Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
Dementia care in a rapidly aging society.
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Eggleston Karen, Kim Daejung
Аннотация
INTRODUCTION: As one of the most rapidly aging societies globally, Korea's efforts to mitigate the social burden of Alzheimer's disease and related dementias (ADRD) may provide valuable insights.
METHODS: We conducted a mixed-methods review of studies and policies related to dementia care in Korea over the past 25 years, including quantitative analysis of administrative and comparative data.
RESULTS: Estimates suggest a high social burden from ADRD, with annual costs increasing from 0.9% to 3.8% of gross domestic product between 2019 and 2050. Pilot programs for integrated community care and hospice palliative care reveal the advantages of innovating from a foundation of national health insurance and long-term care insurance, as well as the continuing challenges of appropriately designing programs and incentives for early detection, integrated care, and late-life palliative care.
DISCUSSION: A rigorous analysis of programs addressing uneven quality and a study of the impact of integrated care models for home- and community-based services would be valuable.
HIGHLIGHTS: A mixed-method review highlights the challenges of rapid aging in Korea. Universal health and long-term care systems support innovation for dementia care. Dementia costs are projected to increase from 0.9% to 3.8% of gross domestic product in 2019-2050. Pilots of integrated community care and hospice palliative care show promise. Rigorous analysis of programs to address uneven quality would be valuable.
METHODS: We conducted a mixed-methods review of studies and policies related to dementia care in Korea over the past 25 years, including quantitative analysis of administrative and comparative data.
RESULTS: Estimates suggest a high social burden from ADRD, with annual costs increasing from 0.9% to 3.8% of gross domestic product between 2019 and 2050. Pilot programs for integrated community care and hospice palliative care reveal the advantages of innovating from a foundation of national health insurance and long-term care insurance, as well as the continuing challenges of appropriately designing programs and incentives for early detection, integrated care, and late-life palliative care.
DISCUSSION: A rigorous analysis of programs addressing uneven quality and a study of the impact of integrated care models for home- and community-based services would be valuable.
HIGHLIGHTS: A mixed-method review highlights the challenges of rapid aging in Korea. Universal health and long-term care systems support innovation for dementia care. Dementia costs are projected to increase from 0.9% to 3.8% of gross domestic product in 2019-2050. Pilots of integrated community care and hospice palliative care show promise. Rigorous analysis of programs to address uneven quality would be valuable.