Challenges and countermeasures of population aging to public health service

doi:10.3969/j.issn.1674-490X.2022.01.007

Abstract

Abstract: China is facing a huge medical challenge from its aging problem. By 2050, China's population aged 65 and above will reach 400 million, of which the population aged 80 and above will reach 150 million. This paper reviews the evolution and current situation of population aging systematically through literature review, and analyzes some public health problems caused by China's aging population from the perspective of economic: underutilization of health service, the rapid rise of health costs, the huge demand for nursing service. It is suggested that we should strengthen health education for the elderly, expand nursing service, provide individual nursing care for them, further improve the medical security system and build a sustainable long-term care insurance system.

Key words: population aging, public health, health expenditure, nursing service

CLC Number:

CHENG Huaizhi, GUO Bin, SONG Jiawei, LI Yu. Challenges and countermeasures of population aging to public health service[J]. Journal of Hebei Medical College for Continuing Education, 2022, 39(1): 49-53.

References

[1] 国家统计局.2020 年中国统计年鉴[EB/OL].(2020-09-14)[2021-06-26]. http://www.stats.gov.cn/tjsj/ndsj/2020/indexch.htm.
[2] 健康中国行动推进委员会.健康中国行动(2019—2030年): 总体要求、重大行动及主要指标[J].中国循环杂志, 2019, 34(9): 846-858. DOI: 10.3969/j.issn.1000-3614.2019.09.003.
[3] 徐丽.老龄化趋势给医保基金带来的挑战及对策分析:以上海为例[J].经济问题探索, 2005(12): 56-60. DOI: 10.3969/j.issn.1006-2912.2005.12.013.
[4] 宋晨晓,徐爱军,王丹丹.老年人口卫生服务利用现状及影响因素分析[J].现代预防医学, 2018, 45(15): 2778-2783.
[5] 刘竟芳,陈哲,杨非柯,等.我国老年人慢性病现状及应对策略[J].中外医疗, 2014, 33(23): 194-195, 198. DOI: 10.16662/j.cnki.1674-0742.2014.23.001.
[6] PALLADINO R, PENNINO F, FINBARR M, et al. Multimorbidity and health outcomes in older adults in ten European health systems, 2006-15[J]. Health Aff(Millwood), 2019, 38(4): 613-623. DOI: 10.1377/hlthaff.2018.05273.
[7] 国家卫生健康委员会.中国卫生健康统计年鉴2020[M]. 北京:中国协和医科大学出版社, 2020: 268.
[8] 李斯怡,曾德勇,孔世忠,等. 成都市城乡老年人卫生服务需求与利用分析[J].现代预防医学, 2019, 46(11): 1977-1981, 1994.
[9] 黄婷婷.我国人口老龄化对卫生总费用增长的影响[D]. 厦门:厦门大学, 2012: 52.
[10] 童小栢.中国人口老龄化对医疗卫生费用的影响研究[D].济南:山东大学, 2019: 61.
[11] WANG C Y, LI F, WANG L N, et al. The impact of population aging on medical expenses: a big data study based on the life table[J]. Biosci Trends, 2018, 11(6): 619-631. DOI: 10.5582/bst.2017.01243.
[11] WANG C Y, LI F, WANG L N, et al. The impact of population aging on medical expenses: a big data study based on the life table[J]. Biosci Trends, 2017, 11(6): 619-631. DOI: 10.5582/bst.2017.01243.
[12] 周少甫,范兆媛.年龄对医疗费用增长的影响:基于分位数回归模型的分析[J].中国卫生经济, 2016, 35(6): 65-67. DOI: 10.7664/CHE20160617.
[13] 傅利平,丁丽曼,陈琴.共病对中老年人医疗服务利用和费用影响及城乡差异研究:基于中国CHARLS(2015)数据的实证分析[J].中国农村卫生事业管理, 2021, 41(1): 49-54.
[14] JIN X W, CHEN L. Fragile X syndrome as a rare disease in China-Therapeutic challenges and opportunities[J]. Intractable Rare Dis Res, 2015, 4(1): 39-48. DOI: 10.5582/irdr.2014.01037.
[15] ZENG Y. Towards deeper research and better policy for healthy aging: using the unique data of Chinese longitudinal healthy longevity survey[J]. China Economic J, 2012, 5(2/3): 131-149. DOI: 10.1080/17538963.2013.764677.
[16] 王荣,荣柳.四级医联体模式下湖北省松滋市农村老人健康状况和护理需求[J].中国老年学杂志, 2019, 39(14): 3550-3554. DOI: 10.3969/j.issn.1005-9202.2019.14.062.
[17] 董静静,吴嫣,储奕.老年人日常生活能力及长期护理需求现状调查[J].卫生职业教育, 2018, 36(18): 135-138.
[18] 刘志鹏,李新帝,董亭亭,等.天津市老年人居家护理需求及影响因素[J].中国老年学杂志, 2018, 38(21): 5335-5337. DOI: 10.3969/j.issn.1005-9202.2018.21.082.
[19] 刘晓娜,赵根明,徐望红.我国慢性病防控典型成功案例及启示[J].中国慢性病预防与控制, 2016, 24(3): 169-174. DOI: 10.16386/j.cjpccd.issn.1004-6194.2016.03.003.
[20] BAO J B, TANG Q, CHEN Y Y. Individual nursing care for the elderly among China's aging population[J]. Biosci Trends, 2018, 11(6): 694-696. DOI: 10.5582/bst.2017.01285.
[21] 国务院.国务院关于实施健康中国行动的意见[J]. 中国公共卫生管理, 2019, 35(4): 426-428, 577.
[22] World Health Organization. Health financing strategy for the asia pacific region(2010-2015)[M]. Switzerland: World Health Organization, 2009: 26.
[23] 李晶,赵雅玲,刘荣.应对我国人口老龄化的社会问题,卫生投入政策的探讨[J].中国地方病防治杂志, 2016, 31(5): 529-530.
[24] FENG Z L, LIU C, GUAN X P, et al. China's rapidly aging population creates policy challenges in shaping a viable long-term care system[J]. Health Aff(Millwood), 2012, 31(12): 2764-2773. DOI: 10.1377/hlthaff.2012.0535.