The special article by Pot et al from the World Health Organization (WHO) in this
issue of JAMDA raises important issues about the future needs for long-term care (LTC) in the developing
world.
1
Unfortunately, it is difficult to think of a national LTC strategy in Nicaragua and
no doubt in many other Latin American countries as well, because it is more urgent
to strengthen primary health care in ways that are innovative and attractive to the
population. In addition, LTC policy is far from being implemented as recommended by
WHO because our attention—for better or worse—prioritizes diseases rather than person-centered
care. Thus, the WHO recommendation represents a huge challenge in countries where
extensive poverty persists and primary care is weak.To read this article in full you will need to make a payment
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References
- The sustainable development agenda needs to include long-term care.J Am Med Dir Assoc. 2018; 19: 725-727
- “World Population Prospects: The 2015 Revision”.Departamento de Asuntos Económicos y Sociales, Nueva York2015
Comisión Económica para América Latina y el Caribe (CEPAL). Derechos de las personas mayores: retos para la interdependencia y autonomía (LC/CRE.4/3 Rev.1), Santiago, 2017.
- Nicaragua en cifras 2017. ISSN 2410-8405 (edición electrónica).(Available at:)
- Reporte de Pobreza y Desigualdad. Encuesta de Medición de Nivel de Vida en Nicaragua. EMNV 2016. (Edición electrónica).(Available at:)
- Aging in Nicaragua.in: Whittington S.R. Brown J.S. Global Aging: Comparative Perspectives on Aging and the Lifecourse. Springer, New York, NY2014
Nicaragua. Ministerio de Salud. Gobierno de Reconciliación y Unidad Nacional. Marco Conceptual del Modelo de Salud Familiar y Comunitario (MOSAFC) MINSA: Managua -2ed. Marzo 2007. (Serie No. 1 MOSAFC).
Article info
Footnotes
The author declares no conflicts of interest.
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© 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
