公共政策视角的老龄化对医疗费用影响及对策:议“未老先衰”问题及改善

发布时间：2018-06-14 23:56

  本文选题：公共政策 + 老龄化　； 参考：《中国卫生经济》2016年12期

【摘要】：目的:基于公共政策的视角研究老龄化对医疗费用的影响及其对策。方法:基于某市2005—2013年间的职工医疗保险统筹基金数据,通过"时间表"和"年龄别"两个变量,观察人口老龄化对医疗费用的影响。结果:研究发现了"未老先衰"问题:一是该市人口老龄化的实际程度并不严重;二是79岁以上年龄组次均费用是60岁以下年龄组的3倍以上,但是高龄和临终老人的医疗消费占比和增幅均在下降,并不是拉高医疗费用的主要原因;反而,25~59岁年龄的占比和增幅均较快。结论:"人未老、体先衰"属于社会老化问题,社会老化是"身心健康状况早衰、劳动力市场早退"等现象的总称。人口老龄化不等于社会老化,出现未老先衰问题的主要原因在于公共政策失灵和公共服务不足。为此,应改善公共政策和公共服务,积极应对人口老龄化的建议。
[Abstract]:Objective: to study the effect of aging on medical cost and its countermeasures from the perspective of public policy. Methods: based on the data of medical insurance fund in a certain city from 2005 to 2013, the effects of aging population on medical expenses were observed by means of "schedule" and "age difference". Results: the study found the problem of "premature aging": first, the actual extent of the aging of the population in the city is not serious; second, the average cost of the age group over 79 years old is more than three times that of the group under 60 years of age. However, the proportion and increase of medical expenses of the elderly and the dying are both declining, which is not the main reason for the higher medical expenses. On the contrary, the proportion and the increase of the age of 25 to 59 are both relatively fast. Conclusion: "Man is not old, body first decline" belongs to the problem of social aging, social aging is the general term of "premature decline of physical and mental health, premature retirement of labor market" and so on. Population aging is not equal to social aging. The main causes of premature aging are the failure of public policy and the insufficiency of public service. To this end, we should improve public policies and public services, and actively respond to the recommendations of population aging.
【作者单位】： 清华大学医院管理研究院;
【分类号】：R197.1;D669.6
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本文编号：2019561