Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (8): 82-88.doi: 10.6040/j.issn.1671-7554.0.2018.1148

Previous Articles    

Demand for long-term care—based on Monte Carlo simulation

ZHU Dawei1, YU Baorong2   

  1. 1. China Center for Health Development Studies, Peking University, Beijing 100191, China;
    2. School of Insurance, University of International Business and Economics, Beijing 100029, China
  • Published:2022-09-27

Abstract: Objective To explore the demand of long-term care in China. Methods Data was collected through multiple source. Using macro-simulation demand model and Monte Carlo simulation, the demand of long-term care in China was simulated and predicted. Results From 2020 to 2050, the number of elderly disabled people in China will increase from 27.113(26.445-27.781)million to 65.514(61.185-69.844)million, and the total disabled rate will increase from 山 东 大 学 学 报 (医 学 版)57卷8期 -朱大伟,等.基于蒙特卡洛模拟的我国老年人长期照护需求测算 \=-10.8% in 2020 to 13.7% in 2050. The total expenses will increase from 570.3(508.9-631.8)billion Yuan in 2020 to 5466.8(4 789.4-6 144.2)billion Yuan in 2050. The total cost of mildly disabled elderly was the highest(3 040 billion yuan in 2050), followed by the severely disabled elderly(1 682 billion yuan in 2050), while that for the moderately disabled elderly was the lowest(744.9 billion yuan in 2050). Conclusion The demand for long-term care for the disabled elderly is growing rapidly in China. It is necessary to integrate home, community and institutional care into an organic whole in order to establish a diversified and multi-channel financing approach.

Key words: Long-term care, Demand, Monte Carlo simulation, Disability, Elderly

CLC Number: 

