Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

O enfrentamento do desafio complexo da prestação de serviços de saúde e sociais para populações com envelhecimento rápido: a introdução do conceito de “deslocamento residencial evitável”

Resolver el complejo desafío para la salud y atención social en poblaciones que envejecen rápidamente: introduciendo el concepto de “desplazamiento evitable desde el hogar”

Abstract:

The increasing numbers of people at very old ages pose specific policy challenges for health and social care and highlight the need to rethink established models of service provision. The main objective of this paper is to introduce the concept of “avoidable displacement from home” (ADH). The study argues that ADH builds on and adds value to existing concepts, offering a holistic, person-centered framework for integrated health and social care provision for older people. It also demonstrates that this framework can be applied across different levels, ranging from macro policymaking to organizational and individual decision-making. The paper pays attention to the Brazilian context but argues that ADH is a universally applicable concept.

Keywords:
Aged; Intersectoral Collaboration; Comprehensive Health Care; Hospitalization