scholarly journals THE RELATIONSHIP BETWEEN POPULATION AGING AND MEDICAL EXPENDITURES IN ROMANIA

2020 ◽  
pp. 157
Author(s):  
Lucian Adrian Sala
Keyword(s):  
Life Expectancy ◽  
Population Aging ◽  
Healthcare Providers ◽  
Multiple Linear Regression Model ◽  
The Elderly ◽  
Healthcare Services ◽  
Medical Expenditures ◽  
Average Life Expectancy ◽  
Elderly Individuals ◽  
Per Capita

With recent developments in the medical field and faster access to medical professional and healthcare services providers, accompanied by better education and a higher level of hygiene, life expectancy for both males and females in Romania is increasing at a steady pace. From a medical point of view, this is a remarkable accomplishment when compared with past decades when the average life expectancy was much lower than in recent times. A longer life span will automatically, for the most part, have the unwanted effect of increasing spending on medical services on behalf of the state to ensure a better quality of life for the elderly. Therefore, the public health system will be placed under additional pressure on behalf of healthcare providers to offer higher quality services to the elderly. This paper aims to explore the degree of influence that age and income have on the growing costs of medical expenditures on a per capita level. The method employed in exploring to what extent the growing share of elderly individuals and income can explain the rise in medical expenditures is a multiple linear regression model. The expected results are that as the share of elderly individuals grows within Romania’s population and similarly as income on a per capita bases rises, there will be a noticeable increase in per capita medical expenditures.

Adjustment of Legal Retirement Age in Chinese Mainland

2011 ◽  
Vol 422 ◽  
pp. 684-687
Author(s):  
Shi Bin Song ◽  
Qi Song ◽  
Xiao Jun Xue ◽  
Yun Wan
Keyword(s):  
Labor Market ◽  
Life Expectancy ◽  
Population Aging ◽  
Supply And Demand ◽  
Chinese Mainland ◽  
Retirement Age ◽  
Demographic Dividend ◽  
Factors Affecting ◽  
Per Capita ◽  
Legal Retirement Age

With the coming rush of population aging and the termination of the demographic dividend, the question on the extension of the legal retirement age is becoming a hot topic in the community. This paper analyzes factors affecting retirement age，such　as demographic dividend, life expectancy, years of education per capita, supply and demand situation in labor market. From these factors, reasonable quantitative reference standards can be introduced.

scholarly journals Estimating Lifetime Dental Care Expenditure in South Korea: An Abridged Life Table Approach

2020 ◽  
Vol 17 (9) ◽  
pp. 3308
Author(s):  
Minsung Sohn ◽  
Xianhua Che ◽  
Sungwon Lim ◽  
Hee-Jung Park
Keyword(s):  
Life Expectancy ◽  
Life Table ◽  
Dental Care ◽  
Age Groups ◽  
Information Service ◽  
The Elderly ◽  
Average Lifetime ◽  
Men And Women ◽  
Significant Difference ◽  
Per Capita

The aim of this study was to measure the magnitude and distribution of a Korean’s lifetime dental expenses depending on age and sex, by constructing a hypothetical lifetime and life table of survival. Additionally, we estimated the difference in life expectancy between men and women and its impact on dental expenses. We used the 2015 Korea Health Panel Survey to calculate the total dental expenditure, including expenses paid directly by patients and those paid by insurers. We generated survival profiles to simulate dental expenses during a typical lifetime (from birth to age 95) using the abridged life table (five-year intervals for age groups) in 2015 from the South Korean Statistical Information Service. We independently calculated the remaining dental expenses for survivors of all ages. The results showed that an estimate of average lifetime dental expenditure was $31,851 per capita: $31,587 for men and $32,318 for women. Nearly 33% of the average per capita lifetime dental expenditure was attributable to the longer life expectancy of women, with no statistically significant difference in lifetime dental expenditure between men and women. Many survivors incurred 70% of their lifetime dental expenses before age 65. The results highlighted the need for policymakers to address spending on age-specific dental care owing to extended life expectancy, given the disproportionate share of healthcare resources supporting the elderly.

scholarly journals Managing Cystic Fibrosis in Polish Healthcare

2020 ◽  
Vol 17 (20) ◽  
pp. 7630
Author(s):  
Marta Rachel ◽  
Stanisław Topolewicz ◽  
Andrzej Śliwczyński ◽  
Sabina Galiniak
Keyword(s):  
Cystic Fibrosis ◽  
Life Expectancy ◽  
Health Resources ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Average Life ◽  
Average Life Expectancy ◽  
Frequency Of Use ◽  
Paediatric Age

