Department of Health Policy, School of Public Health in Bytom, Medical University of Silesia in Katowice , Bytom , Poland.
Front Public Health. 2016 Aug 31;4:184. doi: 10.3389/fpubh.2016.00184. eCollection 2016.
Social security system currently faces a number of difficulties arising of changes in the demographic structure of societies, like the decrease in fertility, lengthening of life expectancy, and unfavorable change in the proportion of the population receiving retirement benefits to the population in working age. In result, social security systems are being subjected to transition aimed at securing their financial stability, part of which is a tendency to rise the retirement age and eliminate all the incentives to prematurely exit the labor market. On the other hand, this process of transition, as observed in Poland, is being driven mainly by political processes and due to economic reasons, while lacking public health evidence. This raises a danger that in final result the financial savings will be illusory only and that the final configuration of the system will be inconsistent with the actual social needs of the population and will not efficiently protect against the social risks. In this article, we present arguments for using the Healthy Life Years indicator in analyses relating to the performance of social security systems. The indicator may help to reflect differences in health status of different professional groups and adjust system's solutions to conditions characterizing these groups, in terms of both risk protection and prevention.
社会保障制度目前面临着一些困难，这些困难源于社会人口结构的变化，例如生育率下降、预期寿命延长以及领取退休金的人口与劳动年龄人口的比例不利变化。因此，社会保障制度正在进行旨在确保其财务稳定性的转型，其中一部分是提高退休年龄和消除提前退出劳动力市场的所有激励措施。另一方面，这种转型过程，如在波兰所观察到的，主要是由政治进程驱动的，并且是出于经济原因，而缺乏公共卫生证据。这带来了一种危险，即最终财务储蓄将只是虚幻的，并且该系统的最终配置将与人口的实际社会需求不一致，并且不能有效地保护社会风险。在本文中，我们提出了使用健康生命年指标来分析社会保障制度绩效的论点。该指标可以帮助反映不同职业群体的健康状况差异，并根据这些群体的特征调整系统的解决方案，包括风险保护和预防。
