rise of the same by 300% in 2050, health care of elderly is an enormous challenge. The developed world has evolved many models for elderly care, for example, nursing home care, health insurance, etc. Indian Government has also taken multiple measures in this direction by initiating National Policy on Older Persons, 1999, the Maintenance and Welfare of Parents and Senior Citizens Act, 2007, the Old Age Pension Scheme, Rashtriya Vayoshri Yojana 2017, etc. However, there is a necessity that, India must rapidly adapt to the complex health related, social and economic challenges caused by these demographic changes. This may be an opportunity for innovation in the health system by developing a perspective for healthy and active aging, though it is a major challenge. Health care of the older people cannot be achieved unless total health, i.e., physical, social, economic, psychological, and spiritual aspects are addressed.

Objective: The objective is to study current policies regarding geriatric health care in India and to propose the possibility to develop a model to provide comprehensive and dedicated health-care services to the older population by integrating conventional and indigenous systems of medicine dwelling in the country.

Materials and methods: Electronic search in various scientific journals for research and review articles; electronic along with hand searching of conference proceedings, brochures, government policy documents, press releases, Ayurveda classical texts, etc., regarding geriatric health care in India and model health-care facilities in other countries and regarding of AYUSH systems in geriatric health care in India.

Results: There is an urgent need of adaptation and modification in the National Health System to cater the actual requirements of the elderly with plans and strategies dedicated to face their health-related challenges. Adoption of inclusive health-care interventions, can improve health outcomes by making it more acceptable, accessible, and affordable.

Conclusion: Integration of AYUSH at various levels of health-care delivery system can potentially contribute to provide unique newer dimensions to the field of geriatric care in India.

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