Introduction: Population ageing is one of the major challenges facing health systems in the twenty-first century. Older women require targeted policy attention because of their longer life expectancy, higher prevalence of chronic diseases, functional limitations, and greater socioeconomic vulnerability. This study aimed to comparatively examine care systems for older women in Japan, Germany, Sweden, and Canada and compare them with the system in Iran to identify existing gaps and propose policy recommendations.
Methods: This applied study was conducted using a descriptive-analytical and comparative approach. Data were collected through the review of documents, laws, international reports, and scientific articles related to ageing and long-term care and were analyzed using qualitative content analysis. Key indicators, including financing structures, insurance coverage, home-based care services, mental health considerations, and gender equality, were compared among the selected countries.
Results: The findings indicated that countries with established long-term care insurance systems, universal health coverage, and integrated health and social services generally demonstrated better outcomes in life expectancy, functional independence, and quality of life among older women. In contrast, in Iran, heavy reliance on family care, the absence of long-term care insurance, and high out-of-pocket expenditures were associated with greater vulnerability among older women and increased caregiving burdens on female family members.
Conclusion: Establishing a formal long-term care and adopting a preventive approaches play a key role in reducing gender inequalities and improving health indicators among older women. The gradual implementation of long-term care insurance, The development of primary health care and the expansion of community-based services may contribute to enhancing the quality of life of older women in Iran.
Type of Study:
Research(Original) |
Subject:
مديريت خدمات بهداشتي و درماني Received: 2026/03/3 | Accepted: 2026/09/6 | Published: 2026/09/6