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Population ageing, dependency and healthcare services utilisation


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    (Departamento de Economía Internacional y de España. UNIVERSIDAD DE GRANADA)


    (Departamento de Economía Internacional y de España. UNIVERSIDAD DE GRANADA)

  • GARCÍA MUÑOZ, Teresa

    (Departamento de Métodos Cuantitativos para la Economía y la Empresa. UNIVERSIDAD DE GRANADA)


The increase in the percentage of the elderly (the population 65 years or older) in developed countries is a cause for concern about the levels of health care services expenditures and the widening of long-term care services in these countries. The current debate includes the issue of establishing a system of protection for dependence as a new modality of social protection. The objective of this paper is to analyse the evolution of the degree of dependence in the Spanish population over 65 years during the period between 1997 and 2003, and to estimate the impact of dependence on health status and health care utilisation for the same period. An increasing trend of dependence prevalence as well as of the consumption of health care services has been found. A statistical association between the degree of dependence and the variables of health status, drug consumption and in-patient services has been observed. But this association is not significant in the case of medical consultations. The low degree of association between dependence and out-patient health care services strengthens the hypothesis that the elderly population presents specific necessities, oriented to assistance of dependence needs rather than ambulatory health care services El aumento de la proporción de mayores de 65 en la población de los países desarrollados viene siendo motivo de preocupación debido al crecimiento del gasto sanitario y a la expansión de los servicios de cuidados de larga duración observados en estos países. El debate actual aborda la problemática vinculada al establecimiento de un sistema de protección a la dependencia como una nueva modalidad de protección social. El objetivo de este trabajo es analizar la evolución del grado de dependencia en la población española mayor de 65 años en el período 1997-2003, así como estimar su relación con el estado de salud y con la utilización de servicios sanitarios durante el mismo período. Se ha identificado una tendencia creciente tanto de la prevalencia de dependencia como del uso de recursos sanitarios. Además, se observa una relación estadísticamente significativa entre el grado de dependencia y las variables estado de salud, consumo de fármacos y uso de servicios de hospitalización, pero no con los servicios de atención primaria. El bajo grado de asociación entre la dependencia y la utilización de servicios sanitarios ambulatorios refuerza la hipótesis de que la población mayor presenta necesidades específicas, diferentes de las del resto de población, orientadas a la asistencia de la dependencia más que a los servicios sanitarios ambulatorios

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Bibliographic Info

Article provided by Estudios de Economía Aplicada in its journal Estudios de Economía Aplicada.

Volume (Year): 26 (2008)
Issue (Month): (Agosto)
Pages: 1-30

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Handle: RePEc:lrk:eeaart:26_2_15

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Postal: Beatriz Rodríguez Prado. Facultad de CC.EE. y EE. Avda. Valle del Esgueva. Valladolid 47011 SPAIN
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Keywords: ageing; dependency; health care services/envejecimiento; dependencia; servicios sanitarios;

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