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Preface:Onthesubjectandconceptsused
Chapter70
Socialandhealthproblemsinoldage
23
Nowadays,thesocialandhealthproblemsinoldagehavemoredimensionsthan
before.Ontheonehand,theycoveradynamicanduniversalpopulationagingpro-
cess,commonlyleadingtoanincreaseintheshareoftheelderlyinthetotalpopula-
tion.Ontheotherhand,theyincludetheprocessofindividual,biological,andsocial
agingofthehumanbeing,lastinglongerandinthelastphase-inworsehealthand
greaterdependence.
Teindicationofthepointatwhicholdagebegins,istheresultofaninstitution-
alizedconventionthatchangesastheaveragelifeexpectancyandprogressinthe
well-beingofolderpeopleincrease.InmostinternationalinstitutionsandtheEU,
itisassumedthattheageof65setsacontractualoldagelimit(60yearsinPoland).
Yet,oldageisnothomogeneous.Itincludestheso-calledthirdage:65/67-80/85years
ofageandthefourthage:85+.Tethirdagecanbeaperiodofactivelifenotonly
inthefamily,butalsointhesocialandevenprofessionalsphere.However,itrequires
investinginthepreventionofchronicdiseasesandthesocialacceptanceoftheinte-
grationofolderpeopleinsociety,whohavegreaterhealthneedsandofenhavedis-
abilities.Tefourthage,whendependencearises,andtheneedforconstantcare
emerges,requiresnewinstitutionalsolutionsandanincreaseinthescopeoflong-term
carefundedfrompublicresources.Tismakestheproblemofcoordinatingsocialand
healthissues(inPolandparticularly)urgent,anditshouldbecarriedoutwithan
indicationofthelocallevelastheimplementerofpublicpoliciesinthisarea.Creating
asystemforfnancinglong-termcareisstillachallenge.
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