Lancet Commission on Long-Term Care for Older Persons
1 June 2023
The UN declared 2021–30 to be the Decade of Healthy Ageing, and efforts are being made to maximise the functional ability of people over their life course. Yet older people are marginalised and perceived as a burden, particularly those with ongoing loss in capacity. Nowhere is this more conspicuous than in the context of long-term care (LTC) worldwide, where older people in some settings encounter a loss of independence and other violations of their human rights. Such experiences can range from deprivation of liberty and loss of legal capacity and consent to coerced institutionalisation, exposure to abuse, neglect, and disrespect, and persistent use of restraints. These circumstances create inequity, injustice, and indignity for older people. Overcoming these societal and political challenges requires the lens of human rights and a rethinking of the provision of LTC so that it respects the rights of older people and addresses their diverse needs and preferences in fragile LTC systems. A new Lancet Commission on Long-Term Care for Older Persons aims to take just such an approach, fostering person-centred LTC in accord with the WHO Healthy Ageing framework. Our Commissioners bring a wealth of perspectives drawn from different regions, care settings, and areas of interest, with expertise in geriatrics, geropsychology, geriatric psychiatry, gerontology, nursing, palliative care, primary care, social work, clinical epidemiology, health economics, health policy, and regulation. The Commission will work in co-creation with a group of older people from different regions with lived experience of LTC.
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