Publication:
Older People’s Health and Long-Term Care During COVID-19: Impacts and Policy Responses

Loading...
Thumbnail Image
Files in English
English PDF (1.82 MB)
248 downloads
English Text (99.22 KB)
28 downloads
Date
2023-12-06
ISSN
Published
2023-12-06
Editor(s)
Abstract
This policy note examines the major impacts of COVID-19 on various aspects of older peoples’ lives and health and long-term care (LTC) systems. It also provides a close review and analysis of public health measures and their impact in seven countries: Japan, Germany, Republic of Korea (Korea), Thailand, Vietnam, the United Kingdom (UK, specifically England), and the United States (US). Globally, older people have been one of the most affected groups during the pandemic. An adequate response to the impact was neglected or delayed in many countries, hence there is a critical need for systems to be more prepared. To better protect the increasing population of older people with complex health and care needs under the current prolonged pandemic, as well as during future ones, countries with limited resources should continue to strengthen their extant community-based care systems and foster the engagement of families and civil society in elder care. These countries also need to establish formal LTC systems and increase financial and workforce capacities of their systems. Care innovations through digitalization can provide useful tools to improve system efficiency and coverage, but better evidence and further policy efforts are necessary for effective use of these tools in the development of inclusive and integrated health and care systems resilient to future pandemics. Quality, timely, comparable data is crucial to support policy making and evaluation of aged-care systems promoting the health and well-being of later life for all.
Link to Data Set
Citation
Kim, Hongsoo. 2023. Older People’s Health and Long-Term Care During COVID-19: Impacts and Policy Responses. Republic of Korea – World Bank Group Partnership On COVID-19 Preparedness and Response. © World Bank. http://hdl.handle.net/10986/40702 License: CC BY-NC 3.0 IGO.
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections

Related items

Showing items related by metadata.

  • Publication
    Long-Term Care Policies for Older Populations in New EU Member States and Croatia : Challenges and Opportunities
    (Washington, DC, 2010-11) World Bank
    The objective of this summary report is to highlight the main lessons learned from Organization for Economic Development and Co-operation (OECD) countries with advanced Long Term Care (LTC) policies and the implications for LTC policymaking in new European Union (EU) member states and Croatia. The first section examines the main findings from the framework report on the financing, provision and regulation of LTC services. The next section presents comparative findings from the four case study countries, including the demographic context for LTC services, the main features of the financing, provision and regulation of LTC services and the strengths and weaknesses of current LTC systems there. The last section identifies policy directions for the four case study countries. In terms of LTC benefits, none of the case study countries have a universal entitlement system combining home, community and institutional care. Rather, LTC benefits, both cash and in-kind, are limited and largely associated with the social assistance system. The lack of data on LTC expenditures mainly stems from the undefined position of LTC between the health and social sectors, which makes it difficult to accurately collect data.
  • Publication
    Russian Federation : The Demographic Transition and Its Implications for Adult Learning and Long-Term Care Policies
    (Washington, DC, 2011-01) World Bank
    This report describes the demographic transition in the Russian Federation and its implications for adult learning and long-term care policies. The population of Russia is aging and declining rapidly compared to other European nations. Russia's current age structure results from decades of complex demographic trends that have created a population structure with increasingly fewer young people. Women are having fewer children and are waiting longer to have children. Russia's mortality remains higher than in other developed societies. This high mortality is due to an unusually high incidence of non-communicable diseases (NCDs) and injuries among adult men. Two key challenges face Russia. The first challenge is whether public expenditure on pensions and health care will become unsustainable as the size of the elderly population increases. The second challenge is whether declining population sizes will reduce the size of the labor force and hence reduce economic growth.
