Health care strategies for the elderly: a global overview

Main Article Content

Margareth Santos de Amorim
https://orcid.org/0000-0002-7112-1980
Thaiza Teixeira Xavier Nobre
https://orcid.org/0000-0002-8673-0009

Abstract

Population aging is a global challenge for health systems. This study analyzed healthcare strategies for the elderly in several countries, focusing on promoting healthy aging, managing chronic diseases, ensuring equitable access, and providing social support. In Brazil, the Unified Health System (SUS) offers universal coverage but faces financial challenges. In Germany, social insurance covers the majority, with an emphasis on care integration. Australia, Canada, Spain, Japan, Sweden, Norway, and Italy have universal tax-financed systems. In the US, there are public programs and private insurance, although cost challenges persist. France has mandatory social insurance, while England has a tax-funded NHS. The Netherlands combines mandatory insurance with government regulation. The study concludes that integrating care, prevention, and health technologies is essential for improving the quality of life for the elderly.



Article Details

How to Cite
1.
Margareth Santos de Amorim, Thaiza Teixeira Xavier Nobre. Health care strategies for the elderly: a global overview. HSJ [Internet]. 2025 Mar. 11 [cited 2025 Mar. 23];15:e1571. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1571
Section
NARRATIVE REVIEW

References

Placideli N, Bocchi S. Modelos de atenção integral para idosos no mundo: revisão da literatura. Physis. 2021;31(3):e310326. http://doi.org/10.1590/s0103-73312021310326. DOI: https://doi.org/10.1590/s0103-73312021310326

Silva C. Challenges of financial sustainability in the Brazilian health system. Cad Saude Publica. 2019;35(4):e00012319.

Brasil. Lei nº 10.741, de 1º de outubro de 2003. Dispõe sobre o Estatuto do Idoso e dá outras providências [Internet]. Diário Oficial da União; Brasília; 3 out. 2003 [cited 2024 Jan 10]. Available from: https://www.planalto.gov.br/ccivil_03/leis/2003/ l10.741.htm

Tanaka H, Mori K. Aging population and healthcare system in Japan. J Gerontol Geriatr Res. 2020;9(2):1-5.

Müller R, Schmidt A. Long-term care in Germany: challenges and strategies. Health Policy. 2018;122(8):789-95.

Smith J, Medalia C. Health insurance coverage in the United States: 2019. Suitland: U.S. Census Bureau; 2020.

Moraes L, Almeida M, Santos P. Integration between SUS and SUAS in elderly care: barriers and perspectives. Rev Bras Geriatr Gerontol. 2019;22(3):e190001.

Amaral FLJS, Motta MHA, Silva LPG, Alves SB. Factors associated with difficulty of access of the elderly with disabilities to the health services. Cien Saude Colet. 2012;17(11):2991-3001. http:// doi.org/10.1590/S1413-81232012001100016. PMid:23175306. DOI: https://doi.org/10.1590/S1413-81232012001100016

Lima-Costa MF, Barreto S, Giatti L, Uchôa E. Socioeconomic circumstances and health among the Brazilian elderly: a study using data from a National Household Survey. Cad Saude Publica. 2003;19(3):745-57. http://doi.org/10.1590/S0102- 311X2003000300007. PMid:12806478. DOI: https://doi.org/10.1590/S0102-311X2003000300007

World Health Organization. Ageing and health [Internet]. Geneva: WHO; 2021 [cited 2025 Jan 11]. Available from: https:// www.who.int/news-room/fact-sheets/detail/ageing-and-health

Oliveira AC, Santos RF. Models of health care for the elderly: a comparative review. Cad Saude Publica. 2019;35(4):e00012318. PMid:31066777.

Souza ER, Lima ML. Health care strategies for the elderly: a narrative review. Braz J Geriatr Gerontol. 2018;21(3):345-56.

Santos CTB, Andrade LOM, Silva MJ, Sousa MF. Elderly people’s journey in health care networks: a link to be built. Physis. 2016;26(1):45-62. http://doi.org/10.1590/S0103- 73312016000100005. DOI: https://doi.org/10.1590/S0103-73312016000100005

Arsenijevic J, Groot W. Health promotion policies for elderly: some comparisons across Germany, Italy, the Netherlands and Poland. Health Policy. 2022;126(1):69-73. http://doi. org/10.1016/j.healthpol.2020.01.013. PMid:32113665. DOI: https://doi.org/10.1016/j.healthpol.2020.01.013

Brasil. Ministério da Saúde. Agência Nacional de Saúde. Experiences of financing health care for the elderly in selected countries. Brasília: ANS; 2011.

Brandão JRM. The Canadian primary health care system(s) from a Brazilian perspective: discussing the Starfield attributes. Cien Saude Colet. 2020;25(4):1413-20. PMid:32267442.

