Rosenberg M W, Moore E G
Department of Geography, Queen's University, Kingston, Ont.
CMAJ. 1997 Oct 15;157(8):1025-32.
The growing size of Canada's elderly population and its use of health care services has generated much discussion in policy circles and the popular press. With data from the National Population Health Survey, undertaken in 1994-95, the authors examine the health status of Canada's elderly population using 3 sets of measures: level of activity limitations, prevalence of chronic illnesses and self-assessment of overall health. They also analyse the utilization of physician and institutional services. The profile of this population the authors develop is in many respects not much different from that of the remaining adult population, until the age of 75. People aged 75 and over are much more likely than other adults to have health problems and use health care services. Also, elderly women living alone and with low income are identified as an especially vulnerable group who need access to medical and nonmedical services if they are to remain in the community. Using Statistics Canada projection data the authors discuss some aspects of the elderly population's health status in the future. Their look into the future raises issues about the preparedness of health care providers and our health care system to meet the challenges of tomorrow's elderly population.
加拿大老年人口规模的不断扩大及其对医疗服务的使用,在政策界和大众媒体上引发了诸多讨论。作者利用1994 - 1995年进行的全国人口健康调查数据,采用三组指标考察了加拿大老年人口的健康状况:活动受限程度、慢性病患病率以及总体健康的自我评估。他们还分析了医生服务和机构服务的利用情况。作者所描绘的这一人群的概况在许多方面与75岁以下的其他成年人群体并无太大差异。75岁及以上的人群比其他成年人更有可能出现健康问题并使用医疗服务。此外,独居且低收入的老年女性被确定为一个特别脆弱的群体,如果她们要留在社区,就需要获得医疗和非医疗服务。作者利用加拿大统计局的预测数据讨论了老年人口未来健康状况的一些方面。他们对未来的展望提出了有关医疗服务提供者和我们的医疗体系是否做好准备迎接未来老年人口挑战的问题。