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Service delivery reforms for Asian ageing societies: a cross-country study between Japan, South Korea, China, Thailand, Indonesia, and the Philippines
- Authors:
- NODA Shinichiro, et al
- Journal article citation:
- International Journal of Integrated Care, 21(2), 2021, p.1. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Japan’s health policies to address the most advanced-aged society have been the target of focus in Asia, but no studies have investigated this issue using tools for cross-country comparisons. Theory and methods: A cross-country study design was used to compare healthcare reform policies with a framework in Japan, Korea, Thailand, China, Indonesia, and the Philippines. Data were collected via document reviews and key informant interviews. Results: Three distinctions were identified. First, all countries except for the Philippines have policy decisions regarding reforms for the existing service delivery systems for healthcare, long-term care and welfare. Second, the most extensive service delivery reform is currently being implemented in Japan, whose system is shifting to primary health care. Third, the direction of the transformation of service delivery system is different between Thailand and China despite a similar level of ageing society. China has made progress on facility-based care integration between health and social care, whereas Thailand is focusing on home-based care. Conclusions and discussion: Doctor and hospital-based healthcare delivery system requires more drastic reform for an aged society. This fact implies that strengthening primary health care is not only useful for current health issues but also an investment for the aged society near future in low- and middle-income countries. (Edited publisher abstract)
Financial security protections in Malaysia, Singapore and Philippines: a perspective of two generations
- Authors:
- MOHD Saidatulakmal, et al
- Journal article citation:
- Hong Kong Journal of Social Work, 44(2), Winter 2010, pp.89-104.
- Publisher:
- World Scientific Publishing Company
- Place of publication:
- Singapore
Southeast Asian countries are experiencing a rapid aging of the population. This study investigated the formal and informal financial security protections of the elderly and how that compares with financial security preparedness of the younger generations in Malaysia, Singapore and the Philippines. The role of family support as important source of old-age protection in Asian countries was also investigated. Data were collected by means of interviews of working people aged 18 to 59 years and elderly people aged over 60 years in all 3 countries. The participants were: 250 working and 250 elderly people in Kuala Lumpur, Malaysia; 250 working and 250 elderly people in Manila, Philippines; and 206 working and 161 elderly people throughout Singapore. Venn diagrams were constructed to analyse the overlapping of availability of the various financial security protections for the 2 generations and their relative sizes among the 3 regions. The findings showed similar financial protection in all 3 countries. There was general agreement on the inadequacy of the formal old-age benefits, and many participants reverted to informal protections such as insurance, savings and family support. With the exception of Manila, reliance on the family support as perceived by the younger generations has lost its importance.
Community empowerment: a reader in participation and development
- Editors:
- CRAIG Gary, MAYO Marjorie
- Publisher:
- Zed Books
- Publication year:
- 1995
- Pagination:
- 229p.,bibliogs.
- Place of publication:
- London
Reviews contemporary campaigns for community participation and empowerment with examples from Europe, the USA, Australia, South and South East Asia, Latin America and Africa. Critically assesses developments in the mixed economy of welfare in terms of their relevance for self-help and community participation. Considers the concept of empowerment and its relation to public policy and developments within social movements. Includes case studies.
Rivers of pain, bridges of hope: a selection of articles
- Author:
- DAVIS Leonard
- Publisher:
- Writers' and Publishers' Cooperative
- Publication year:
- 1987
- Pagination:
- 329p.
- Place of publication:
- Hong Kong