Evidence map›Paper›PMID 39744677›Full record

ReviewDiscover public health2024

Health care systems and policies for older adults in Nepal: new challenges for a low-middle income country.

Usha Dhakal, Emily Briceño, Uttam Sharma, Umesh Bogati, Abha Sharma, Lochana Shrestha, Dirgha Ghimire, Carlos F Mendes de Leon

Abstract readReview
In one paragraph

Review in Discover public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Improved long-term care provision in the context of population ageing.Bulletin of the World Health Organization · 2026
    Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Usha DhakalDepartment of Oncology, Georgetown University School of Medicine, Washington, DC USA.
Emily BriceñoDepartments of Physical Medicine & Rehabilitation and Neurology, University of Michigan Medical School, Ann Arbor, MI USA.
Uttam SharmaInstitute for Social and Environmental Research-Nepal (ISER-N), Chitwan, Bharatpur, Nepal.
Umesh BogatiGlobal Brain Health Institute, University of California San Francisco, San Francisco, CA USA.
Abha SharmaInstitute for Social and Environmental Research-Nepal (ISER-N), Chitwan, Bharatpur, Nepal.
Lochana ShresthaNepalese Army Institute of Health Sciences, Kathmandu, Bagmati Nepal.
Dirgha GhimireInstitute for Social and Environmental Research-Nepal (ISER-N), Chitwan, Bharatpur, Nepal.
Carlos F Mendes de LeonPresent Address: Department of Global Health, Georgetown University School of Health, Washington, DC USA.

Funding

Labor Migration, Exposure to Violence and Dementia Risk: A Population Study in NepalR01AG074079 · NIA · GEORGETOWN UNIVERSITY · PI Dirgha J Ghimire, CARLOS F. MENDES DE LEON · 2022 to 2026
$3.9M
Measurement of cognition and functional decline in Latinx older adults for detection of Alzheimer’s Disease and Related Dementias: A mixed-methods approachK23AG080035 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Emily Marie Briceno · 2023 to 2026
$767k
NIA NIH HHS K23 AG080035NIA NIH HHS R01 AG074079
6 · The paper itself

Abstract

Background: Nepal, like other low- and middle-income countries, is experiencing a rapid increase in the number of older adults and the rate of aging in the population. This has increased the number of older adults with age-associated chronic illnesses, which in turn will escalate the demand for specialized healthcare and long-term care in Nepal. However, very little is known regarding the current healthcare system and health policies for older adults in Nepal. In this paper, we aimed to advance this understanding. Methods: We reviewed the existing literature on the health, healthcare system, and policies related to older adults in Nepal. Results: Our findings revealed that older adults have a high prevalence of chronic conditions such as cardiovascular, musculoskeletal, and chronic kidney diseases, and the number of patients with Alzheimer's disease and related dementias is on the rise. Additionally, there is a decline in historical family caregiving for several reasons such as international migration of offspring, and the country currently lacks a skilled geriatric workforce and formal long-term care support and services (LTSS). Together, this has created a challenge in adequately meeting the health and care needs of the older population. Findings also indicated that several geriatric health policies exist in the country, which ensure primarily free healthcare services for older adults. However, economic constraints limit the financial resources to implement these policies, build appropriate care facilities, and improve access and utilization. Conclusion: Therefore, the government must develop sustainable financing to adequately provide quality healthcare and LTSS for older adults as the population ages.

Indexed as

AgingLong-term careOlder Nepali

Identifiers

PMID39744677
PMCPMC11685239

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.