The politics of frailty.

Age and Ageing
Martin J Vernon

Abstract

The world population is ageing because of falling fertility and improved life expectancy. Knowing this has not helped governments develop sustainable health and care policies because the underlying causes and impacts of population ageing remain poorly understood. Planning using only population age structure does not account for uneven geographical distribution of older people, their health characteristics, functional needs or lived experiences. English National Health Service (NHS) policy has previously focused on arbitrary age segmentation, failing to capture the origins of cumulative disease and functional burden and missing the opportunity to incorporate wider determinants of health into prevention of poor-quality ageing. This is despite growing international evidence that adults living in places with low per capita income and educational attainment experience a higher burden of age-related disease. Lack of a credible ageing narrative and good quality population health data have contributed to a focus on single disease prevention, rather than life course disease aggregation and its personal impacts. However, a fully explicated health and care narrative incorporating frailty does now give some cause for optimism. In 2017, Eng...Continue Reading

References

Feb 16, 2017·The British Journal of Surgery·J S L PartridgeJ K Dhesi
Mar 11, 2019·The Lancet. Public Health·Angela Y ChangJoseph L Dieleman

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Citations

Jan 23, 2021·Age and Ageing·Stuart Gietel-Basten
May 6, 2021·Age and Ageing·Stuart Gietel-Basten

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