Global Disease Burdens, Risks, and Their Implications for Home Healthcare: Chronic Burdens in Home Health Systems

Abstract

The global rise in the aging population, chronic diseases, and barriers to healthcare access has significantly increased the need for home healthcare services. The global burden of disease threatens both individual health and the sustainability of health systems. Home healthcare offers quality, person- centred care in the patient's environment while reducing institutional care pressures. Especially during the COVID- 19 pandemic, its importance has become more evident, highlighting the need for technological, political, and workforce- oriented reforms. These services address chronic disease management, elderly care, palliative support, and rehabilitation, making them essential for long- term care. According to WHO's 2019 report, noncommunicable diseases account for 71% of global deaths, underscoring the need for sustainable, home- based alternatives to hospital care. This chapter explores global disease burdens, policy and technology impacts, workforce needs, and the evolving role of home healthcare globally. © 2025 Elsevier B.V., All rights reserved.