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韩国2015年至2050年长期护理服务支出预测。

Long-term care services expenditure projection in South Korea from 2015 to 2050.

作者信息

Kim Nayoung

机构信息

School of Economics, Yonsei University, Seoul, South Korea.

出版信息

Int J Health Plann Manage. 2015 Jan-Mar;30(1):45-56. doi: 10.1002/hpm.2204. Epub 2013 Jul 13.

Abstract

South Korea has been undergoing significant change in its population structure over the past three decades. Within 10 years, South Korean baby-boomers will reach the age of 65 years and accelerate this change. This trend in population structure is crucial, because an aging population may increase medical demand, especially that for long-term care (LTC) services, which would create a financial burden on society. This study estimates total LTC expenditure in South Korea from 2015 to 2050 by modifying the method proposed by the UK Personal Social Science Research Unit, the seminal study on projecting costs of LTC services. Using population data from the projections of the Korean Statistical Information Service, I stratify the projected population by gender and age, using the groups 65-69, 70-74, 75-79 and 80 or over and divide LTC services into two categories, namely facility and home care. South Korea's total LTC expenditure is predicted to continuously increase and then reach 4.2% of GDP in 2050. Expenditure on LTC services for women is higher than that for men. Moreover, the increase in total expenditure is dramatic after 2040 for home-based services but is constant for facility services. This study shows that the presence of baby-boomers heavily influences LTC expenditure in South Korea.

摘要

在过去三十年中,韩国的人口结构发生了重大变化。在未来10年内,韩国婴儿潮一代将年满65岁,这将加速这种变化。这种人口结构趋势至关重要,因为人口老龄化可能会增加医疗需求,尤其是长期护理(LTC)服务需求,这将给社会带来财政负担。本研究通过修改英国个人社会科学研究单位提出的方法,估计了韩国2015年至2050年的长期护理总支出,该方法是关于长期护理服务成本预测的开创性研究。利用韩国统计信息服务局预测的人口数据,我按性别和年龄对预测人口进行分层,分为65 - 69岁、70 - 74岁、75 - 79岁和80岁及以上几组,并将长期护理服务分为两类,即机构护理和居家护理。预计韩国长期护理总支出将持续增加,到2050年将达到国内生产总值的4.2%。女性长期护理服务支出高于男性。此外,2040年之后居家服务的总支出增长显著,而机构服务支出则保持稳定。本研究表明,婴儿潮一代的存在对韩国的长期护理支出有重大影响。

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