Volume 19, Issue 3 (Autumn-In Press 2024)
Salmand: Iranian Journal of Ageing 2024, 19(3): 0-0 |
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Hajizadeh A, Albelbeisi A H, Tajvar M. The Influences of Population Ageing on Functions of Health System: A Systematic Review. Salmand: Iranian Journal of Ageing 2024; 19 (3)
URL: http://salmandj.uswr.ac.ir/article-1-2640-en.html
URL: http://salmandj.uswr.ac.ir/article-1-2640-en.html
1- Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
2- Medical Services Direction, Gaza Strip, Palestine.
3- Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. ,mtajvar@sina.tums.ac.ir
2- Medical Services Direction, Gaza Strip, Palestine.
3- Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. ,
Abstract: (1207 Views)
Objectives: Considering the rapid growth of the proportion of elderly people in societies and since the elderly are the main consumers of health services and the main clients of the health system, it is important to address the effects of the ageing population on the health system. The main goal of this study was to review the evidence related to the influences of population ageing on various functions of the health system, including stewardship, financing, creating resources, and delivering of health services.
Materials and methods: This systematic review was conducted through searching databases including PubMed, Web of Science (WoS), ProQuest and Google Scholar search engines from 2000 to 2022. In this search, a combination of the keywords of *, Impact, role, Affect, Old*, Elderly, Aging, Ageing, Senior, "Population aging", "Population ageing", "ageing society", "aging society", "old society", "older adult*", "Health system", "Healthcare", "Health care", "Health service*", "Health delivery", "Health sector", "Health financ*", "Health cost", "Health resource*" and "Medic*". Quality evaluation of selected articles was done with STROBE checklist. To analyze the extracted data, the framework analysis method based on the health system model of the World Health Organization was used.
Findings: Among 1954 identified articles initially, 23 articles were selected after the screening process based on inclusion and exclusion criteria. In the function of stewardship, the influences related to the aspects of management and policy making and the increased need to respond to the growing needs of the health of the elderly. The influences of ageing in the function of financing included an increase in the financial burden and the need to provide financial resources. In the creating resource's function, the influences of ageing were classified in the categories related to human, information and physical resources. The influences on demand, the complexity of service provision and how to provide them to elderly were the main-themes of the function of providing health services.
Conclusion: The influences of the phenomenon of population ageing on all the functions of the health system, especially the function of financing, are inevitable, so that the increase in the aging of the population is associated with the increase in health costs. Policy makers and managers of the health system should use practical strategies to strengthen the health system against the effects of population ageing.
Materials and methods: This systematic review was conducted through searching databases including PubMed, Web of Science (WoS), ProQuest and Google Scholar search engines from 2000 to 2022. In this search, a combination of the keywords of *, Impact, role, Affect, Old*, Elderly, Aging, Ageing, Senior, "Population aging", "Population ageing", "ageing society", "aging society", "old society", "older adult*", "Health system", "Healthcare", "Health care", "Health service*", "Health delivery", "Health sector", "Health financ*", "Health cost", "Health resource*" and "Medic*". Quality evaluation of selected articles was done with STROBE checklist. To analyze the extracted data, the framework analysis method based on the health system model of the World Health Organization was used.
Findings: Among 1954 identified articles initially, 23 articles were selected after the screening process based on inclusion and exclusion criteria. In the function of stewardship, the influences related to the aspects of management and policy making and the increased need to respond to the growing needs of the health of the elderly. The influences of ageing in the function of financing included an increase in the financial burden and the need to provide financial resources. In the creating resource's function, the influences of ageing were classified in the categories related to human, information and physical resources. The influences on demand, the complexity of service provision and how to provide them to elderly were the main-themes of the function of providing health services.
Conclusion: The influences of the phenomenon of population ageing on all the functions of the health system, especially the function of financing, are inevitable, so that the increase in the aging of the population is associated with the increase in health costs. Policy makers and managers of the health system should use practical strategies to strengthen the health system against the effects of population ageing.
Keywords: Ageing population, Health system, Stewardship, Financing, Creating resource, Delivering services
Type of Study: Research |
Subject:
gerontology
Received: 2023/06/07 | Accepted: 2023/12/24 | Published: 2024/10/10
Received: 2023/06/07 | Accepted: 2023/12/24 | Published: 2024/10/10
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