Decreased Proportion of Dementia-Free Life Expectancy in Hong Kong SAR

Cheung, Siu-Lan Karen; Yip, Siu-Fai Paul; Branch, Laurence G.; Robine, Jean‐Marie

doi:10.1159/000381848

Cited by 7 publications

(8 citation statements)

References 54 publications

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“…As in previous studies, [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] we first analysed the DemFLE and its proportion among people over 60 years of age in Jiangxi Province by sex differences. Compared with previous studies, our study showed similarities and differences in LE, DemFLE and DemFLE/LE [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]. The difference between China and other countries in the values of LE, DemLE and DemFLE may be caused by the influences of sampling error, different sampling methods, different diagnostic criteria and differences between Eastern and Western countries.…”

Section: Discussionmentioning

confidence: 99%

“…Before we started our research, some scholars conducted research on dementia-free life expectancy (DemFLE) for men and women in Australia [20,21], Belgium [22], Canada [23,24], France [25,26], Japan [27], the Netherlands [28], the United Kingdom [29][30][31], the United States [32][33][34][35], Brazil [36] and Hong Kong [37]. There are no studies on DemFLE in mainland China.…”

Section: Introductionmentioning

confidence: 99%

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Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Zheng

Liu

et al. 2020

IJERPH

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Objective: To estimate and compare the dementia-free life expectancy (DemFLE) and age trends of the population over 60 in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: Based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban–rural areas. DemFLE and its ratio to life expectancy (LE) were calculated using the Sullivan method. Results: In 2018, the DemFLE at age 60 was 18.48 years for men and 21.31 years for women, accounting for 96.62% and 96.67% of their LE. LE and DemFLE were higher for those in urban areas than in rural areas, except for men aged 90 and above; higher in women than in men, except for people in rural areas aged 90 and above. In urban areas, DemFLE/LE was higher for women than for men; the opposite was observed in rural areas. Urban women had a higher DemFLE/LE than rural women did, urban men had a lower DemFLE/LE than rural men did. Conclusions: With increased LE, DemFLE also increases, but with older age and over time, DemFLE/LE gradually decreases. The effect of dementia on elderly adults becomes more serious. It is necessary for the government to implement a series of prevention strategies to improve the quality of life and health awareness of the elderly. Elderly urban men and elderly rural women need more attention and health care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Zheng

Liu

et al. 2020

IJERPH

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“…5,7,9,11,12 In either case, the magnitude and rate of the increases in the demand for healthcare services relating to age-associated medical conditions has left many countries unprepared. [13][14][15][16][17][18] This has placed a significant financial burden on many governments. In Hong Kong, medical and health service expenditures have been increasing and now account for 16.8% of recurring government expenditures.…”

Section: Introductionmentioning

confidence: 99%

The Contribution of Ageing to Hospitalisation Days in Hong Kong: A Decomposition Analysis

Kwok

Lee

et al. 2016

Int J Health Policy Manag

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Background: Ageing has become a serious challenge in Hong Kong and globally. It has serious implications for health expenditure, which accounts for nearly 20% of overall government expenditure. Here we assess the contribution of ageing and related factors to hospitalisation days in Hong Kong. We used hospital discharge data from all publicly funded hospitals in Hong Kong between 2001 and 2012. Methods: A decomposition method was used to examine the factors that account for the change of total hospitalisation days during the two periods, 2001-2004 and 2004-2012. The five factors include two demographic factors – population size and age-gender composition – and three service components – hospital discharge rate, number of discharge episodes per patient, and average length of stay (LOS) – which are all measured at age-gender group level. In order to assess the health cost burden in the future, we also project the total hospitalisation days up to 2041, for a range of scenarios. Results: During the decreasing period of hospitalisation days (2001-2004), the reduction of LOS contributed to about 60% of the reduction. For the period of increase (2004-2012), ageing is associated with an increase in total hospitalisation days of 1.03 million, followed by an increase in hospital discharge rates (0.67 million), an increase in the number of discharge episodes per patient (0.62 million), and population growth (0.43 million). The reduction of LOS has greatly offset these increases (-2.19 million days), and has become one of the most significant factors in containing the increasing number of hospitalisation days. Projected increases in total hospitalisation days under different scenarios have highlighted that the contribution of ageing will become even more prominent after 2022. Conclusion: Hong Kong is facing increasing healthcare burden caused by the rapid increase in demand for inpatient services due to ageing. Better management of inpatient services with the aim of increasing efficiency and reducing LOS, avoidable hospitalisation and readmission, without compromising patient satisfaction and quality of service, are crucial for containing the rapid and enormous increases in total hospitalisation days for Hong Kong. The results would be relevant to many rapidly ageing societies in this region.

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“…In Hong Kong, with the measurement of chronic morbidity-free LE, DFLE, and DemFLE, studies have been done to examine the trends in health expectancies over the period 1996-2008) and 1998-2013(Cheung et al, 2015, which has implied an expansion of unhealthy states with the increase in LE in Hong Kong. A recent study drew a consistent conclusion that older population in Hong Kong would be more dependent in spite of a longer LE (Yu et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Are We Living Longer and Healthier?

2020

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Objective: To examine whether we live healthier as we live longer in Hong Kong, which has one of the highest life expectancies in the world. Methods: Sullivan’s method was used to evaluate the chronic disease–free life expectancy (CDFLE), life expectancy in good self-perceived health (GPHLE), and impairment-free life expectancy (IFLE) among population aged 50 years and older in Hong Kong in 2007–2016. Results: In spite of the marked improvement in life expectancy in Hong Kong, the increase in GPHLE was much smaller, while CDFLE and IFLE even declined for both genders. The situation was more severe among older population. Discussion: People in Hong Kong live longer but with worsening health. The expansion of chronic diseases, self-perceived poor health, and impairments among older adults calls for more fiscal investments, government attention, and public health policies.

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Decreased Proportion of Dementia-Free Life Expectancy in Hong Kong SAR

Cited by 7 publications

References 54 publications

Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

The Contribution of Ageing to Hospitalisation Days in Hong Kong: A Decomposition Analysis

Are We Living Longer and Healthier?

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