The quality and length of life of patients with cystic fibrosis (CF) are determined by a number of factors including the quality of healthcare received by patients, as well as access to drug programs dedicated to this particular disease. The purpose of this paper is to present an overview of changes in the average life expectancy and mortality rate of the CF population in Poland between 2000 and 2018. Furthermore, we would like to evaluate access to healthcare services, including the drug program, guaranteed by public healthcare system, and funded by National Health Fund (NHF). The average life expectancy of patients with CF increased in the period in question from ca. 14.5 ± 7.6–24.5 ± 8.9 years (mean ± SD, p = 0.0001). We have observed a drop in the number of deaths in paediatric age during that period. Despite the increase in life expectancy, the use of health resources in patients with CF, especially the drug program, is dramatically low. Considering the fact that in Poland there was no active countrywide CF registry, now it is possible to estimate the frequency of use of CF healthcare services in various provinces exclusively on the basis of database maintained by the Polish NHF.

scholarly journals Multi-State Analysis of the Impact of Childhood Starvation on the Healthy Life Expectancy of the Elderly in China

2021 ◽  
Vol 9 ◽  
Author(s):  
Huiling Dong ◽  
Chunjing Du ◽  
Bingyi Wu ◽  
Qunhong Wu
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
The Elderly ◽  
Income Level ◽  
Healthy Life Expectancy ◽  
Average Life ◽  
Average Life Expectancy ◽  
Healthy Life ◽  
Significant Difference ◽  
The Impact

Background: Child malnutrition is not only common in developing countries but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which provides a reference for formulating health-related policies under the concept of full lifecycle health.Methods: Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011, and 2014, this study took a total of 13,185 elderly people aged 65–99 years as the target population. By IMaCH software, with gender and income level as the control variables, the average life expectancy and healthy life expectancy of the elderly were measured. The x2test was used to explore the differences in the socioeconomic status of elderly people with or without starvation in childhood. Statistical differences between average life expectancy and healthy life expectancy were analyzed by rank tests.Results: (1) The results showed that there was a statistically significant difference in age, gender, residency, education level, and income level between the groups with or without starvation (P < 0.05). (2) Transition probabilities in health–disability, health–death, and disability–death all showed an upward trend with age (P < 0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience (P < 0.05). However, the probability of disability–health recovery showed a downward trend with age (P < 0.05), in which the elderly who experienced starvation in childhood were lower than those without starvation (P < 0.05). (3) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P < 0.05).Conclusions: The average life expectancy and healthy life expectancy of the elderly with childhood starvation are lower than those without childhood starvation. It shows that the negative impact of childhood starvation on health through the life course till old age has a persistent negative cumulative effect on the quantity and quality of life. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policymaking.

scholarly journals Multi-State Analysis of the Impact of Childhood Starvation on the Healthy Life Expectancy of the Elderly in China

2021 ◽  
Author(s):  
Huiling Dong ◽  
Bingyi Wu ◽  
Qunhong Wu
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
Transition Probabilities ◽  
The Elderly ◽  
Developed Countries ◽  
Healthy Life Expectancy ◽  
Average Life ◽  
Average Life Expectancy ◽  
Healthy Life ◽  
The Impact

Abstract Background: Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods: Based on Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65-99 years as the target population. By IMaCH software, with age, gender, and income level as the control variables, and the average life expectancy and healthy life expectancy of the elderly was measured. The test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both average life expectancy and healthy life expectancy. Results: (1) Transition probabilities in health-disability, health-death, and disability-death all showed an upward trend with age(P<0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience(P<0.05). However, the probability of disability-health recovery showed a downward trend with age(P<0.05), whereas the elderly who experienced starvation in childhood were lower than those without starvation(P<0.05).(2) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P<0.05).Conclusions: The negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life for the elderly. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.

scholarly journals Modern Demographic Processes in Ukraine, Factors of Influence

2021 ◽  
Vol 100 ◽  
pp. 05001
Author(s):  
Victoria Yavorska ◽  
Vitaliy Sych ◽  
Ihor Hevko ◽  
Inna Shorobura ◽  
Olexandra Dolynska
Keyword(s):  
Life Expectancy ◽  
Large Scale ◽  
Population Aging ◽  
Regional Analysis ◽  
Economic Consequences ◽  
Average Life ◽  
Average Life Expectancy ◽  
Geographical Differences ◽  
Demographic Situation ◽  
Demographic Processes

