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中国与其他国家长期护理成本测量的比较:过去十年的系统综述

Comparison of the Measurement of Long-Term Care Costs between China and Other Countries: A Systematic Review of the Last Decade.

作者信息

Zeng Qingjun, Wang Qingqing, Zhang Lu, Xu Xiaocang

机构信息

School of Economics, Chongqing Technology and Business University, Chongqing 400067, China.

Research Center for Economy of Upper Reaches of the Yangtse River, Chongqing Technology and Business University, Chongqing 400067, China.

出版信息

Healthcare (Basel). 2020 Apr 29;8(2):117. doi: 10.3390/healthcare8020117.

Abstract

BACKGROUND

The rapid aging of populations in some countries has led to a growing number of the disabled elderly, creating a huge need for Long-Term Care (LTC) and meeting its costs, which is a heavy economic burden on the families of the disabled elderly and governments. Therefore, the measurement of Long-Term Care (LTC) costs has become an important basis for the government to formulate Long-Term Care (LTC) policies, and academic research on Long-Term Care (LTC) costs is also in the process of continuous development and deepening.

METHODS

This is a systematic review that aims to examine the evidence published in the last decade (2010-2019) regarding the comparison of the measurement of Long-Term Care (LTC) costs between China and other countries.

RESULTS

Eighteen Chinese studies and 17 other countries' studies were included in this review. Most Chinese scholars estimated long-term care costs based on the degree of disability among the disabled elderly. However, the studies of European and American countries are more and more in-depth and comprehensive, and more detailed regarding the post-care cost of specific diseases, such as Parkinson's disease, Alzheimer's disease, and epilepsy.

CONCLUSION

In future academic research, we should fully consider the human value of long-term care providers and further study the differences in the long-term care costs of different chronic diseases. In China's future policymaking, according to the experience of Germany, Sweden, and other countries, it may be an effective way to develop private long-term care insurance and realize the effective complementarity between private long-term care insurance and public long-term care insurance (LTCI).

摘要

背景

一些国家人口的快速老龄化导致残疾老年人数量不断增加,对长期护理(LTC)的需求巨大,且要负担其费用,这给残疾老年人家庭和政府带来了沉重的经济负担。因此,长期护理(LTC)成本的测算已成为政府制定长期护理(LTC)政策的重要依据,关于长期护理(LTC)成本的学术研究也在不断发展和深入。

方法

这是一项系统综述,旨在考察过去十年(2010 - 2019年)发表的关于中国与其他国家长期护理(LTC)成本测算比较的证据。

结果

本综述纳入了18项中国研究和17项其他国家的研究。大多数中国学者根据残疾老年人的残疾程度估算长期护理成本。然而,欧美国家的研究越来越深入和全面,对于特定疾病如帕金森病、阿尔茨海默病和癫痫的护理后成本的研究更为详细。

结论

在未来的学术研究中,应充分考虑长期护理提供者的人文价值,进一步研究不同慢性病长期护理成本的差异。在中国未来的政策制定中,根据德国、瑞典等国家的经验,发展私人长期护理保险并实现私人长期护理保险与公共长期护理保险(LTCI)的有效互补可能是一条有效途径。

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