Systemic Design For Elderly Healthcare: Analysis of the current responses in China, Italy and Japan

Format: Papers, RSD11, Topic: Health & Well-being

Wen Lu, Silvia Barbero, and Amina Pereno

Politecnico di Torino, Department of Architecture and Design  

Accompanied by the continuous changes in society, environment, culture, science and technology, the changing demographic structure of the world is also leading all countries to face multi-level cross-cutting and comprehensive challenges from the social, economic and environmental perspectives because of the increasing ageing of the population. Few studies use a systemic design approach to discuss the gaps in healthcare policy under different political regimes, thus expanding the discussion of the complex social, economic and environmental problems that elderly people face in community care. The knowledge generated through ageing research has huge potential for improving individual lives and society (Editorial,2021). In contrast, cross-cutting policy gaps are especially relevant to improving the quality of life of elderly people, the quality of healthcare – and the quality of nursing staff in community care. The paper adopts a deductive research methodology, starting from the general perspective of cross-cutting policy gaps, criteria-specific gaps and systemic design contribution, and outlines the systemic challenges of population ageing in China, Italy and Japan. The research cross-analysed models of cross-scale community care and community care stakeholder map derived from differences in healthcare policies and levels of sustainability under different political regimes in China, Italy and Japan. A holistic vision of sustainable healthcare should not consider only the treatment’s social, economic and environmental impacts. It should also take into consideration the care seekers and care providers in relation to their context by analysing the interactions they establish among them and with the context itself, assessing the influences from and consequences they generate on it. The systemic design approach is built around four additional key principles that contribute to environmental, social and economic sustainability (Silvia B. & Agnese P.,2017). Therefore, this paper attempts to add key criteria for whether healthcare policy considers elderly care, which mainly considers whether community care can reduce the burden on home care stakeholders brought about by long-term care and whether it considers effective age-appropriate design.

Keywords: elderly people, healthcare, population ageing, community care, policy gaps, systemic design

This paper was submitted following the symposium and editorially reviewed.

Peer reviewers identified the research as noteworthy and relevant to systemic design. The paper was presented and workshopped at the RSD11 research fishbowl →

Citation Data

Author(s): Wen Lu, Silvia Barbero, and Amina Pereno
Year: 2022
Title: Systemic Design For Elderly Healthcare: Analysis of the current responses in China, Italy and Japan
Published in: Proceedings of Relating Systems Thinking and Design
Volume: RSD11
Article No.: 169
Host: University of Brighton
Location: Brighton, UK
Symposium Dates: October 3–16, 2022
First published: 21 September 2022
Last update: 30 April 2023
Publisher Identification: ISSN 2371-8404

Copyright Information

Proceedings of Relating Systems Thinking and Design (ISSN 2371-8404) are published annually by the Systemic Design Association, a non-profit scholarly association leading the research and practice of design for complex systems: 3803 Tønsberg, Norway (922 275 696).


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Author(s). (20##). Article title. Proceedings of Relating Systems Thinking and Design, RSD##. Article ##.

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