The presented article gives the analysis of the modern demographic indicators such as life expectancy, age structure and fertility rate of the population in Ukraine and their geographical differences. The aim of the research is a spatial analysis of the demographic situation to determine the development trends of the population of the regions of Ukraine. In the conditions of depopulation and gradual aging of labor force in Ukraine requirements to its qualitative characteristics, first of all a state of health and average life expectancy grow. Ukraine belongs to the countries with high intensity of depopulation processes that is caused by a number of various factors of economic, socio-cultural, institutional character. Large-scale and protracted depopulation is now a component and one of the most pronounced manifestations of the general crisis demographic situation in Ukraine. The tendencies of influence of average life expectancy on indicators of population aging are investigated in the work. The regional analysis is carried out and territorial differences in indicators of average life expectancy and indicators of population aging are defined. The reasons for such a tense situation have been identified. The paper emphasizes that the development of really effective measures aimed at bringing the oblasts out of the deep demographic crisis and slowing down the progressive depopulation should focus not only on reducing mortality, but mainly on improving the health of the population, which can correct high mortality. These demographic trends increase global demographic asymmetry, give a special sharpness and new "sound" to the demographic problem in the global context, and, in addition, have long-term socio-economic consequences for countries with depopulation and deepening aging. In view of this, there is now a need for a comprehensive scientific understanding of the phenomenon of depopulation and assessment of its possible prospects, the development of a strategy to influence depopulation processes by means of sociodemographic policy. In our country, the study of depopulation factors, its nature and origins, analysis of the peculiarities of the deployment of depopulation and assessment of its consequences have become particularly relevant.

scholarly journals ASSOCIATION BETWEEN DEPRESSION AND ANXIETY SYMPTOMS AND COGNITION IN COMMUNITY DWELLING ELDERLY INDIVIDUALS

2021 ◽  
Author(s):  
Gabriela Cruz ◽  
Letícia Souza ◽  
Juliana de Freitas ◽  
Bruno Shimizu ◽  
Katerina Lukasova ◽  
...  
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Multiple Linear Regression Model ◽  
The Elderly ◽  
Anxiety Symptoms ◽  
Community Dwelling ◽  
Outreach Program ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Elderly Individuals

Background: Depression and anxiety are common conditions among the elderly. Previous studies have conflicting results about the association between those symptoms and cognitive functioning (CF). Objective: To investigate the association between depression and anxiety symptoms and CF in community dwelling elderly individuals (aged 60 or over, living independently). Methods: Cross-sectional study with 362 elderly adults recruited by convenience to participate in a university outreach program. We analyzed correlations between scores at Addenbrooke’s Cognitive Examination-Revised (ACE-R), Geriatric Depression Scale (GDS) and Geriatric Anxiety Inventory (GAI). Results: There were significant negative correlations between the GDS and subscales of attention and orientation, fluency and the overall ACE-R, also between GAI with fluency and overall ACE-R. There was a moderate positive correlation between GDS and GAI. A multiple linear regression model evidenced that fluency domain was the best predictor of GDS and GAI scores. Scores compatible with depression and anxiety were found in 13.5% (GD) and 16.3% (GA) of the sample, respectively. GD presented lower scores in fluency and GA in fluency, memory, language and overall ACE-R score (p <0.05) compared to controls in the same sample. Conclusion: Depression and anxiety were associated with lower CF in seniors.

scholarly journals Multi-State Analysis of the Impact of Childhood Starvation on the Healthy Life Expectancy of the Elderly in China

2021 ◽  
Author(s):  
Huiling Dong ◽  
Bingyi Wu ◽  
Qunhong Wu
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
The Elderly ◽  
Income Level ◽  
Healthy Life Expectancy ◽  
Average Life ◽  
Average Life Expectancy ◽  
Healthy Life ◽  
Significant Difference ◽  
The Impact

Abstract Background Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods Based on Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65–99 years as the target population. By IMaCH software, with gender and income level as the control variables, and the average life expectancy and healthy life expectancy of the elderly was measured. The\({x}^{2}\)test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both average life expectancy and healthy life expectancy. Results (1) The results showed that there was a statistically significant difference in age, gender, residency, education level, and income level between the groups with or without starvation (P < 0.05).(2)Transition probabilities in health-disability, health-death, and disability-death all showed an upward trend with age(P < 0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience(P < 0.05). However, the probability of disability-health recovery showed a downward trend with age(P < 0.05), whereas the elderly who experienced starvation in childhood were lower than those without starvation(P < 0.05). (3) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P < 0.05). Conclusions The average life expectancy and healthy life expectancy of the elderly with childhood starvation both are lower than those without childhood starvation. It shows that the negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.

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