After Chinese cure changes, service of senile rehabilitation medical services develops a tendency (2)

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After Chinese cure changes, service of senile rehabilitation medical services develops a tendency (2)

(Chinese rehabilitation medicine develops advanced forum - 08-12 3 inferior the speech stalks of grain)

Changsha thing is contemporary Mu Qiao of Liu of limited company of hospital government service

2, demand of service of health of senile medical services will increase quickly

2.1, China already entered the aged society.

21 centuries are the times with aged population. Current, all developed countries on the world had entered the aged society, a lot of developing countries are in or be about to enter the aged society. 1999, china also entered the aged society, it is one of developing countries that enter the aged society earlier. China is the senile population is most country on the world, 1/5 what occupy gross of population of global old age. Current, china already had 21 provinces (area, city) become population old age area. The 3rd times from 1982 census arrives 22 years of 2004, chinese old people mouth is average and annual increase 3.02 million, year average growth rate is 2.85% , the total population of 1.17% grows prep above speed. By 2004, china reachs population of above old age 60 years old to achieve 143 million, 10.97% what occupy total population. Aged the level exceeds countrywide average have Shanghai (18.48%) , Tianjin (13.75%) , Jiangsu (13.75%) , Beijing (13.66%) , Zhejiang (13.18%) , Chongqing (12.84%) , Liaoning (12.59%) , Shandong (12.31%) , Sichuan (11.59%) , Hunan (11.51%) and Anhui (11.18%) wait 11.

Compare with other country posture, chinese population is aged have the following and main feature:

It is dimensions of old people mouth tremendous. By 2004, china reachs population of above old age 60 years old for 143 million, will achieve 2014 200 million, will achieve 2026 300 million, exceeded 400 million 2037, reached maximum 2051.

2 it is aged development is rapid. The proportion that old people of 65 years old of above holds total population arrives from 7% promotion 14% , the developed country used the time of 45 years of above mostly, among them, france 130 years, sweden 85 years, australia and United States are controlled 79 years. China can complete this course with 27 years only, and be in will maintaining inside a very long period henceforth very tall increase by degrees speed, belong to aged rate is the rapiddest the country.

3 it is an area development is lopsided. Chinese mouth is aged development is had apparent by area ladder of Dong Xiangxi second feature, the eastpart part is coastal economy developeds the area is apparently fast at western economy is owed develop area, with entering the Shanghai of population old age cavalcade the earliest (1979) the Ningxia that enters population old age range with at latest (2012) quite, time span is as long as 33 years.

4 it is urban and rural convert remarkable. The course with developed country aged population makes clear, urban population is aged the level is average prep above country, chinese situation is different. Current, of the country aged town of horizontal prep above 1.24 percent, the state of this kind of urban and rural convert will last to 2040 all the time.

5 it is amount of population of woman old age over male. Current, the female in old people mouth is more than the male give 4.64 million person, will reach peak value 2049, many 26.45 million person.

6 it is aged lead at modernization. The developed country enters the aged society below the condition that realizes modernization basically, belong to first rich hind old or rich old synchronism, and China is to be in have not realize modernization, economy enters the aged society ahead of schedule below still underdeveloped circumstance, belong to not rich first old. Gross domestic product of the average per capita when the developed country enters the aged society is in commonly 5000 to above of 10 thousand dollars, and at present gross domestic product of average per capita just just exceeds China 1000 dollars, still belong to ranks of state of income of medium on the low side, answer the economic actual strength with aged population to still compare weakness.

2.2, rate of growth of expenses of spending of sanitation of old people medical services is rapid.

Old people is the consumptive main body of resource of medical services sanitation, according to statistic, old people of 60 years old of above has 2/3 time to be period of in spite of illness about in more than birthday. According to calculating, the 3-5 that the resource of medical services sanitation that old people consumes is other crowd commonly times. 2004, expenses of fund of insurance of Chinese primary medical services amounts to 86.2 billion yuan, 75.5% what take fund income, than going up year of growth 31.6% , growth rate is rapidder than fund income growth 3.5 percent. Expenses of fund of insurance of primary medical services high speed grows, population is rapid aged it is one of main reasons. Current, natural resources of our country medical services is total insufficient, distributinging disequilibrium, system of medical services safeguard covers a range small, the government throws opposite inadequacy, expenses of individual responsibility medical services has risen fast. The rapid growth of gross of old people mouth, the consumption to medical services resource and take up bigger and bigger, will ensure a system to bring enormous pressure to our country medical services.

Above all, old people life is lengthened, period of in spite of illness is lengthened subsequently. As standard of living rise ceaselessly, life expectancy of our country old people had bigger addition, from found a state 49 years old of growth first arrive 71 years old current. However, rate of old people sicken is high, sicken sort is much, and the progress of medical science and technology, a lot of diseases can have carried an operation or medicaments gains the cure of certain level and control, prolonged the life of sicken old people greatly. Research expresses, urban old people has 60 ％ about in 60 years old of the following Yu Shouzhong - the time of 80 ％ is spent below the condition that contains all sorts of chronic.

Next, the probability that old people suffers from chronic is high, rate of go to a doctor and rate of be in hospital are high. And chronic sicken time is long, accompany complication much, remedial difficulty is tall, place in proper order all outpatient service cost and hospitalization expenses are taller. Heart and vessels, miocardial infarction, the head is apoplectic and what its cause is heavy the chronic illness such as degree of deformity, remedial charge is in every year each 6000 yuan of above, high remedial cost becomes old people medical services to expend the main factor that rise. And the amount that ordinary old people has this kind of chronic illness is apparent prep above someone else group, wait a moment is venereal cure completely harder, accordingly, as aged aggravate, safe to medical services demand can increase further, cost of medical services cost also can expand further subsequently.

The 3rd, need the old people increase that medical services nurses, nurse expenses rises substantially. Chronic is in normally quite the existence inside a paragraph of period, and do not have law heal, it is the healthy problem with the commonnest old people, need more taking care of, bring about healthy iatrical a large number of defray. As 4 - 2 - the family of 1 structure is rapid grow in quantity, function of domestic provide for the aged is abate, more and more city families cannot satisfy senile old people especially the demand that the health of body of senile and senile person of in spite of illness takes care of, make need the old people increase that medical services nurses thereby. According to conservative estimation, every old person year medical services nurses need 10 thousand yuan at least.

Research makes clear, in price of medical services changeless condition falls, population is aged the load of medical services charge that cause year increase by degrees rate for 1.54% , did not come 15 years population is aged the burden will compare the medical services cost that cause increase at present 26.4% .