How heavy is the medical expense burden among the older adults and what are the contributing factors? A literature review and problem-based analysis

被引:21
作者
Chen, Jie [1 ]
Zhao, Meizhen [2 ]
Zhou, Renyi [3 ]
Ou, Wenjing [4 ]
Yao, Pin [5 ]
机构
[1] China Med Univ, Affiliated Hosp 1, Dept Anesthesiol, Shenyang, Liaoning, Peoples R China
[2] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Nursing Dept, Wuhan, Hubei, Peoples R China
[3] China Med Univ, Affiliated Hosp 1, Dept Orthopaed, Shenyang, Liaoning, Peoples R China
[4] China Med Univ, Coll Hlth Management, Shenyang, Liaoning, Peoples R China
[5] Shengjing Hosp China Med Univ, Dept Hlth Management, Dept Hlth Policy & Hosp Management, Shenyang, Liaoning, Peoples R China
关键词
aging; medical expense; economic burden; health cost change; SHA; 2011; HEALTH-CARE EXPENDITURE; POPULATION; DETERMINANTS; DEMAND; INCREASES; IMPACT; COSTS; AGE;
D O I
10.3389/fpubh.2023.1165381
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In recent years, the aging population and increasing medical expenses among the older adults have emerged as significant public health concerns. National governments must conduct medical expense accounting and implement measures to reduce the burden of medical costs on the older population. However, limited studies have focused on total medical expenditure from a macro perspective, with many researches exploring individual medical expenses from different perspectives. This review introduces the trend of population aging and its impact on health cost change, reviews research on the medical expense burden of the older population and contributing factors, and points out underlying problems and limitations of current studies. Based on the present studies, the review emphasizes the necessity of medical expense accounting and analyzes the medical expense burden of the older population. Future studies should explore the impacts of medical insurance funds and health service system reforms on reducing medical expenses and developing a supporting medical insurance reform plan.
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页数:8
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