Factors affecting long-term care needs of the elderly in Vietnam

The burden of disease, especially of non-communicable diseases is increasing, traditional care at home is decreasing due to smaller family size, increasing migration and low income. … are factors that greatly affect the long-term care needs of the elderly in Vietnam.
The above information was emphasized by Mr. Phan Van Toan – Deputy Director of the Health Insurance Department, Ministry of Health at the seminar reporting research results on the needs of elderly care in Vietnam by the Ministry of Health, the Bank of Vietnam. Development Asia and institutional partners in Hanoi.

Long-term health care for the elderly is limited
Vietnam is currently one of the fastest aging countries in the world. If in 2021, Vietnam has 10 provinces and cities with the highest population aging index including Thai Binh, Ben Tre, Vinh Long, Ha Nam, Nam Dinh, Tien Giang, Hai Duong, Bac Lieu, Hau Giang, Hai Room, in which Thai Binh has the highest aging index of 95.77.

And at this time the aging index of the entire population of Vietnam is 53.13; There is no province with an aging index of more than 100, with the current aging rate increasing rapidly, it is forecasted that by 2029, it will increase to 14 provinces and cities with an aging index of over 100, ie having an elderly population. more than the child population. And by 2039, it will increase to 41 provinces and cities.

“While long-term care for the elderly is still limited, there is no effective model,” said Toan.

To further clarify this content, Prof. Dr. Giang Thanh Long – Institute of Medical Sociology said that long-term care activities for the elderly in Vietnam are mostly done at home and by family members. implementation family. Therefore, it is necessary to provide a package of long-term care at home for the elderly.

“There is a need to develop and conduct training in knowledge and skills of long-term care with the first priority given to family members of the elderly. At the same time, priority in long-term care services is needed. The limit should be reserved for people in the group of elders, especially women”- Prof. Dr. Giang Thanh Long recommended.

Financing for long-term health care of the elderly: Expert advice
Regarding financing for long-term care, Prof. Soonman KWON, former director of the Korea Institute for Health Industry Development, offers tax-based efficiency models such that over 90% of public spending on long-term care is covered by tax revenue in countries like Sweden. , New Zealand, Australia, Denmark. Or finance long-term care through an insurance policy in Germany, Japan, or a mixed financing mechanism for long-term care implemented in the Netherlands, Germany, and Japan.

GS. Soonman KWON also adds that in the Netherlands and Germany all disabled people of all ages benefit from long-term care insurance; In Japan, long-term care applies to elderly people over 65 years of age and long-term care to people with aging-related frailty aged between 40-64 years old; In Korea, long-term care for the elderly over 65 years of age and long-term care for people with aging-related frailty younger than 65 years of age.

Speaking at the conference, Assoc. Prof. Dr. Pham Huy Tuan Kiet – Training Institute of Preventive Medicine and Public Health, Hanoi Medical University and MSc. Doan Ngoc Thuy Tien – Cost expert on long-term care model for people The elderly emphasized: Long-term care activities and related policies need to be managed by the health sector.

The assessment of individual needs for long-term care should be determined through medical assessment, it is proposed to apply methods according to international standards. Financial policies for long-term care should be mentioned in the Insurance Law. medical insurance.

Also at the conference, the Organizing Committee launched the project “Supporting the building of a community-based long-term care service delivery system” with support from the Asian Development Bank from the Fund for an Asia. – The Government of Japan’s Pacific Prosperity and Sustainability (JFPR) aims to provide technical support in building a community-based long-term care service delivery system for the elderly.

According to Mr. Phan Van Toan, during implementation, the project will analyze the long-term care needs of the elderly, the current situation of the community care system, and from there develop and deploy a pilot. community-based long-term care model in 12 villages in 4 communes of 2 districts Vinh Loc (Thanh Hoa) and Kim Boi (Hoa Binh).

The results of the project will provide evidence of the model’s suitability, feasibility, effectiveness and sustainability, thereby making recommendations to the Ministry of Health, the Ministry of Labor, War Invalids and Social Affairs and other agencies. Relevant units on expanding the model, expanding care benefits, improving access to services covered by health insurance for the elderly in the community, and diversifying resources Financial investment for elderly care…

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