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[德国的人口结构变化。对卫生政策和皮肤病学的影响]

[Demographic changes in Germany. Consequences in health policy and dermatology].

作者信息

Diepgen T L

机构信息

Abteilung Klinische Sozialmedizin mit Schwerpunkt Gesundheitssystemforschung, Berufs- und Umweltdermatologie des Universitätsklinikum Heidelberg.

出版信息

Hautarzt. 2003 Sep;54(9):804-8. doi: 10.1007/s00105-003-0586-2.

DOI:10.1007/s00105-003-0586-2
PMID:12955255
Abstract

During the last century the median life expectancy increased by about 30 years in Germany. According to recent prognoses, this trend will continue over the next decades. Not only the number of people older than 60 years but also its percentage within the population has and will continue to increase dramatically. This has important socio-economic, political and health-economic consequences. The increasingly older population has an important impact on dermatology. The incidence of many skin diseases increases with age because of long-term exposure to exogenous factors such as UV irradiation. Aging processes especially affect the skin. Last not least, the distinction between skin disease and "cosmetic" skin problems has changed in the last decades in our society. Even a small reduction in the threshold of what the public and health professionals regard as a skin complaint worthy of medical attention could lead to a large increase in future dermatology service requirements. The demographic changes in our society are becoming an important issue in dermatological health care research.

摘要

在上个世纪,德国的平均预期寿命增加了约30岁。根据最近的预测,这一趋势将在未来几十年持续下去。不仅60岁以上人群的数量,而且其在总人口中的比例已经并将继续急剧增加。这具有重要的社会经济、政治和卫生经济后果。人口老龄化对皮肤科产生了重要影响。由于长期暴露于紫外线辐射等外源性因素,许多皮肤病的发病率随年龄增长而增加。衰老过程尤其会影响皮肤。最后但同样重要的是,在过去几十年里,我们社会中皮肤病与“美容”皮肤问题之间的区别已经发生了变化。即使公众和卫生专业人员认为值得医疗关注的皮肤问题的阈值有小幅降低,也可能导致未来皮肤科服务需求大幅增加。我们社会中的人口结构变化正成为皮肤病保健研究中的一个重要问题。

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本文引用的文献

1
A survey of skin problems and skin care regimens in the elderly.老年人皮肤问题及皮肤护理方案的调查
Arch Dermatol. 1987 Dec;123(12):1638-43.
2
Skin conditions and related need for medical care among persons 1-74 years. United States, 1971-1974.1至74岁人群的皮肤疾病及相关医疗需求。美国,1971年至1974年。
Vital Health Stat 11. 1978 Nov(212):i-v, 1-72.