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臺灣人口的老化對未來健康面的影響

Population Aging in Taiwan :Future Health Implications

摘要


目標:針對經建會提出之臺灣未來人口推估,本研究嘗試了解未來人口結構轉變對健康方面可能的影響。方法:以現有癌症或失能率及健保醫療支出及未來人口結構,推估未來將癌症或失能的人數及健保醫療支出。結果:毫無疑問,隨著臺灣人口老化,老年人口罹患慢性病如癌症及失能的絕對人數及相對比例將明顯增加,在醫療費用需求亦增加下,這些轉變將變成整個社會沉重的負擔。結論:相對於人口結構調整策略,運用健康促進來降低及預防疾病及失能應為一有效方法。

關鍵字

老化 癌症 失能 醫療支出

並列摘要


Objectives: As the projections of Taiwan's future population have recently been proposed, this analysis is aimed to understand the possible health impacts of the change in population structure. Methods: Based on the current age-specific cancer and disability rates, age- sex- specific total medical expenditure, and the future population structure, the numbers of people with cancer and disability and the total medical expenditure for older people are projected. Results: Not surprisingly, as Taiwan's population is aging, a substantial increase in the absolute numbers and the relative proportions of cancer and disability for older people can be seen. As a result of these adverse outcomes, future medical expenses needed for older people will create a huge burden for society, Conclusions: Rather than trying to change the future population, health promotion and disability and disease prevention will be a more effective way of coping with these problems.

並列關鍵字

Aging cancer disability medical expenditure

參考文獻


Chang, Ming-Cheng, Zimmer, Z.(2001).Aging and Disability in Taiwan: Prevalence and Transitions from a Panel Study.International Union for the Scientific Study of Population Conference on 'Longer Life and Healthy Aging'.(International Union for the Scientific Study of Population Conference on 'Longer Life and Healthy Aging').:
Kinsella, K., Velkoff, V. A.(2001).An Aging World: 2001.Washington, DC:US Government Printing Office.
Schneider, E. L., Guralnik, J. M.(1990).The Aging of America. Impact on Health Care Costs.Journal of the American Medical Association.263
Zimmer, Z., Martin, L. G., Chang, Ming-Cheng(2002).Changes in Functional Limitation and Survival among Older Taiwanese, 1993, 1996, and 1999.Population Studies.56
行政院經濟建設委員會人力規劃處(2002).Population Projection for Taiwan Area, Republic of China 2002-2050.Taipei:行政院經濟建設委員會.

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陳真怡(2014)。健走介入對社區慢性病老人體適能之影響〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2014.00153
洪婉菁(2004)。台灣六十歲以上老年人健康檢查之相關因素〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-0807200916275023
李勝凱(2006)。不同照護型態癌末病人之醫療處置與醫療費用分析〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200715050009
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