aging and health ezpenditure pdf

Aging And Health Ezpenditure Pdf

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We estimate the pure effect of ageing on total health and aged care expenditure in Australia in the next 20 years. We use a simple demographic projection model for the number of people in older age groups along with a needs based estimate of changes in the public and private cost of care per person in each group adjusted for expected changes in morbidity.

Although the consequences of population aging for growth in health expenditures have been widely investigated, research on this topic is rather fragmented. Therefore, these consequences are not fully understood. This paper reviews the consequences of population aging for health expenditure growth in Western countries by combining insights from epidemiological and health economics research.

Health Expenditures

Purpose of this Research Topic was to gather an array of submissions with the plausible goal of depicting its health care related and socioeconomic consequences. A total of four articles excluding this Editorial have been published inclusive three full length original research papers and one book review.

Base affiliations of the authors spread across academia and governmental authorities while these universities and institutes were situated in the US, China, Australia, Germany and Serbia. While there had been some isolated periods of fertility declines in Europe in the last two centuries, the phenomenon of the so called Third Demographic Transition became broadly recognized in academic literature and UN reports mostly over the past three decades 2.

It consists of falling female fertility, improved early childhood survival, extended longevity, and ultimately the rapid growth in the proportion of the elderly population in a society. Among the major underlying causes the following are listed: growing living standards, improvements in medical services, public health and public education, and sexual revolution and consequent absorption of unpaid female labor into the labor markets 3. Interdependency of personal savings and labor force participation of the elderly, and social security wealth: A time series analysis.

In the process, the families undergo significant changes in their social role; large or multi-generation families dissolve into nuclear families, keeping the reproduction, consumption, education, and health production functions, but losing most of the functions for production and intergenerational resource transmission 4.

The transition to an aged society brings serious financial challenges to all institutions in any economy. Even most developed countries that had foreseen these problems coming for two decades are still struggling to find money to pay for the bulging retirement income and health care costs for the growing elderly population 5. Their transition has been made more difficult by the new revolutionary medical technologies, extremely costly, that are targeted to save the life of a relatively small number of patients.

To what extent, should public money be spent to save the life of the few, mostly elderly? Another unsolved health policy problem for the high-income countries is the long-term care for the elderly.

With the longevity and differential gender mortalities, we observe not only a swelling population of the very old, overwhelmingly female, and poor, living alone. Only two or three decades ago, they who would have been taken care of by their children or their families, but with family ties weakening, the government is now asked to step in to provide necessary social services for them.

How should we finance these costs? How can we preserve incentives for family caregiving? These problems are no less serious, if not more, for most of the middle-income countries. Compared with the historical experiences of developed countries, their demographic transition is taking place at a much faster pace. With these facts in mind, we believe there are significant gaps in literature, particularly for less recognized middle-income regions; magnitudes of the demographic shocks involved, size of the expected costs of aging, distribution of these costs over generations.

Although few developed countries have succeeded in preparing for their demographic shocks, how are these countries preparing for the upcoming aging shocks? Some of the recently published future forecasts on long term health expenditure trends among the leading emerging BRICs economies give a hint of plausible adaptive strategies up to 7. Today we have evidence that aging is taking place even among some of the poorest countries, bringing double burdens to their national health system.

Still coping with the burden of infectious diseases, injuries, and high neonatal mortality, these communities are facing high toll of chronic non-communicable diseases usually associated with old age in more developed countries 8.

It has focused on the problem of insufficient knowledge on dementia among the Chinese elderly citizens in the cities and challenge to create educational programs capable of covering this unmet need Zhang et al. Another contribution came from the US and was dealing with the formal and informal home-based medical care service utilization and nursing home service use.

German Demographic Institutes jointly with Amsterdam University based group, have conducted a research on suspected renal replacement therapy as a plausible trade-off phenomenon for living longer lives in Western Europe. After a thorough exploration they came to the conclusive remark that extended life expectancy in this region did not statistically correlate with the burden of renal replacement therapy in these same nations.

Last of the four pieces was actually a book report prepared on a distinguished public health university text book entitled: The New Public Health 3rd Edition 9. This extensive and encyclopedic contribution encircled almost all relevant disciplines of the science of public health acquiring a strong historical perspective. Authors particularly did pat attention to the segments devoted to the health economics of population aging and its related socio-economic consequences Jakovljevic et al.

Based on all aforementioned evidence we may assume that there is growing body of academic literature and funded research on consequences of population aging We hope these efforts will bring new ideas how to adapt to this profound demographic change and invent financially sustainable new models of national health care and social support systems.

MJ and SO have jointly designed the research question, prepared the manuscript, and revised it for important intellectual content.

The authors would like to hereby express gratitude to Grant No. Publication of results was not contingent to Ministry's censorship or approval. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The underside of the silver tsunami—older adults and mental health care. N Eng J Med.

Interdependency of personal savings and labour force participation of the elderly, and social security wealth: a time series analysis. Appl Econ. Google Scholar. Jakovljevic M, Getzen TE. Ogura S, Jakovljevic M. Health financing constrained by population aging - an opportunity to learn from Japanese experience. Serbian J Exp Clin Res. Barriers to health care among the elderly in Japan. Jakovljevic MB. Front Public Health Dieleman J, Campbell M, Chapin A, Eldrenkamp E, Fan VY, Haakenstad A, et al Evolution and patterns of global health financing — development assistance for health, and government, prepaid private, and out-of-pocket health spending in countries.

Lancet — Tulchinsky T, Varavikova E. The New Public Health 3 rd Edition. Aging of the population, clinical pharmacy services, and interdisciplinary cooperation in the optimization of pharmacotherapy in older patients. Drugs Aging. Ageism in the health care system. Innov Aging Public Health The use, distribution or reproduction in other forums is permitted, provided the original author s and the copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.

No use, distribution or reproduction is permitted which does not comply with these terms.

Editorial: Global Population Aging - Health Care, Social and Economic Consequences

NCBI Bookshelf. Sustainable Health Financing with an Ageing Population: Will population ageing lead to uncontrolled health expenditure growth? We first analyse the historical relationships between calendar age and per person health spending. Per capita health spending presented as a share of GDP is shown by age groups for the average EU country in three year intervals from to Figure 1. As expected, health expenditures are relatively high at birth until 1 year of age.

Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 8 July Published 31 August Volume Pages — Review by Single anonymous peer review. Editor who approved publication: Professor Marco Carotenuto.


PDF | Although the consequences of population aging for growth in health expenditures have been widely investigated, research on this topic.


Population ageing and health care expenditure: a school of 'red herrings'?

Aristovnik, A. Baltagi, B. Health Economics, 26 7 , — Cold Spring Harbor Perspectives in Medicine, 5

Women face various health problems during their lives. This has an impact on health costs that must be paid. Gender bias tends to place women in subordinate positions, so they have limited power in making a decision.

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