老龄化与医疗费用增长的国际研究进展与启示  

International Research Progress and Revelation Aging and Medical Expenditure Growth

作　　者：李芬[1,2] 王常颖[1] 王力男[1,3] 张晓溪[1] 周文滔[4] 方欣叶 李欣 

机构地区：[1]上海市医学科学技术情报研究所上海市卫生发展研究中心,上海200040 [2]复旦大学公共卫生学院,上海200032 [3]上海财经大学,上海200433 [4]中南大学湘雅公共卫生学院,长沙410008 [5]上海市临床检验中心,上海200216

出　　处：《中国卫生经济》2018年第3期94-96,共3页Chinese Health Economics

基　　金：美国中华医学基金会卫生体系研究与政策转化合作项目(CMB-CP 14-190);上海市第四轮公共卫生三年行动计划重点学科建设项目循证公共卫生与卫生经济学(15GWZK0901)

摘　　要：通过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,对2000年以来国际上年龄与医疗费用关系研究进行综述。研究发现,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。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。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。Through analyzing the relation between age and medical costs, it evaluated the impact of aging on health financing. The international relations between age and medical costs since 2000 were summarized. It found that the medical costs for the elderly per capita were higher than the young group, but the differences were influenced by the period and service system. The impact of proximity to death on medical costs was normally considered as higher than the effect of age. It needed to pay attention to the financing pres sure of health system in ageing society. However, the effect of ageing was related with the policy. Applying prevention strategy to pro- pose healthy ageing, developing the elderly nursing and hospice care could decrease acute care of elderly persons.

关 键 词：人口老龄化 接近死亡效应 医疗费用 健康老龄化 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R19-0