Evaluating well being take care of older adults throughout 23 international locations – Healthcare Economist

How effectively do totally different international locations deal with their aged and close to aged populations? A research by Macinko et al. (2020) gives some helpful statistics.


  • Inhabitants of curiosity. People aged 50 and above sampled throughout 23 high- and middle-income international locations.
  • Information. The information come from 2015 or 2016 years for the next information units: Brazilian Longitudinal Research of Growing old; Mexican Well being and Growing old Research; Korean Longitudinal Research of Ageing; Survey of Well being, Ageing and Retirement in Europe, which incorporates Austria, Belgium, Croatia, Czech Republic, Denmark, Estonia, France, Germany, Greece, Israel, Luxembourg, Italy, Poland, Portugal, Slovenia, Spain, Sweden, and Switzerland; Chinese language Well being and Retirement Longitudinal Research; Well being and Retirement Research within the US. Whereas these are giant, sturdy information sources, about 18% of the pattern was dropped as a consequence of lacking variables.
  • Measures. The measures included: (i) whether or not people had a docs visits up to now yr (as a measure of entry to care); (ii) greater than 15 docs go to the previous yr (to point over-utilization), (iii) two or extra hospitalizations up to now yr, and (iv) whether or not well being expenditures reached 25% of family revenue. Whereas this measure are simply accessible throughout a variety of totally different international locations, they’re very crude.


  • Entry: “About 11 p.c of respondents reported having no physician go to within the earlier yr. However this determine various significantly, with two international locations (Czech Republic and Luxembourg) reporting charges of lower than 5 p.c and two international locations (Greece and Mexico) reporting roughly 23 p.c of adults and not using a physician go to up to now yr.”
  • Extra utilization. This was largely the reverse of the entry story. 9 p.c of the pattern reported ≥15 physician visits up to now yr, starting from a low of <5% in Brazil and Mexico to a excessive of practically 16% in Italy.
  • Two Hospitalizations. The bottom charge (<2% of people) was noticed in South Korea, whereas the best charge (>9% of people) was noticed in Mexico and the US .
  • Catastrophic price. European international locations had been the perfect performers right here. In Denmark, France, Germany, and Sweden <1% of individuals had well being care prices attain >25% of their revenue, whereas for >10% of the aged in Brazil, China, Mexico, and South Korea had well being care prices >25% of their revenue.

Do learn the entire article if you’re extra of those statistics.

Whereas one needs to be cautious of decoding these outcomes as clearly indicating whether or not a well being care system is sweet or unhealthy–for example, high quality of care shouldn’t be well-measured–these are useful primary statistics for cross nation comparisons.


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