Building Integrated Services for Older Adultsaround Primary Health Care Xiaohui HouJigyasa SharmaFeng ZhaoEdited by Building Integrated Services for Older Adultsaround Primary Health Care Edited by Xiaohui Hou,Jigyasa Sharma, andFeng Zhao © 2023 International Bank for Reconstruction and Development / The World Bank1818 H Street NW, Washington, DC 20433Telephone: 202-473-1000; Internet:www.worldbank.org Some rights reserved 1 2 3 4 26 25 24 23 This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, andconclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of ExecutiveDirectors, or the governments they represent.The World Bank does not guarantee the accuracy, completeness, or currencyof the data included in this work and does not assume responsibility for any errors, omissions, or discrepancies in theinformation, or liability with respect to the use of or failure to use the information, methods, processes, or conclusions setforth. The boundaries, colors, denominations, and other information shown on any map in this work do not imply anyjudgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptanceof such boundaries. Nothing herein shall constitute or be construed or considered to be a limitation upon or waiver of the privileges andimmunities of The World Bank, all of which are specifically reserved. Rights and Permissions This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO)http://creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license, you are free to copy,distribute, transmit, and adapt this work, including for commercial purposes, under the following conditions: Attribution—Please cite the work as follows: Hou, Xiaohui, Jigyasa Sharma, and Feng Zhao, eds. 2023.SilverOpportunity: Building Integrated Services for Older Adults around Primary Health Care. Washington, DC: World Bank.doi:10.1596/978-1-4648-1958-2. License: Creative Commons Attribution CC BY 3.0 IGO Translations—If you create a translation of this work, please add the following disclaimer along with the attribution:This translation was not created by The World Bank and should not be considered an official World Bank translation. The WorldBank shall not be liable for any content or error in this translation. Adaptations—If you create an adaptation of this work, please add the following disclaimer along with the attribution:This is an adaptation of an original work by The World Bank. Views and opinions expressed in the adaptation are the soleresponsibility of the author or authors of the adaptation and are not endorsed by The World Bank. Third-party content—The World Bank does not necessarily own each component of the content contained within thework. The World Bank therefore does not warrant that the use of any third-party-owned individual component orpart contained in the work will not infringe on the rights of those third parties. The risk of claims resulting fromsuch infringement rests solely with you. If you wish to re-use a component of the work, it is your responsibility todetermine whether permission is needed for that re-use and to obtain permission from the copyright owner. Examplesof components can include, but are not limited to, tables, figures, or images. All queries on rights and licenses should be addressed to World Bank Publications, The World Bank Group, 1818 HStreet NW, Washington, DC 20433, USA; e-mail:pubrights@worldbank.org. ISBN (paper): 978-1-4648-1958-2ISBN (electronic): 978-1-4648-1965-0DOI: 10.1596/978-1-4648-1958-2 Cover illustration:© Tetiana Garkusha / iStock. Used with the permission of Tetiana Garkusha / iStock. Furtherpermission required for reuse.Cover design:Chris Phillips, Circle Graphics, Inc. Contents ForewordxiAcknowledgmentsxiiiAbout the Editors and AuthorsxvAbbreviationsxvii Overview and Framework for Action1 Xiaohui Hou, Jigyasa Sharma, Feng Zhao, and Alexander Irwin Introduction1A Challenge That Will Not Wait2Diverse Populations with Complex Needs3Aging in the Time of COVID-193What This Book Contributes4Investing in Healthy Aging: Toward a “Triple Dividend” for Health SystemsandSocieties5Fulfilling the UHC Promise: PHC-Centered, Integrated Care forAging Populations5Today’s Reality: Shortfalls in Age-Responsive Care Worldwide6Tackling PHC Gaps for Healthier Aging6Closing Care Gaps: Where Do Countries Start?7Understanding the Care Needs and Preferences of Diverse Older Populations7PHC-Centered Integrated Care for Aging Populations:A Framework for Action9Levers for Age-Responsive Health System Change: Presentingthe FIRE Framework9Informing Action through the FIRE Framework11Methods and Limitations15Structure of the Volume16Notes18References19 Chapter 1.High-Quality Health Systems for an Aging Population: PrimaryCare Models with Users at the Center23 Todd P. Le