scholarly journals Ageing population, physical activity, and long-term fiscal sustainability: Evidence from Poland

2020 ◽  
Author(s):  
Małgorzata Kalbarczyk ◽  
Joanna Mackiewicz-Łyziak
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Long Term Care ◽  
Public Spending ◽  
Population Ageing ◽  
Fiscal Sustainability ◽  
Ageing Population ◽  
Term Care ◽  
Baseline Case

Our study estimates potential fiscal savings from increased physical activity among older people. This is the first study directly assessing the possible impact of higher physical activity on long-term fiscal sustainability. The study focuses on Poland, where ageing costs are mostly associated with an increase in public spending on healthcare and long-term care. Our results suggest that physical activity has the potential to significantly decrease healthcare and long-term care expenditures. Converting these results into long-term fiscal sustainability, we calculate the S2 indicator, used by the European Commission for the assessment of fiscal sustainability in the long horizon. The long-term component of the indicator, related to ageing costs, is lower by almost 0.7 in comparison with the baseline case, 0.5 of which can be attributed to the reduction in long-term care and 0.2 to the reduction in healthcare. Our results confirm that increased physical activity among older people may lead to a reduction in expenditures related to population ageing and may significantly improve long-term fiscal sustainability.

scholarly journals Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities: A 24-h snapshot

Maturitas ◽  
2017 ◽  
Vol 102 ◽  
pp. 62-68 ◽  
Author(s):  
Wendy Moyle ◽  
Cindy Jones ◽  
Jenny Murfield ◽  
Brian Draper ◽  
Elizabeth Beattie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Long Term Care ◽  
Sleep Patterns ◽  
Term Care ◽  
People With Dementia ◽  
Care Facilities

Health and Care of an Ageing Population: Alignment of Health and Social Systems to Address the Need

2021 ◽  
pp. 097206342199499
Author(s):  
Sangay Thinley
Keyword(s):  
Health Care ◽  
Older People ◽  
Long Term Care ◽  
Health Care Systems ◽  
Population Ageing ◽  
Demographic Shift ◽  
Term Care ◽  
The Social ◽  
Care Systems

Population ageing is both an achievement and challenge, an achievement as longevity is the result of successful prevention and control of diseases, decreasing fertility rates and overall socio-economic development. It is at the same time a challenge as the increasing number of older people and the resultant demographic shift are accompanied by the need to adjust and scale up the social and health care systems. The challenges are of particular relevance to the developing world where the demographic shift is occurring much faster. Comprehensive efforts based on country contexts are required in the following areas: (a) older persons and development, (b) health and well-being and (c) enabling and supportive environments to address population ageing needs. This article, however, focuses only on three most crucial issues, that is, livelihood, health care systems and care of the older dependent people. Measures to sustain the livelihood of older people, to align the health systems to provide care and to develop long-term care systems are highlighted. Person-centred care, integration and functional capacity are advocated. Further, ageing in place or living in one’s own home, community or a place with the closest fit with the person’s needs and preferences is considered very important for healthy ageing. In terms of enhancing livelihood, major policy changes and reforms to improve the social security systems and expanding coverage as well as increasing the amounts to minimum subsistence levels are highlighted. Another area which needs to be strengthened is the tradition of existing family support systems. The health systems alignment required are reflected for each health system building block, and focuses mainly on (a) developing and ensuring access to services that provide older-person-centred care; (b) shifting the clinical focus from disease to intrinsic capacity; and (c) developing or reorienting the health workforce to provide care as per alignment. Long-term care systems would best meet the needs of dependent older people if families, communities, civil society organisations and private sector are equally involved while governments play leadership roles in setting up and monitoring quality.

Impact of Physical Activity by Older People on Long-Term Care Cost Projections in Poland

2019 ◽  
Vol 32 (2) ◽  
pp. 188-200 ◽  
Author(s):  
Małgorzata Kalbarczyk ◽  
Joanna Mackiewicz-Łyziak
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Long Term Care ◽  
Term Care

scholarly journals Trends in Prevalence and Mortality of Dementia in Elderly Hong Kong Population: Projections, Disease Burden, and Implications for Long-Term Care

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Ruby Yu ◽  
Pui Hing Chau ◽  
Sarah M. McGhee ◽  
Wai Ling Cheung ◽  
Kam Che Chan ◽  
...  
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Disease Burden ◽  
Long Term Care ◽  
Population Projections ◽  
Mortality Data ◽  
Ageing Population ◽  
Term Care ◽  
People With Dementia

Background. We describe the trends in prevalence and mortality of dementia among older people in Hong Kong over time. Projections of the number of older people with dementia through 2039 and estimation of the disease burden are also included.Methods. Prevalence data were extracted from previous studies in Hong Kong. Mortality data were obtained from the Department of Health of Hong Kong. Projections of the number of people with dementia were calculated by applying the prevalence rates of dementia obtained from previous studies to Hong Kong population projections. The burden of dementia was measured by Disability-Adjusted Life Years (DALYs).Results. The number of people aged 60 and above with dementia is projected to increase by 222%, from 103,433 in 2009 to 332,688 in 2039, with a large proportion of those living in institutions. The number of deaths due to dementia among people aged 60 and above has more than doubled between 2001 and 2009. Mortality rates for dementia have also risen. In 2006, about 286,313 DALYS were lost due to dementia.Conclusions. The information presented may be used to formulate a long-term care strategy for dementia of the ageing population in Hong Kong.

scholarly journals Association between multimorbidity patterns and disability among older people covered by long-term care insurance in Shanghai, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zijing Wang ◽  
Wenjia Peng ◽  
Mengying Li ◽  
Xinghui Li ◽  
Tingting Yang ◽  
...  
Keyword(s):  
Older People ◽  
Functional Disability ◽  
Long Term Care ◽  
Strong Association ◽  
Binary Logistic Regression ◽  
Term Care ◽  
Logistic Regression Models ◽  
Disease Pattern ◽  
Long Term Care Insurance

Abstract Background Functional disability and multimorbidity are common among older people. However, little is known about the relationship between functional disability and different multimorbidity combinations. We aimed to identify multimorbidity patterns and explore the associations between these patterns and functional disability. Methods We investigated a multi-stage random sample of 1871 participants aged ≥60 years and covered by long-term care insurance in Shanghai, China. Multimorbidity was defined as the simultaneous presence of two or more chronic diseases in an individual. Participants completed scales to assess basic and instrumental activities of daily living (BADL and IADL, respectively). Multimorbidity patterns were identified via exploratory factor analysis. Binary logistic regression models were used to determine adjusted associations between functional disability and number and patterns of multimorbidity. Results Multimorbidity was present in 74.3% of participants. The prevalence of BADL disability was 50.7% and that of IADL disability was 90.7%. There was a strong association between multimorbidity and disability. We identified three multimorbidity patterns: musculoskeletal, cardio-metabolic, and mental-degenerative diseases. The cardio-metabolic disease pattern was associated with both BADL (OR 1.28, 95%CI 1.16–1.41) and IADL (OR 1.41, 95%CI 1.19–1.68) disability. The mental-degenerative disease pattern was associated with BADL disability (OR 1.55, 95%CI 1.40–1.72). Conclusions Multimorbidity and functional disability are highly prevalent among older people covered by long-term care insurance in Shanghai, and distinct multimorbidity patterns are differentially associated with functional disability. Appropriate long-term healthcare and prevention strategies for older people may help reduce multimorbidity, maintain functional ability, and improve health-related quality of life.

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