Georges Daniela, Rakusa Elena, Holtz Anna-Victoria, Fink Anne, Doblhammer Gabriele
University Rostock, Germany.
German Center for Neurodegenerative Diseases, Bonn, Germany.
J Health Monit. 2023 Sep 20;8(3):30-48. doi: 10.25646/11667. eCollection 2023 Sep.
Dementia poses a growing challenge for individuals, healthcare, social support, and society amidst the ongoing ageing of populations. To evaluate the care requirements and social implications of dementia in Germany, reliable statistics regarding its current and future occurrence are necessary.
Using existing data sources and recent research results, this paper compiles and analyses relevant statistics on the occurrence of dementia in Germany, presents protective and risk factors, and options for care provision.
Recent projections indicate a potential surge in the number of dementia patients in Germany, predicted to rise from 1.7 million at present to up to 3.0 million by the year 2070. Cognitive and motor deterioration and behavioural changes associated with dementia lower the ability to live independently. These changes are often tied to social exclusion and stigma and, particularly in the severe phase of the disease, necessitate extensive medical and care requirements. This contributes to dementia being one of the most costly diseases at old age from an overall societal perspective. Currently, there are no curative treatment options available.
To reduce the increase in the number of dementia patients and associated costs in the future, preventive approaches, particularly promoting a healthy lifestyle, may prove effective. Simultaneously, the healthcare system, society, and caregivers must prepare for the increasing number of dementia patients. Improved diagnostics, new forms of therapy, and social innovations that support those who are affected and their relatives can help reduce the burden of dementia and its associated costs.
在人口持续老龄化的背景下,痴呆症给个人、医疗保健、社会支持和整个社会带来了日益严峻的挑战。为了评估德国痴呆症的护理需求和社会影响,有必要掌握关于其当前及未来发病率的可靠统计数据。
本文利用现有的数据来源和最新研究成果,汇编并分析了德国痴呆症发病率的相关统计数据,介绍了保护因素和风险因素以及护理提供选项。
近期预测表明,德国痴呆症患者数量可能会激增,预计将从目前的170万增加到2070年的300万。与痴呆症相关的认知和运动功能衰退以及行为变化会降低独立生活能力。这些变化往往与社会排斥和污名化相关,尤其是在疾病的严重阶段,需要大量的医疗和护理。从整个社会角度来看,这使得痴呆症成为老年阶段成本最高的疾病之一。目前尚无治愈性治疗方案。
为了减少未来痴呆症患者数量的增加及其相关成本,预防措施,特别是促进健康的生活方式,可能会被证明是有效的。同时,医疗保健系统、社会和护理人员必须为痴呆症患者数量的增加做好准备。改进诊断、新的治疗形式以及支持患者及其亲属的社会创新有助于减轻痴呆症负担及其相关成本。