Browsing by Author "Browne, Jorge"

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    Implementing long-term care systems in the Americas: a regional strategy
    (2021) Villalobos Dintrans, Pablo; Mathur, Mallika; Gonzalez-Bautista, Emmanuel; Browne, Jorge; Hommes, Carolina; Vega, Enrique
    The Region of the Americas is facing accelerated demographic and epidemiological changes. As these trends will continue in future years, long-term care needs are expected to rise. How can countries respond to these challenges?
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    Institutional care in four Latin American countries: the importance of fostering public information and evaluation strategies
    (2024) Wachholz, Patrick Alexander; Morsch, Patricia; Dintrans, Pablo Villalobos; Barrientos-Calvo, Isabel; Browne, Jorge; Bello-Chavolla, Omar Yaxmehen; Vega, Enrique
    More than 8 million older people in Latin America depend on long -term care (LTC), accounting for 12% of people aged >= 60 years and almost 27% of those aged >= 80. It is crucial to develop sustainable strategies for providing LTC in the area, including institutional care. This special report aims to characterize institutional LTC in four countries (Brazil, Chile, Costa Rica and Mexico), using available information systems, and to identify the strategies adopted to support institutional care in these countries. This narrative review used nationwide, open -access, public data sources to gather demographic estimates and information about institutional LTC coverage and the availability of open -access data for the proportion of people with LTC needs, the number of LTC facilities and the number of residents living in them. These countries have a larger share of older people than the average in Latin America but fewer LTC facilities than required by the demand. National surveys lack standardization in defining disability, LTC and dependency on care. Information about institutional care is mainly fragmented and does not regularly include LTC facilities, their residents and workers. Data are crucial to inform evidence-based decisions to favor prioritization and to support advances in promoting policies around institutional LTC in Latin America. Although information about institutional care in the region is fragmented and insufficient, this paper profiles the four selected countries. It highlights the need for a better structure for datadriven LTC information systems. The lack of information emphasizes the urgency of the need to focus on and encourage research into this topic.
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    It Is Not Just Mortality:A Call From Chile for Comprehensive COVID-19 Policy Responses Among Older People
    (2021) Villalobos Dintrans, Pablo ; Browne, Jorge; Cabib Madero, Ignacio
    Objective: Provide a synthesis of the COVID-19 policies targeting older people in Chile, stressing their short- and long-term challenges. Method: Critical analysis of the current legal and policy measures, based on national-level data and international experiences. Results: Although several policies have been enacted to protect older people from COVID-19, these measures could have important unintended negative consequences in this group's mental and physical health, as well as financial aspects. Discussion: A wider perspective is needed to include a broader definition of health-considering financial scarcity, access to health services, mental health issues, and long-term care-in the policy responses to COVID-19 targeted to older people in Chile.
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    Long-term Care in the Agenda: The Case of Chile
    (2023) Villalobos Dintrans, Pablo; Alliende, Trinidad; Palacios, Josefa; Contrucci, Isabel; Browne, Jorge
    The Chilean presidential elections of 2021 included an unprecedented topic in the country's political debate: long-term care (LTC). Although some public policies and programs have been in place for at least 20 years, during this 2021 presidential election LTC was mentioned for the first time in a political campaign. Five out of seven candidates highlighted the importance of LTC in their proposals and designed policies to address it. Why did this topic gain momentum as a campaign topic in 2021? What can explain the sudden inclusion of a new topic on the Chilean political agenda? Using Kingdon's multiple streams framework this article aims to understand the factors explaining the inclusion of LTC in the Chilean political agenda during the past presidential elections. A two-step qualitative research design was performed using a case study approach. As a first step, a documentary analysis of the campaign programs was conducted searching for references to LTC proposals. In a second step, semi-structured interviews were carried out with representatives from three of the seven campaign teams, including the teams that reached the ballotage. Data were analyzed using Kingdon's multiple streams framework. Results showed that the availability of national data on LTC needs helped highlight the problem and acted as a facilitator for advocacy; international organizations and other countries' experiences in implementing LTC systems served as policy entrepreneurs; and four events-the feminist movement, the social outbreak with the constitutional process, and the COVID-19 pandemic-pushed LTC forward on the political agenda. The case of Chile illustrates how Kingdon's framework can be used to identify facilitators for LTC inclusion on the political agenda, serving as an example for other countries facing similar issues and fostering the global debate around the increase in LTC needs.