Abstract
Population ageing impacts on all social systems. The aim of this paper is to characterise the impacts of an ageing population on the social services and healthcare systems in the Czech Republic. These are the systems that will be most affected by the growing number of people of post-productive age. For social services, an estimate of the evolution of the number of beneficiaries of care allowance up to 2030 was drawn up on the basis of an analysis of the evolution in the number of beneficiaries of this social benefit by sex, age and degree of dependency in the years 2007 to 2016; for healthcare, an estimate of health insurance companies’ expected expenditure on healthcare was drawn up on the basis of an analysis of the evolution of spending on healthcare by health insurance companies, broken down by clients’ sex and age. The calculations clearly show that both these systems are unprepared for tackling the consequences of population ageing, so the search should begin now for new solutions that would help ensure that both social services and healthcare continue to be provided to clients to the existing standard in the coming period.
Highlights
The Population Forecast of the Czech Republic up to 2100 was published in 2013 (Czech Statistical Office, 2013)
While the impacts in the field of pension insurance have been long discussed within the Expert Commission on Pension Reform and quantifying these impacts is mainly a question of standard actuarial calculations, the impact of population ageing on social services or healthcare is a marginal topic: practically no attention has been paid to ways to influence demographic change through pro-natalist measures or active migration policy
4.2 Expected Impacts of Population Ageing on the Need for Social Care Services
Summary
The Population Forecast of the Czech Republic up to 2100 was published in 2013 (Czech Statistical Office, 2013). That presented an opportunity to quantify and update the impacts the expected population developments will have on all social systems. While the impacts in the field of pension insurance have been long discussed within the Expert Commission on Pension Reform and quantifying these impacts is mainly a question of standard actuarial calculations, the impact of population ageing on social services or healthcare is a marginal topic: practically no attention has been paid to ways to influence demographic change through pro-natalist measures or active migration policy. The aim of this paper is to quantify the impacts of demographic change on the Czech Republic’s social services and healthcare systems and, in the light of the results, to outline suitable measures that would help ensure that both these systems are able to provide these services to at least the existing standard in the coming years
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