• The US ranks the highest
    globally in creating an enabling environment supportive of longevity and
    healthy ageing with an overall score of 76.1 out of a possible 100
  • Canada (3rd) and Brazil (11th) score
    above the global average of 50.4, while Argentina (13th) and Mexico (14th) have
    further room to improve their response
  • Countries with the oldest
    populations are better positioned to address the needs of older people across
    the globe
  • Although high-income countries
    are more prepared, upper middle-income countries such as Brazil are making clear
  • Older people’s views are not
    well represented in policy consultation
  • Availability of health and
    social care remains a concern with supply of services increasingly failing to
    keep up with demand


HONG KONG, CHINA – Media OutReach – 22 July 2020 – More
people are living into old age than ever before. In 2018 The World Health
Organization predicted that by 2020 there would be more people aged over 60
years than there are children under 5 years. This prediction is on track to be
correct,and numbers in the older cohort continue to rise. This has
created challenges in providing health and social services for burgeoning older
populations and governments across the globe have been slow to react.
Priorities are now shifting from solely addressing the health of older people,
to how societies can maximise this opportunity and provide effective, inclusive
environments in which to age.

This report from The Economist Intelligence Unit describes
findings from theScaling Healthy ageing, Inclusive
environments and Financial security Today” (SHIFT) Index
, a benchmarking analysis around ageing
societies, supported by Amgen. The SHIFT
benchmarks against a set of national-level leading practices in
creating an enabling environment supportive of longevity and healthy ageing for
societies in the 19 countries comprising the Group of Twenty (G20). The SHIFT Index captures the multifactorial
variables that impact ageing across three domains: adaptive health and social
care systems; accessible economic opportunity; and inclusive social structures
and institutions.

The research found that no G20 country is
fully prepared to support healthy, financially secure, socially-connected older
people. The US, Australia, Canada and South Korea ranked highest in our index
with scores in the 70s out of 100 (see table below). Broadly, those countries
with a higher proportion of people aged over 50–including the three highest ranking countries plus South Korea,
Germany, France and Japan–are implementing more
leading practices to enable inclusive environments. Wealthy countries may find
it easier to respond, but wealth is not a prerequisite for providing supportive
environments. The best scoring health systems tend to be high-income countries,
but upper-middle income Brazil, and lower-middle income Indonesia are also
making strides to improve health systems.

As a whole, the G20 countries perform best
in providing adaptive healthcare systems and worst in providing inclusive
social structures and institutions, indicating that countries still have work
to do to shift the focus towards building more welcoming societies for older
adults as they age. Countries also have room to improve in providing more
accessible economic opportunities to older workers.


Despite clear progress made, governments
have more work to do to make sure their health systems are adaptive to the
needs of older adults as they age, while also fostering inclusion and ensuring
individual economic security. A key
barrier to addressing this is lack of robust age-disaggregated data collection
by governments in areas such as dedicated health professionals, the extent of
isolation and loneliness as well as mental health.


Index reveals several priority areas that may form the basis of policy
responses to develop more accessible and inclusive societies for older people:


  1. Collect better data: Countries
    should collect and publish detailed, age-disaggregated health and economic data
    annually so policymakers can develop evidence-based programs and policies.

  2. Address poverty among older
    people: Some older adults choose to work longer, others must. Governments can
    ensure the financial health and security of older adults by creating more
    inclusive work environments. This starts with removing barriers to working
    longer that exist in some markets.

  3. Prevent a care crisis among the
    elderly: The provision of care for older adults–both formal and informal–and
    the accessibility of, or access to, long-term care is ill-defined and is an
    area for further research.

  4. Enable older people’s voices to
    be heard: The views and needs of older people are not routinely collected and
    they are not represented well in policy consultation.

  5. Address age-related
    discrimination: Few countries categorise age-discrimination as a crime outside
    of employment practices. Fighting discrimination as well as physical, emotional
    and financial abuse of older adults, will encourage greater social cohesion
    across generations.

  6. Support training and upskilling
    of older people: Supporting older people with the skills and help needed to
    navigate increasingly complex and digitised health and social care systems
    should be an area of focus.


Jesse Quigley Jones, managing editor at The
Economist Intelligence Unit and editor of the report, said, “The challenges
that ageing populations present for economies and health systems have long-been
understood, yet provision of inclusive, supportive environments for older
people has not been a high-profile policy priority. Although wealth has emerged
as a theme in the Index as a contributing factor towards healthy ageing
indicators, it is not necessarily a prerequisite for providing supportive
environments. Lower-income nations can take low-cost measures that improve
ageing societies, such as enacting inclusive work environment policies and
fostering inclusive and enabling social environments.


With older people particularly vulnerable
to the health and societal impact of the covid-19 pandemic, it is more
important than ever for older people to lead healthy, independent lives for as
long as possible and avoid the need for institutional care. While our data were
collected pre-pandemic, the priorities identified in the report are now thrown
into sharper light and may serve as a wakeup call for governments across the
globe for providing adaptable, accessible and inclusive environments in which
populations can age.”


the whitepaper, infographic and index workbook, please visit

About the research

Shifting demographics: a global study on
inclusive ageing
is a report by The Economist
Intelligence Unit, supported by Amgen. It considers policy efforts to address
active and inclusive ageing in 19 countries based on a first-of-its-kind index
that benchmarks each country’s performance across accessible and affordable
healthcare, social connectivity among older adults, and finance security practices
and policies.

The “Scaling Healthy ageing, Inclusive
environments and Financial security Today” (SHIFT) Index and the related
research programme whose findings form the basis for this report were informed
by extensive research and guided by an international panel of experts from
across academia, government, non-governmental organizations (NGOs) and
international financial institutions.

The following 19 countries (comprising
the G20 and excluding the EU) are included in this analysis: Argentina, Australia,
Brazil, Canada, China, France, Germany, India, Indonesia, Italy, Japan, Mexico,
Russia, Saudi Arabia, South Africa, South Korea, Turkey, the UK and the US.
These were selected to broadly represent the world: covering roughly 65% of the
population and 75% of global GDP.

About The Economist Intelligence Unit

The Economist
Intelligence Unit is the world leader in global business intelligence. It is
the business-to-business arm of The Economist Group, which publishes The
Economist newspaper. The Economist Intelligence Unit helps executives make
better decisions by providing timely, reliable and impartial analysis on
worldwide market trends and business strategies.

More information
can be found at www.eiu.com or www.twitter.com/theeiu

About Amgen

Amgen is committed
to unlocking the potential of biology for patients suffering from serious
illnesses, by discovering, developing, manufacturing and delivering innovative
human therapeutics. This approach begins by using tools like advanced human
genetics to unravel the complexities of disease and understand the fundamentals
of human biology.

Amgen focuses on
areas of high unmet medical need, and leverages its expertise to strive for
solutions that improve health outcomes and dramatically improve people’s lives.
A biotechnology pioneer since 1980, Amgen has grown to be one of the world’s
leading independent biotechnology companies, has reached millions of patients
around the world, and is developing a pipeline of medicines with breakaway

For more
information, visit www.amgen.com or www.twitter.com/amgen.