The National Academies Press

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Pages 226-243

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From page 226... ... There also has not been wide acknowledgment of the value to people of all ages of viewing healthy longevity across the life course. While financing and political will are beyond the scope of this study, the commission argues that healthy longevity can be achieved only by aligning forces and taking collective action across sectors. Read the entire page →
From page 227... ... As no single measure of healthy longevity adequately addresses the array of enablers identified in this report, a core set of metrics and measures consistent across countries would facilitate the identification of outcomes and compilation of best practices, effective interventions, and policies that promote healthy longevity. Importantly, global metrics can allow countries to benchmark their performance, characterize return on investment, and compare across countries to assess the success of interventions. Read the entire page →
From page 228... ... 2021. The 17 Sustainable Development Goals. Read the entire page →
From page 229... ... The commission defines healthy longevity as the following: In healthy longevity, years of good health approach the biological life span, with physical, cognitive, and social functioning that enables well-being. Societies achieving healthy longevity will benefit at large scale from enhanced human capital and contributions from older people. Read the entire page →
From page 230... ... To provide concrete suggestions for healthier, longer lives, the commission recommends a series of actions to be taken in the next 5 years. TABLE A-1 Summary Table of the Global Roadmap for Healthy Longevity Long-Term Goals for Longer Examples of Recommendations for and Healthier Lives in 2050 Supporting Structures the Next 5 Years Cross-cutting Recommendation 7-1. Read the entire page →
From page 231... ... developing innovative solutions participation, for extending legal and income emphasizing protection to workers participating the worker's in alternative models of work (e.g., preferences, gig economy, informal sector) ; strengths, and c. Read the entire page →
From page 232... ... ; b. special grants to community colleges and universities for the development of innovative models that target middle-aged and older students to support lifelong learning; and c. Read the entire page →
From page 233... ... Governments cohesion augmented by eliminate age-based should develop evidence-based, intergenerational connections discrimination multipronged strategies for reducing and the creation of • Public information ageism against any age group by opportunities for purposeful campaigns a. collaborating across sectors -- for engagement by older people promoting the value example with local governments, at the family, community, and of older people and industry, and nongovernmental societal levels attacking stereotypes organizations -- to launch public • Multigenerational information campaigns that advocacy to fight highlight the value of older people age discrimination to society; to accomplish shared b. Read the entire page →
From page 234... ... c. For countries with robust retirement income systems, identify evidence based models for strengthening financial security across the life course. Read the entire page →
From page 235... ... Governments and infrastructure that support people in codesign and the private sector should functioning and engagement and user-centered partner to design user-centered and for people at older ages design of the built cohesion-enabling intergenerational environment communities for healthy longevity. • Public spaces that Initiatives should include promote social a. Read the entire page →
From page 236... ... To achieve the health, social service, person- public health, health goal of the best possible health for centered health care, and long- care, long-term care, older people, governments, over the term care systems designed to and social services next 5 years, should develop strategies extend years of good health • Interventions at to increase investments in robust and support the diverse health the population and public health systems that build and needs of older people individual levels to lead collective actions for promoting reduce underlying health at the population level and risk factors for across the life course. aging and chronic a. Read the entire page →
From page 237... ... systems that b. Governments should develop provide preventive plans to align health care payment screening, address and reimbursement systems with risk factors for healthy longevity outcomes. Read the entire page →
From page 238... ... models for providing financial and • Supports for technological support, training, families and family and career pathways for informal caregivers when caregivers as well as the paid long providing long-term term care workforce. care while making formal care available when needed • Technology to support caregivers and people needing care by providing monitoring that allows privacy Read the entire page →
From page 239... ... Older individuals with age-related chronic conditions, including type 2 diabetes, hypertension, and cardiovascular disease, are at particular risk for contracting COVID-19 and are much more likely than their younger and healthier counterparts to end up in intensive care and to die (CDC, 2021a) Read the entire page →
From page 240... ... . In Brazil, a decline in life expectancy of 0.94 years as of 2020 is estimated (Castro et al., 2021) Read the entire page →
From page 241... ... . As discussed in Chapter 4, many older adults face inequitable social determinants of health, such as lack of access to nutritious foods and health care, similar to those determinants affecting minority populations (CDC, 2022) Read the entire page →
From page 242... ... . Social isolation has contributed to increased rates of loneliness among older people, who have often been separated from family and friends (WHO, 2021c) Read the entire page →
From page 243... ... Long-Term Care The COVID-19 pandemic has disproportionately affected older individuals receiving long-term care, especially those residing in nursing homes. There are 1.5 million nursing home residents in the United States, 83.5 percent of whom are aged 65 and older (Su et al., 2021) Read the entire page →

From page 226...

... There also has not been wide acknowledgment of the value to people of all ages of viewing healthy longevity across the life course. While financing and political will are beyond the scope of this study, the commission argues that healthy longevity can be achieved only by aligning forces and taking collective action across sectors.