Sacardo DP, Fortes PAC, Tanaka OY. New perspectives on the management of the Spanish health system. Saude Soc. 2010;19(1):170-9. http://doi.org/10.1590/S0104- 12902010000100014. DOI: https://doi.org/10.1590/S0104-12902010000100014

Pinto RMF, Garcia MSMP, Gonçalves AMS. The American health system and its legal aspects. Intr@ciência [Internet]. 2020 [cited 2024 Jul 19];19:1-9. Available from: https://uniesp.edu. br/sites/_biblioteca/revistas/20200522114101.pdf

Reeves C, Islam A, Gentry T. The state of health and care of older people, 2023 (abridged) [Internet]. London: AgedUK; 2023 [cited 2024 Jul 18]. Available from: https://www.ageuk.org. uk/globalassets/age-uk/documents/reports-and-publications/ reports-and-briefings/health--wellbeing/age-uk-briefing-state-of-health-and-care-july-2023-abridged-version.pdf

Petroni TN, Nunes DP, Duarte YAO, Watanabe HAW, Lebrão ML. Non-Japanese, Japanese and Japanese descendant older adults in the Health, Wellbeing and Aging Study: functional and health conditions. Rev Bras Epidemiol. 2019;21(21, Suppl 2):e180005. PMid:30726350. DOI: https://doi.org/10.1590/1980-549720180005.supl.2

Docteur E, Coulter A. Patient-centeredness in Sweden’s health system: an external assessment and six steps for progress. Highlight report [Internet]. Stockholm: Vardanalys; 2012 [cited 2024 Jul 21]. Available from: https://papers.ssrn.com/ sol3/papers.cfm?abstract_id=2306631

Esmail N. Health care lessons from Switzerland [Internet]. Vancouver: Fraser Institute; 2013 [cited 2024 Jul 21]. Available from: https://papers.ssrn.com/sol3/papers.cfm?abstract_ id=2318049

Barbabella F, Cela E, Socci M, Lucantoni D, Zannella M, Principi A. Active aging in Italy: a systematic review of national and regional policies. Int J Environ Res Public Health. 2022;19(1):600. http://doi.org/10.3390/ijerph19010600. PMid:35010853. DOI: https://doi.org/10.3390/ijerph19010600

Perera DAK. A review of the Norwegian health care system. Int J Sci Res Publ. [Internet]. 2021 [cited 2024 Jul 21];11(8):1-10. Available from: https://www.ijsrp.org/research-paper-0821. php?rp=P11611518 DOI: https://doi.org/10.29322/IJSRP.11.08.2021.p11602

Seddon N. Is the future Dutch? Lancet. 2008;372(9633):103-4. http://doi.org/10.1016/S0140-6736(08)61016-8. PMid:18630340. DOI: https://doi.org/10.1016/S0140-6736(08)61016-8

Trintinaglia V, Bonamigo AW, Azambuja MS. Public health policies for healthy aging in Latin America: an integrative review. Rev Bras Promoç Saúde [Internet]. 2022 [cited 2024 Jul 18];35:e11762. Available from: https://ojs.unifor.br/RBPS/ article/view/11762 DOI: https://doi.org/10.5020/18061230.2021.11762

Teixeira CF, Santos JS, Souza LEPF, Paim JS. Sistema Único de Saúde (SUS): a difícil construção de um sistema universal na sociedade brasileira. In: Paim JS, Almeida-Filho N, editors. Saúde coletiva: teoria e prática. Rio de Janeiro: Medbook; 2014. p. 124-40.

Brasil. Better at home [Internet]. Brasília: Ministério da Saúde; 2022 [cited 2024 Jan 10]. Available from: https://www.gov.br/ saude/pt-br/composicao/saes/dahu/melhor-em-casa/programa-melhor-em-casa

Costa NR. The regulatory regime and the health insurance industry in Brazil. Cien Saude Colet. 2008;13(5):1453-62. http:// doi.org/10.1590/S1413-81232008000500011. PMid:18813648. DOI: https://doi.org/10.1590/S1413-81232008000500011

Brasil. Ministério da Saúde. Impact assessment of health policies: a guide for the SUS [Internet]. Brasília; 2023 [cited 2024 Jul 18]. Available from: https://bvsms.saude.gov.br/bvs/ publicacoes/avaliacao_impacto_politicas_saude_guia_sus.pdf

Moraes EN, Moraes FL. Technical note for organizing the health care network with a focus on primary health care and specialized outpatient care: health of the elderly [Internet]. São Paulo: Hospital Israelita Albert Einstein, Ministry of Health; 2019 [cited 2024 Jul 18]. Available from: https://atencaoprimaria. rs.gov.br/upload/arquivos/202001/03091212-nt-saude-do-idoso-planificasus.pdf