| 引用本文: |
李芬,王常颖,王力男,等.老龄化与医疗费用增长的国际研究启示[J].中国卫生经济,2018,(3):94-96.[点击复制] |
.Aging and medical expenditure growth: revelation from international research[J].CHINESE HEALTH ECONOMICS,2018,(3):94-96.[点击复制] |
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| 摘要: |
| 摘要：目的：研究年龄与医疗费用的关系，评估老龄化对卫生筹资的影响。方法：综述了2000年以来国际上年龄与医疗费用关系研究。结果：（1）老年人口人均医疗费用高于年轻组，但差异大小受时代和服务体系影响。（2）老年人医疗费用高部分是由于接近死亡效应造成的假象，接近死亡效应对医疗费用的影响普遍认为大于年龄的作用。（3）医疗费用受人口社会学特点、服务体系和保障制度等影响，年龄作用有限；然而年龄与人口总量增加的叠加作用对卫生系统服务、筹资的可持续性带来考验。结论：国际研究证据提示，老龄化社会须重视卫生系统的筹资压力；但老龄化的作用受政策影响，采取预防策略倡导健康老龄化、发展老年护理及舒缓疗护等服务可降低老年人的治疗性费用。 |
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| Aging and medical expenditure growth: revelation from international research |
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| Abstract: |
| Abstract：Objective: To find the relationship between age and medical expenditure, and to assess the influence of aging on health financing. Methods: we reviewed related papers since 2000. Results: Main findings included: (1) Elderly persons had higher per capita medical expenditure than young persons, but the gap varied among countries and from different time. (2) Higher per capital medical expenditure partly due to the effect of proximity to death, whose effect was mostly considered to be greater than age. (3) The effect of age on medical expenditure was limited comparing other factors, such as demographic characteristics, health care system and medical insurance. Conclusion: Evidences from international research showed that great emphasis should be put on the challenge of health financing. The effect on medical expenditure varied under policy, promoting prevention actions and healthy aging, developing long-term care and hospice care could decrease acute care of elderly persons. |
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