  • Publication
    Shaping the Future : A Long-Term Perspective of People and Job Mobility in the Middle East and North Africa
    (Washington, DC, 2009-01) World Bank
    The objective of this study is to provide a long-term perspective for the ongoing policy dialogue on the management of labor migration in Europe and the Middle East and North Africa (MENA) countries. It is organized as follows. Chapter one puts the report and migration in the context of the economic and social development in MENA countries. Chapter two provides the historical context of MENA migration patterns and an overview of the presence and skill characteristics of migrants in Organization for Economic Co-operation and Development (OECD) countries today. This chapter also discusses the potential for insourcing, that is, migration of jobs into the region as an alternative or complement to labor migration. Chapter three analyzes the demand and supply framework for migration, the determinants of migration patterns, and the potential demand for labor in the European Union (EU), and the characteristics and trends of MENA labor supply. Chapter four looks to the worldwide impact of demographic and labor force developments in the decades ahead and their implications on labor and job mobility. The chapter analyzes the likely population and labor force growth in Europe and MENA, the challenges this growth poses, and the scope for demographic arbitrage between the two regions. This chapter provides the basis for the fifth and concluding chapter. Chapter five covers the institutional setup and the various economic and social protection policies and practices worldwide that have a strong and positive bearing on migration flows and presents a conceptual framework on both the labor and job sending and receiving sides that can be used by policy makers to articulate, defend, and implement a collaborative approach to the challenges ahead.
  • Publication
    Long-Term Care and Ageing
    (Washington, DC, 2010-11) World Bank
    As gains in basic health care increase life expectancy, more people live past the age of 65, a time when the risk of dementia and other degenerative diseases is higher and people are more likely to require long-term care (LTC) services. Whether at home or in an institution, such care is an important way to protect the lives and dignity of a country's elderly citizens. Unfortunately, the cost of LTC, especially in institutions, can be catastrophic for families. Without public social protection systems many people cannot afford the care they need or the high cost of care sends them and their families into poverty. Thus, LTC is not only a health issue, but also a fiscal issue and as the European population ages, it is crucial for states to develop comprehensive LTC systems that address this interrelated issue. The next section explores the demographic background of the Bulgarian population, which is one of the fastest aging in Europe. This is followed by s short-description of the macro-economic and fiscal framework in post-crisis Bulgaria. Next, an overview of LTC service provisions is given, followed by a section on financing of LTC services. The last section concludes by introducing some guiding principles for future policy reforms.
  • Publication
    Care Work and Intra-Household Tensions during COVID-19
    (World Bank, Washington, DC, 2020-08-01) Abel, Martin; Tas, Emcet O.; Zahra, Najaf; D'Lima, Tanya; Kalashyan, Anna; Sethi, Jayati
    This note examines gender disparities in care work and intra-household tensions among online gig workers in India. The data was collected as part of an online experiment in April 2020, shortly after lockdown measures were implemented to mitigate the spread of the coronavirus disease (COVID-19). The findings show that childcare and eldercare responsibilities have increased for everyone during the lockdown, but women have disproportionately felt the burden of increased care work. Further, there was an increase in domestic violence, pointing to added stress and intra-household tensions. Policy makers need to incorporate a gender lens in emergency responses in order to promote women’s safety and wellbeing during COVID-19 and beyond.

