2019冠状病毒病引发老年人政策行动创新?来自亚洲的证据

IF 5.7 1区 社会学 Q1 POLITICAL SCIENCE Policy and Society Pub Date : 2022-01-21 DOI:10.1093/polsoc/puab012
Stuart A. Gietel-Basten, K. Matus, R. Mori
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引用次数: 3

摘要

COVID-19对老年人产生了不成比例的影响,因为他们对疾病的易感性和死亡率增加,同时也造成了获得医疗保健的障碍、社会孤立、心理和经济负担。政策反应提供了一个机会来了解这场危机的需求是否导致了政策创新的发展,以满足人口老龄化的需求。我们分析了国际助残会在阿富汗、孟加拉国、印度、伊朗、日本、韩国、缅甸、巴基斯坦和越南收集的政策说明性语料库。我们确定了大流行期间影响老年人的不同政策类型。我们还通过研究不同的跨部门和多部门合作模式,以及这些多参与者安排最常见的政策类型,观察了这些政策对范例政策变化的支持程度。根据我们的分析,我们确定了两个主要领域,其中应对COVID-19的政策最有可能在亚洲带来更持久的创新。首先是升级基础设施,以确保获得福利,并发展远程和家门口的银行业务。第二个领域是福祉和照料支助,例如制订方案,提供更多的服务,支持居家老年人,包括远程医疗、医疗和其他用品交付服务,以及为老年人及其照料者提供远程支助。这些变化虽然重要,但符合政策变化的“加速”模式,即加快应对COVID-19并扩大符合当前体制和组织结构的规划。
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COVID-19 as a trigger for innovation in policy action for older persons? Evidence from Asia
COVID-19 has had a disproportionate impact on older people, in terms of their susceptibility to the disease and increased fatality rates, while also by creating barriers to health care access, social isolation, psychological and financial burdens. Policy responses provide an opportunity to understand whether the demands of this crisis have led to the development of policy innovations to meet the needs of aging populations. We analyzed an illustrative corpus of policies collected by HelpAge International across Asia in Afghanistan, Bangladesh, India, Iran, Japan, Korea, Myanmar, Pakistan, and Vietnam. We identified different policy types that impacted older persons during the pandemic. We also observed the degree to which these policies support arguments for paradigmatic policy changes by examining different models of intersectoral and multisectoral collaborations, and the kinds of policies where these multiactor arrangements were the most common. From our analysis, we identify two main areas where COVID-19 policies are most likely to lead to more long-lasting innovation in Asia. The first is in the upgrading of infrastructures to ensure access to benefits, and to develop remote and doorstep banking. The second area is well-being and caring support, such as the development of programs to provide increased services to support home-based older persons, including telemedicine, delivery services for medical and other supplies, and remote support for older persons and their carers. These changes, while important, are consistent with “acceleration” models of policy change, where COVID-19 responses sped up, and scaled up, programs consistent with current institutional and organizational structures.
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来源期刊
Policy and Society
Policy and Society Multiple-
CiteScore
18.00
自引率
6.50%
发文量
43
审稿时长
30 weeks
期刊介绍: Policy and Society is a prominent international open-access journal publishing peer-reviewed research on critical issues in policy theory and practice across local, national, and international levels. The journal seeks to comprehend the origin, functioning, and implications of policies within broader political, social, and economic contexts. It publishes themed issues regularly and, starting in 2023, will also feature non-themed individual submissions.
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