David Phillips's Ageing in the Asia-Pacific Region: Issues, Policies and PDF

By David Phillips

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Extra resources for Ageing in the Asia-Pacific Region: Issues, Policies and Future Trends (Routledge Advances in Asia-Pacific Studies, Volume 2)

Sample text

However, Hu notes that data such as those on elderly people’s suicide (discussed below) suggest that many older persons, especially elderly women, are currently very vulnerable in view of their socially-constructed total dependence on their children. Many studies confirm this and it may be that the failure of children to provide full care and informal support can lead to great disappointment on the part of the parents and, of course, feelings of guilt on the part of the children. In many societies in the region today, numerous structural factors and those associated with modernization may render this difficult or impossible.

Private sector physicians in many countries operate as businesses, often working in professional isolation, with little in the way of support from the PHC teams familiar in Britain, some other European countries and parts of Australasia. The PHC providers themselves are often at fault for poor prescribing practices, over-medicalization and over-medication, and a distinct lack of promotive and preventive health care. This is a great deficiency when so many of the hopes for the future are pinned on care in the community.

Shifting weights of younger and older people have an impact on the implicit social contract, and may strain (or conceivably strengthen) intergenerational solidarity. Social security systems that evolved under one set of demographic circumstances may require substantial restructuring in order to remain solvent and functional for successive generations. The challenge for nations of East and Southeast Asia is to tackle these issues in the context of extremely rapid demographic change. National levels of ageing show wide variation The extent of population ageing in non-Western countries is most commonly expressed as the percentage of all persons aged 60 or over.

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