Users also downloaded

Showing related downloaded files

  • Publication
    World Development Report 2023: Migrants, Refugees, and Societies
    (Washington, DC : World Bank, 2023-04-25) World Bank
    Migration is a development challenge. About 184 million people—2.3 percent of the world’s population—live outside of their country of nationality. Almost half of them are in low- and middle-income countries. But what lies ahead? As the world struggles to cope with global economic imbalances, diverging demographic trends, and climate change, migration will become a necessity in the decades to come for countries at all levels of income. If managed well, migration can be a force for prosperity and can help achieve the United Nations’ Sustainable Development Goals. World Development Report 2023 proposes an innovative approach to maximize the development impacts of cross-border movements on both destination and origin countries and on migrants and refugees themselves. The framework it offers, drawn from labor economics and international law, rests on a “Match and Motive Matrix” that focuses on two factors: how closely migrants’ skills and attributes match the needs of destination countries and what motives underlie their movements. This approach enables policy makers to distinguish between different types of movements and to design migration policies for each. International cooperation will be critical to the effective management of migration.
  • Publication
    World Development Report 2024
    (Washington, DC: World Bank, 2024-08-01) World Bank
    Middle-income countries are in a race against time. Many of them have done well since the 1990s to escape low-income levels and eradicate extreme poverty, leading to the perception that the last three decades have been great for development. But the ambition of the more than 100 economies with incomes per capita between US$1,100 and US$14,000 is to reach high-income status within the next generation. When assessed against this goal, their record is discouraging. Since the 1970s, income per capita in the median middle-income country has stagnated at less than a tenth of the US level. With aging populations, growing protectionism, and escalating pressures to speed up the energy transition, today’s middle-income economies face ever more daunting odds. To become advanced economies despite the growing headwinds, they will have to make miracles. Drawing on the development experience and advances in economic analysis since the 1950s, World Development Report 2024 identifies pathways for developing economies to avoid the “middle-income trap.” It points to the need for not one but two transitions for those at the middle-income level: the first from investment to infusion and the second from infusion to innovation. Governments in lower-middle-income countries must drop the habit of repeating the same investment-driven strategies and work instead to infuse modern technologies and successful business processes from around the world into their economies. This requires reshaping large swaths of those economies into globally competitive suppliers of goods and services. Upper-middle-income countries that have mastered infusion can accelerate the shift to innovation—not just borrowing ideas from the global frontiers of technology but also beginning to push the frontiers outward. This requires restructuring enterprise, work, and energy use once again, with an even greater emphasis on economic freedom, social mobility, and political contestability. Neither transition is automatic. The handful of economies that made speedy transitions from middle- to high-income status have encouraged enterprise by disciplining powerful incumbents, developed talent by rewarding merit, and capitalized on crises to alter policies and institutions that no longer suit the purposes they were once designed to serve. Today’s middle-income countries will have to do the same.
  • Publication
    Timor-Leste Economic Report, December 2022
    (Washington, DC, 2022-12) World Bank
    The global economy continues to face steep challenges, but Timor-Leste’s economy is slowly recovering. Nevertheless, gross domestic product (GDP) per capita has not returned to pre-pandemic levels. Consumer price inflation reached 7.9 percent yoy in August 2022, one of the highest in the East Asia Pacific region. The real effective exchange rate (REER) has appreciated by about 10 percent since the first quarter of 2021. Enhancing productive capabilities through structural reforms and improving quality of public spending hold the key for accelerating and sustaining economic development. Extending the life of petroleum fund through fiscal consolidation is essential to delay the fiscal cliff and ensure the perpetuation of government spending to support economic growth. Despite receding impact of the pandemic, the level of government spending has not returned to the pre-COVID 19 levels.
  • Publication
    Digital Progress and Trends Report 2023
    (Washington, DC: World Bank, 2024-03-05) World Bank
    Digitalization is the transformational opportunity of our time. The digital sector has become a powerhouse of innovation, economic growth, and job creation. Value added in the IT services sector grew at 8 percent annually during 2000–22, nearly twice as fast as the global economy. Employment growth in IT services reached 7 percent annually, six times higher than total employment growth. The diffusion and adoption of digital technologies are just as critical as their invention. Digital uptake has accelerated since the COVID-19 pandemic, with 1.5 billion new internet users added from 2018 to 2022. The share of firms investing in digital solutions around the world has more than doubled from 2020 to 2022. Low-income countries, vulnerable populations, and small firms, however, have been falling behind, while transformative digital innovations such as artificial intelligence (AI) have been accelerating in higher-income countries. Although more than 90 percent of the population in high-income countries was online in 2022, only one in four people in low-income countries used the internet, and the speed of their connection was typically only a small fraction of that in wealthier countries. As businesses in technologically advanced countries integrate generative AI into their products and services, less than half of the businesses in many low- and middle-income countries have an internet connection. The growing digital divide is exacerbating the poverty and productivity gaps between richer and poorer economies. The Digital Progress and Trends Report series will track global digitalization progress and highlight policy trends, debates, and implications for low- and middle-income countries. The series adds to the global efforts to study the progress and trends of digitalization in two main ways: · By compiling, curating, and analyzing data from diverse sources to present a comprehensive picture of digitalization in low- and middle-income countries, including in-depth analyses on understudied topics. · By developing insights on policy opportunities, challenges, and debates and reflecting the perspectives of various stakeholders and the World Bank’s operational experiences. This report, the first in the series, aims to inform evidence-based policy making and motivate action among internal and external audiences and stakeholders. The report will bring global attention to high-performing countries that have valuable experience to share as well as to areas where efforts will need to be redoubled.
  • Publication
    Distributed Ledger Technology and Blockchain
    (World Bank, Washington, DC, 2017) Natarajan, Harish; Krause, Solvej; Gradstein, Helen
    The financial sector is currently undergoing a major transformation, brought about by the rapid development and spread of new technologies. The confluence of ‘finance’ and ‘technology’ is often referred to as ‘Fintech’, typically describing companies or innovations that employ new technologies to improve or innovate financial services. ‘Fintech’ developments are seen across all areas of the financial sector, including payments and financial infrastructures, consumer and SMElending, insurance, investment management, and venture financing. This note on distributed ledger technology (DLT) and blockchains is part of a series of short notes that explore new trends and developments in Fintech and analyze their potential relevance for WBG activities. Forthcoming notes in this series will cover marketplace lending, ‘InsureTech’, and other topics. This note outlines the mechanisms, origins, and key characteristics of DLT; the difference between ‘public’ and ‘private’ DLT; the technology’s main advantages, challenges, and risks; relevant examples of DLT applications (with a focus on financial sector applications); and a brief overview of activities by governments, multilateral organization, and other stakeholders in this space. Finally, this note proposes next steps for the World Bank to study and evaluate areas where DLT could potentially be integrated into World Bank financial sector operations.