Abstract:
Attention to the problem of integration in healthcare has arisen in Belarus as well as in many
countries in the last 10-15 years. Life expectancy has increased by about 10 years over the
past 50 years for both men and women. These changes create challenges and opportunities
for us. Aging is causing widespread debate, leading to the development of new approaches
in healthcare. The growing level of fragmentation of medical care for elderly necessitates a
solution to this problem due to the emerging trend towards narrow specialization of help. An
integrative approach involves the analysis of a holistic health care system, which includes
several levels. Thus, various options of management models to control one`s health are the
basis for creating an integrated smart healthy environment for the elderly. It is required to
develop an algorithm for ensuring coordination and continuity of medical care for the elderly,
taking into account their needs and local conditions (demography, morbidity and mortality
structure, equipment of medical institutions with equipment and personnel, etc.), the
creation of a unified educational, informational, organizational and technical system of smart
healthy age-friendly environment that will provide older patients with access to relevant
knowledge and skills to control their health status, as well as allow to establish information
exchange of data between the patient and a team of specialists from various healthcare
organizations. At the same time, the leading role in the integration processes is played by
the organizations of primary health care for the elderly, which are the organizational and
coordinating links in interaction with organizations that provide specialized medical and
social care. If we want to ensure a fair treatment between generations and a good standard
of living for all citizens, then there is a need for urgent action to implement a Smart Healthy
Age-friendly Environments.
