Meeting the complex challenge of health and social care provision for rapidly-ageing populations: Introducing the concept of "avoidable displacement from home"

Peter Lloyd-Sherlock, Jenny Billings, Janaína De Souza Aredes, João Bastos Freire Neto, Ana Amélia Camarano, João Macedo Coelho Filho, Josélia Oliveira Araújo Firmo, Alexandre Kalache, James Macinko, Lucas Sempé, Karla Cristina Giacomin

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The increasing numbers of people at very old ages pose specific policy challenges for health and social care and highlight the need to rethink established models of service provision. The main objective of this paper is to introduce the concept of "avoidable displacement from home" (ADH). The study argues that ADH builds on and adds value to existing concepts, offering a holistic, person-centered framework for integrated health and social care provision for older people. It also demonstrates that this framework can be applied across different levels, ranging from macro policymaking to organizational and individual decision-making. The paper pays attention to the Brazilian context but argues that ADH is a universally applicable concept.

Original languageEnglish
Article numbere00162819
JournalCadernos de Saude Publica
Issue number3
Publication statusPublished - Jan 2020


  • Aged
  • Comprehensive health care
  • Hospitalization
  • Intersectoral collaboration

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