评估近期预期寿命的停滞和残疾进展的各种情景对2018年至2038年间社会护理支出预测的影响,以及实现老龄化社会大挑战任务的可能性,出生时的独立年份。
两个相互关联的预测模型:人口老化和护理模拟(PACSim)模型和护理政策和评估中心长期护理预测模型,更新以包括基于2018年的人口预测。
PACSim:约303,589名35岁及以上的人(2014年英格兰人口的1%随机样本)来自三项具有全国代表性的纵向衰老研究。
老年人的社会护理总支出(公共和私人),以及男性和女性在65岁时的独立预期寿命(IndLE65),在五种情况下改变残疾进展和恢复,有或没有降低预期寿命。
在2018年至2038年之间,预计护理总支出将增加GDP的94.1%-1.25%;男性IndLE65增加14.7%(范围为11.3-16.5%),超过五个健康的增长的8%,出生时的独立年份,尽管女性的IndLE65仅增加了4.7%(范围3.2-5.8%)。残疾进展减少10%,康复增加导致护理总支出增长最低,男性和女性IndLE65的增长超过8%。
减缓残疾进展的干预措施,改善恢复,可以大幅减少社会护理支出,实现政府增加健康水平的目标,独立年
to assess the effect of recent stalling of life expectancy and various scenarios for disability progression on projections of social care expenditure between 2018 and 2038, and the likelihood of reaching the Ageing Society Grand Challenge mission of five extra healthy, independent years at birth.
two linked projections models: the Population Ageing and Care Simulation (PACSim) model and the Care Policy and Evaluation Centre long-term care projections model, updated to include 2018-based population projections.
PACSim: about 303,589 individuals aged 35 years and over (a 1% random sample of the England population in 2014) created from three nationally representative longitudinal ageing studies.
Total social care expenditure (public and private) for older people, and men and women\'s independent life expectancy at age 65 (IndLE65) under five scenarios of changing disability progression and recovery with and without lower life expectancy.
between 2018 and 2038, total care expenditure was projected to increase by 94.1%-1.25% of GDP; men\'s IndLE65 increasing by 14.7% (range 11.3-16.5%), exceeding the 8% equivalent of the increase in five healthy, independent years at birth, although women\'s IndLE65 increased by only 4.7% (range 3.2-5.8%). A 10% reduction in disability progression and increase in recovery resulted in the lowest increase in total care expenditure and increases in both men\'s and women\'s IndLE65 exceeding 8%.
interventions that slow down disability progression, and improve recovery, could significantly reduce social care expenditure and meet government targets for increases in healthy, independent years.