title: Ecological aging: the settings approach in aged living and care accommodation.
abstract: As the proportion of older people increases within populations, financial demands related to the cost of health service delivery threaten global stability. This population trend challenges the traditional approach to health service delivery to older populations. This article presents the Australian context as a case study to argue that the application of a health promoting settings approach to aged care may lead to improved well-being for older people to the extent that the periods of chronic morbidity often associated with aging can be compressed into an ever shorter period of time. Promoting an ecological perspective to aged care suggests that there is no need to manage older people in isolation, as is common practice, but as integral to the way society lives, works, and plays. The article maps parallels between characteristics of health promoting settings such as Health Promoting Schools and the aged living and care industry, arguing that the setting encompassing services for the elderly is a prime location for the establishment of a new health promotion setting. Supporting life opportunities for our aged is central to such an approach. More broadly, an ecological approach orients us toward the connection between environment and health, and encourages increased attention and action within the aged living and care sector on reducing environmental impacts of this growing population. As such, the application of this approach to the aged living and care sector has the potential to reduce the threat that a dependant older population has on global sustainability.
authors.affiliation: School of Public Health, Griffith University, Meadowbrook, Queensland 4131, Australia.
authors.forename: Neil
authors.initials: N
authors.lastname: Harris
authors.forename: John
authors.initials: J
authors.lastname: Grootjans
authors.forename: Kathryn
authors.initials: K
authors.lastname: Wenham
mesh_terms: D000368:Aged; D001315:Australia / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology / Q000517:prevention & control*; D018672:Community Health Planning / Q000458:organization & administration*; D017753:Ecosystem; D006266:Health Education; D006293:Health Promotion / Q000458:organization & administration*; D006299:Health Services for the Aged / Q000458:organization & administration*; D006694:Holistic Health; D006801:Humans; D017146:Models, Organizational; D019982:Organizational Case Studies; D011157:Population Dynamics; D012572:School Health Services / Q000458:organization & administration; D012931:Social Environment
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