Provision of Health Service and Community Care for the Elderly: Intergenerational Roles and Equity

Facing an ageing population, priorities in elderly care has changed from a narrow focus on acute and secondary care to a broader framework of disease prevention and community care which is founded on a lifecourse approach from an individual patient as unit. Living well in the community for older people requires a supportive environment and intergenerational support. Thus, understanding what and how intergenerational factors mediate the quality of life especially in the lifecourse approach is crucial so that policy-makers are better equipped to formulate policies on healthy ageing.  

This project aims to explore intergenerational roles of different stakeholders and equity in health services and community care for older people from the perspectives of service delivery, financing and policy across different health systems in different countries by conducting a systematic literature review and cross-national comparative analysis. There are three main research questions: 1) what is the intergenerational role in health service delivery and health financing; 2) what are the issues relating to intergenerational equity; and 3) what are the barriers and facilitators for intergenerational interaction that may contribute to sustainable health systems in an ageing population? The research team has done a scoping review on identified keywords to extract relevant information of various databases in medical areas, social science and grey literature between 1980 and 2016 for providing insights on the research questions. Screening over 3000 articles, the team identified several themes relating to the intergenerationality in the health system. Further works will be synthesized extracted information from the relevant studies for the research questions.

The findings will help 1) identify knowledge gaps on the intergeneration relationship that impacts on health service delivery, financing and policy, 2) understand the value of intergenerational solidarity, and 3) provide insights on similarities and differences between countries with various income levels and cultural context. These findings will be useful in formulating policy recommendations, maximizing optimal health development and maintaining sustainability of health systems internationally. Equally important, the findings are expected to contribute to the development of a lifecourse approach from a new paradigm that will expand the views from different stages of an individual to transitions between different generations. This would strengthen the approach on the population health and provide an alternative way on sustainability towards healthy ageing.

The Chinese University of Hong Kong: Prof. E.K. Yeoh, Director, JC School of Public Health & Primary Care

The Chinese University of Hong Kong: Prof. Roger Chung, Research Assistant Professor, JC School of Public Health & Primary Care

The Chinese University of Hong Kong: Dr Janice Lau, Postdoctoral Fellow, JC School of Public Health & Primary Care

The University of Auckland: Dr. Kathryn Peri, Senior Lecturer, School of Nursing

The University of Auckland: Dr. Gary Cheung, Senior Lecturer & Old Age Psychiatrist, School of Medicine

The University of Auckland: Dr. M. Claire Dale, Research Fellow, Retirement Policy & Research Centre

The University of Auckland: Mr. Roy Lay-Yee, Senior Research Fellow, Centre of Methods & Policy Application in the Social Sciences

University of Bergen: Prof. Bettina HusebØ, Associate Professor, Centre for Elderly & Nursing Home Medicine, Dept of Global Public Health & Primary Care

University of Bergen: Prof. Elisabeth Flo, Associate Professor, Department for Clinical Psychology

The University of Sheffield: Dr. Praveen Thokala, Research Fellow, Health Economics & Decision Science, School of Health & Related Research

The University of Western Australia: Prof. Christopher Etherton-Beer, Associate Professor, WA Centre for Health & Ageing

The University of Western Australia: Prof. Loretta Baldassar, Associate Professor & Discipline Chair of Anthropology & Sociology, School of Social Sciences

The University of Western Australia: Dr Adele Millard, Research Associate, School of Social Sciences

Alexandra Health System, Singapore: Dr. Wong Sweet Fun, Chief Transformation Officer

Alexandra Health System, Singapore: Dr. Wong Chek Hooi, Deputy Executive Director

Public Health (Non-communicable Disease)