Review Structure of Health Care Services Services Related to the Elderly People With Emphasis on Financing

The growth of the elderly population is one of the most important and prominent issues in today’s societies. One of the consequences of an aging population is the effects it has on health spending, which in some countries accounts for a significant portion of government spending. The purpose of this study is to compare the elderly services management system in the selected countries of this study with Iran in terms of policy, planning, financing and organizational structure in providing elderly services.

The present study was a review-comparative study on qualitative studies in 1399. Library method was used to collect data. The study population is all articles related to the research topic. In order to conduct information research by reading texts from the library, the websites of related organizations in selected countries in line with research questions and systematic search based on keywords based on aging, aging services management, aging management strategies and financing from reputable databases and Specializations in English and Persian languages were collected between 1998 and 2019 and were evaluated and compared in a comparative table of areas. Systematic search based on related keywords Scopus, Science Direct, PupMed and Google scholar along with national databases including SID, IRANDOC, ISC. Out of 128 identified sources, the researcher reviewed and evaluated their content according to the research strategy, and finally, after removing 81 of them for reasons such as duplication, irrelevance, etc., 47 articles remained for final analysis.

Aging system policy in all selected countries (US, UK, Japan, Korea and Italy) has been centralized in a way that using regional, provincial or state-based planning using public tax financing systems, funds Insurance, the national medicine system, by defining the target population and specific service packages, plays an effective role in providing quality and accessible services to the elderly. The provision of services in these countries is integrated (health, medical and social welfare) and Providing care services for them is free.

It is suggested to use the experiences of successful countries in the field of aging management, by creating an integrated and centralized policy system in the dimensions of health and social welfare; Relying on sustainable financing from public taxes, labeled taxes and old-age insurance premiums and reforming planning structures in providing and receiving services, the level of effectiveness and efficiency of old-age management can be improved.