Does Elderly Chronic Disease Hinder the Sustainability of Borderline Poor Families’ Wellbeing: An Investigation From Catastrophic Health Expenditure in China

Abstract

Objectives: Health and health expenditure caused by elderly chronic diseases are a global problem. As China has just lifted itself out of poverty in 2020, the sustainable development of Borderline Poor Families’ Wellbeing faces severe challenges. Therefore, it is of great practical significance to explore the impact of elderly chronic diseases on the catastrophic health expenditure of Borderline Poor Families.Methods: Based on screening 8086 effective samples from China Health and Retirement Longitudinal Study (CHARLS) database and calculating catastrophic health expenditure, this paper uses two-part model and logit regression to discuss the impact of elderly chronic diseases on the sustainable development of Borderline Poor Families’ Wellbeing.Results: The results showed that stroke, cancer, and liver disease caused the most catastrophic health expenditures and had the greatest impact on the Borderline Poor Families’ Wellbeing.Conclusion: Therefore, in order to ensure the sustainable development of Borderline Poor Families’ Wellbeing, the government should strengthen the publicity of pre-prevention and post-healthcare of chronic diseases such as stroke, and combine pre-prevention policy with post-guarantee policy.

Establishing cost-effectiveness threshold in China: a community survey of willingness to pay for a healthy life year

“…The fact that treatments for terminal diseases are often more costly could also partly explain the high WTP. For example, cancer has been reported to have the greatest impact on family economic living standard, while stroke has the highest risk of causing poverty 61. The issue is also challenging patients and the healthcare system in other countries and, as a response, NICE increased the threshold from £20 000–30 000 for general technologies to £50 000 for end-of-life interventions in 2009 62.…”

“…For example, cancer has been reported to have the greatest impact on family economic living standard, while stroke has the highest risk of causing poverty. 61 The issue is also challenging patients and the healthcare system in other countries and, as a response, NICE increased the threshold from £20 000–30 000 for general technologies to £50 000 for end-of-life interventions in 2009. 62 Another explanation could be the present biased preference rationale extracted from behavioural economics: people tend to disproportionately place more weight on immediate compared with future concerns.…”

There is no association between anxiety and lifestyle in older adults during the COVID-19 pandemic: A cross-sectional study

“…The well-being of the elderly is significantly affected by numerous diseases and health conditions, particularly chronic ones such as stroke, cancer, and liver disease, which pose considerable challenges and lead to substantial health expenditures for individuals and their families. 4 Maintaining optimal physical health is crucial, with issues such as obesity linked to reduced physical functioning, lower energy levels, and a decline in vitality. 5 Mental well-being is equally critical, with depression and decreased self-esteem prevalent among obese elderly women, negatively impacting their overall health.…”