Preparing for the future: The changing demographic composition of hospital patients in Denmark between 2013 and 2050

Abstract

Background Population aging will pose huge challenges for healthcare systems and will require a promotion of positive attitudes towards older people and the encouragement of careers in geriatrics to attract young professionals into the field and to meet the needs of a rapidly growing number of old-aged patients. We describe the current demographic profile of hospital care use in Denmark and make projections for changes in the patient profile up to 2050. Methods The Danish population in 2013 (N = 5.63 million) was followed up for inpatient and emergency admissions recorded in Danish hospitals in 2013 using population-based registers. We combined age-and sex-specific hospital care use in 2013 with official population estimates to forecast the profile of hospital days up to 2050 with respect to age and sex. Results The total number of hospital days per year is projected to increase by 42% between 2013 and 2050, from 4.66 to 6.72 million days. While small changes are projected for the population aged 0-69, the largest change is projected to occur for the population aged 70+. The 2013 levels were 0.82 and 0.93 million days for men and women aged 70+, respectively. By 2050, these levels are projected to have reached 1.94 and 1.84 million days. While the population aged 70+ accounted for 37.5% of all days in 2013, its contribution is projected to increase to 56.2% by 2050. Conclusion Our study shows one possible scenario for changes in the hospital days due to population aging by 2050: Assuming no changes in hospital care use over the forecast period, the

Custo direto de internações hospitalares por doenças crônicas não transmissíveis sensíveis à atenção primária em idosos

“…taram quase 20% do total de internações no ano de 2016, o que aponta para a necessidade de priorizar investimentos em programas de atenção integral e preventivo nas esferas de baixa e média complexidade de atenção à saúde, como forma de evitar gastos para o sistema. O estudo de Oksuzyan et al 22 aponta uma projeção na qual a população com idade maior do que 70 anos utilizará cada vez mais a atenção hospitalar. Essa população representava um uso de 37,5% de todos os dias do ano em 2013 e, até 2050, aumentará para 56,2% 22 .…”

“…O estudo de Oksuzyan et al 22 aponta uma projeção na qual a população com idade maior do que 70 anos utilizará cada vez mais a atenção hospitalar. Essa população representava um uso de 37,5% de todos os dias do ano em 2013 e, até 2050, aumentará para 56,2% 22 . Tais achados demonstram que além de gerar um forte impacto orçamentário para o sistema de saúde, as internações de pacientes idosos também geram consequências diretas para a saúde do próprio indivíduo, e impactam negativamente tanto na sua funcionalidade e qualidade de vida, quanto a dos seus cuidadores 23 .…”

Direct healthcare cost of hospital admissions for chronic non-communicable diseases sensitive to primary care in the elderly

“…Variation in the total cost sensitive conditions accounted for almost 20% of total hospitalizations in 2016, which points to the need to prioritize investments in comprehensive and preventive care programs in the low and medium complexity spheres of health care, as a way to avoid expenses for the system. The study by Oksuzyan et al 22 points to a projection in which the population aged over 70 years will increase their use of hospital care. This population represented 37.5% of all days used in the year 2013 and, by 2050, this will increase to 56.2% 22 .…”

“…The study by Oksuzyan et al 22 points to a projection in which the population aged over 70 years will increase their use of hospital care. This population represented 37.5% of all days used in the year 2013 and, by 2050, this will increase to 56.2% 22 . These findings demonstrate that, in addition to having a heavy financial impact on the health system, hospitalizations of elderly patients also have direct consequences on the health of the individual and negatively impact both their functionality and quality of life, as well as that of their caregivers 23 .…”

The knowledge of medical about aging and its related factors in Yazd, Iran

“…One of the most pressing concerns confronting international health-care systems is population aging (1,2). Between 2015 and 2050, the percentage of the global population aged 60 and up will nearly double, from 12% to 22%.…”