Evidence map›Paper›PMID 41027264›Full record

ReviewHealth policy (Amsterdam, Netherlands)2025

Are long-term care systems aligned with person-centered integrated care? Evidence from the Western Pacific.

Dongkyu Lee, Soojung Kim, Soonman Kwon, Sunghun Yun, Mikiko Kanda, Siwon Lee, Nicole Sutton, Paul Ong, Andy Inder

Abstract readReview
In one paragraph

Review in Health policy (Amsterdam, Netherlands), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Dongkyu LeeInstitute of Health and Environment, Seoul National University, Seoul, South Korea. Electronic address: star0048@snu.ac.kr.
Soojung KimGraduate School of Public Health, Seoul National University, Seoul, South Korea. Electronic address: skim615@snu.ac.kr.
Soonman KwonGraduate School of Public Health, Seoul National University, Seoul, South Korea. Electronic address: kwons@snu.ac.kr.
Sunghun YunHealthy Ageing unit, Division of Healthy Environments and Populations, World Health Organization Regional Office for the Western Pacific, Manila, Philippines. Electronic address: syun@gachon.ac.kr.
Mikiko KandaHealthy Ageing unit, Division of Healthy Environments and Populations, World Health Organization Regional Office for the Western Pacific, Manila, Philippines. Electronic address: mkanda@who.int.
Siwon LeeHealthy Ageing unit, Division of Healthy Environments and Populations, World Health Organization Regional Office for the Western Pacific, Manila, Philippines. Electronic address: alee@who.int.
Nicole SuttonAccounting Discipline Group, University of Technology Sydney, Sydney, Australia. Electronic address: nicole.sutton@uts.edu.au.
Paul OngTsao foundation, Singapore. Electronic address: paulong@tsaofoundation.org.
Andy InderAgeing well, Health New Zealand, Wellington, New Zealand. Electronic address: andy.inder@tewhatuora.govt.nz.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundMany Western Pacific countries have established long-term care (LTC) systems to support their rapidly aging populations. However, the extent to which these systems align with integrated care principles that enable individuals to age in place (AIP) remains unclear. Effective integration of LTC with healthcare is essential to enhance continuity of care, improve outcomes, and support AIP.

objectiveThis study examines the alignment of LTC policies in five Western Pacific countries-Australia, Japan, New Zealand, Republic of Korea, and Singapore-with integrated LTC principles. The analysis identifies systemic enablers and challenges in governance, financing, workforce, service delivery, information, monitoring & evaluation (IM&E), and innovation & research.

methodsUsing an adapted World Health Organization LTC framework, we conducted a comparative analysis of the selected countries' LTC policies.

resultsAll five countries emphasize aging in place and provide both institutional and community-based LTC services. However, key enablers of integration are often lacking. Fragmentation between LTC and healthcare is common, and coordination mechanisms such as care planning are hindered by inadequate accountability mechanisms due to misaligned incentives, challenges in funding integration, and often underdeveloped information systems for monitoring integrated care.

conclusionWestern Pacific LTC systems are not yet fully aligned with effective integrated LTC. Strengthening coordinated and accountable governance, integrating financing streams and incentive, enhancing IM&E systems for performance management, and leveraging innovation are crucial to enhancing integrated LTC in the region.

Indexed as

Delivery of Health Care, IntegratedLong-Term CarePatient-Centered CareAustraliaHealth PolicyHumansJapanNew ZealandRepublic of KoreaSingaporeAgeing in placeIntegrated careLong-term carePerson-centered careWestern Pacific

Identifiers

PMID41027264
PMCPMC12624384

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.