Abstract
BackgroundThe aging of population and the burden of disease among the aged have become one of the hot topics in the international health, and also brought tremendous pressure in the development of health service.MethodsA total of 1,377,681 patients aged 65 years and over were collected with multistage stratified cluster random sampling in 252 medical institutions in Liaoning China, and “System of Health Account 2011” was conducted to analyze the expenditure of disease for the elderly. Influencing factors were performed using multiple stepwise regression analysis.ResultsThe curative care expenditure for the aged was 233.18 billion RMB. Most of the expenditure for the old people was in hospital. Moreover, by the disease, the highest expenditure was incurred by non-communicable diseases. The financing scheme of the aged was concentrated on social health insurance and family health expenditure. Hospitalization expenditure was significantly associated with length of stay, operation, etc.ConclusionsThis study intends to capture large data from various medical institutions with a new accounting system. The finding illustrates that the burden of old people is still heavy.
Highlights
The aging of population and the burden of disease among the aged have become one of the hot topics in the international health, and brought tremendous pressure in the development of health service
Diseases in the elderly are mainly composed of non-communicable diseases (NCD), and the increasing of the prevalence of NCD in the people more than 65 years old is usually two to three times of the total population [3]
Allocation of medical institution for the aged in curative care expenditure Most of the curative care expenditure for the old people was in the hospital, accounting for 92.96%, and the majority of the cost was in hospitalization expenses (83.77%)
Summary
The aging of population and the burden of disease among the aged have become one of the hot topics in the international health, and brought tremendous pressure in the development of health service. The aging population and the burden of the aged have become some of the most popular topics in the world. Diseases in the elderly are mainly composed of non-communicable diseases (NCD), and the increasing of the prevalence of NCD in the people more than 65 years old is usually two to three times of the total population [3]. In 2012, among the elderly over the SHA 2011 could precisely count the burden of diseases in the elderly, and can better analysis population distribution on curative care expenditure, such as scale of curative care expenditure in the aged, fund raising, etc. SHA 2011 could sufficiently analyze curative care expenditure in aspect of age-specific, sexspecific, and disease-specific on curative care expenditure [6, 7]
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