  • R197.1
[1] 张文娟,王东京. 中国老年人口的健康状况及变化趋势[J]. 人口与经济,2018(4):86-98. ZHANG Wenjuan, WANG Dongjing. The health status and its changes of the Chinese elderly[J]. Population & Economics, 2018(4):86-98.
[2] 曾毅,陈华帅,王正联. 21世纪上半叶老年家庭照料需求成本变动趋势分析[J]. 经济研究, 2012,47(10):134-149.
[3] 唐钧,冯凌,王君. 长期照护:概念框架、研究发现与政策建议[J]. 河海大学学报(哲学社会科学版), 2018,20(1):8-16.
[4] 唐钧. 建立长期照护保险制度[J]. 北京观察,2017(1):12-16.
[5] 人力资源与社会保障部. 人力资源社会保障部办公厅关于开展长期护理保险制度试点的指导意见[EB/OL].(2016-06-27)[2018-10-07]. http://www.mohrss.gov.cn/gkml/xxgk/201607/t20160705_242951.html.
[6] 聂丽丽. 基于我国长期护理保险制度设计的缴费率研究[D]. 南京:南京财经大学,2016.
[7] 朱铭来,贾清显. 我国老年长期护理需求测算及保障模式选择[J]. 中国卫生政策研究,2009,2(7):32-38. ZHU Minglai, JIA Qingxian. The analysis of demand for long term care and its insurance system constructing in China[J]. Chinese Journal of Health Policy, 2009, 2(7):32-38.
[8] 李元. 我国失能老人长期照护资金规模的测算分析[J]. 人口学刊,2018,40(5):78-85. LI Yuan. Calculation and analysis of the scale of long-term care funds for disability elderly in China[J]. Population Journal, 2018, 40(5):78-85.
[9] 邵伟. 蒙特卡洛方法及在一些统计模型中的应用[D]. 济南:山东大学,2012.
[10] Department of Economic and Social Affairs, United Nations. World Population Prospects 2017[EB/OL].(2017)[2018-11-22]. https://population.un.org/wpp/Publications/.
[11] 张文娟,魏蒙. 中国老年人的失能水平到底有多高?——多个数据来源的比较[J]. 人口研究,2015,39(3):34-47.
[12] 张文娟,魏蒙. 中国老年人的失能水平和时间估计——基于合并数据的分析[J]. 人口研究,2015,39(5):3-14.
[13] 谭重庆,彭六保,曾小慧,等. 药物经济学评价中敏感度分析的参数分布[J]. 中国新药与临床杂志,2015,34(12):961-964. TAN Chongqing, PENG Liubao, ZENG Xiaohui, et al. Distributions for parameters in sensitivity[J]. Chinese Journal of New Drugs and Clinical Remedies, 2015, 34(12):961-964.
[14] Fries JF. Aging, natural death, and the compression of morbidity[J]. N Engl J Med, 1980, 303(3):130-135.
[15] Olshansky SJ, Rudberg MA, Carnes BA, et al. Trading off longer life for worsening health: the expansion of morbidity hypothesis[J]. Journal of Aging and Health, 1991, 3(2):194-216.
[16] Manton KG. Changing concepts of morbidity and mortality in the elderly population[J]. Milbank Mem Fund Q Health Soc,1982, 60(2):183-244.
[17] 顾大男,曾毅. 1992~2002年中国老年人生活自理能力变化研究[J]. 人口与经济,2006(4):9-13. GU Danan, ZENG Yi. Changes of disability in activities of daily living among Chinese elderly from 1992 to 2002[J]. Population & Economics, 2006(4):9-13.
[18] 杜鹏,武超. 中国老年人的生活自理能力状况与变化[J]. 人口研究,2006(1):50-56.
[19] 黄成礼. 中国老年人口的健康、负担及家庭照料[J]. 中国卫生资源,2006(5):208-210. doi: 10.3969/j.issn.1007-953X.2006.05.008. HUANG Chengli. The health, burden and home care of China elderly population[J]. Chinese Health Resources, 2006(5):208-210. doi: 10.3969/j.issn.1007-953X.2006.05.008.
[20] 杨明旭,鲁蓓,米红. 中国老年人失能率变化趋势及其影响因素研究——基于2000,2006和2010 SSAPUR数据的实证分析[J]. 人口与发展,2018,24(4):97-106. YANG Mingxu, LU Bei, MI Hong. Research on the disability prevalence trend and the influencing factors for Chinas elderlies—based on the 2000, 2006 and 2010 SSAPUR data[J]. Population and Development, 2018, 24(4):97-106.
[21] Federal Ministry of Health. Selected facts and figures about long-term care insurance[EB/OL].(2014-05-28)[2018-11-23]. https://docplayer.net/14843906-Selected-facts-and-figures-about-long-term-care-insurance.html.
[22] 万小敏,谭重庆,曾小慧,等. 药物经济学评价概率敏感度分析中关联参数的参数分布[J]. 中国新药与临床杂志,2018,37(3):177-179. WAN Xiaomin, TAN Chongqing, ZENG Xiaohui, et al. Distribution of correlating parameters in probabilistic sensitivity analysis of pharmacoeconomics[J]. Chinese Journal of New Drugs and Clinical Remedies, 2018, 37(3):177-179.
[23] 上海市政府. 市政府关于印发《上海市长期护理保险试点办法》的通知[EB/OL].(2018-01-18)[2018-11-23]. http://www.shanghai.gov.cn/nw2/nw2314/nw2319/nw12344/u26aw54809.html.
[24] 韦森. 从宏观数据看中国经济的当下格局与长期增长前景[J]. 财经问题研究,2017(4):3-10.
[25] 肖林. 供给侧结构性改革与中国经济增长趋势预测[J]. 科学发展,2016(5):18-22. doi: 10.3969/j.issn.1674-6171.2016.05.004. XIAO Lin. Reform of supply side structural and forecast of Chinas economic growth trend[J]. Scientific Development, 2016(5):18-22. doi: 10.3969/j.issn.1674-6171.2016.05.004.
[26] 清华大学国情研究院课题组. 中国经济增长前景及动力分析(2015-2050)[J]. 国家治理,2017(45):2-8. doi: CNKI:SUN:ZLGJ.0.2017-45-001.
[27] 唐钧. 长期照护的服务体系和筹资模式[J]. 中国社会保障,2018(5):26-27.
[28] 吴玉韶, 王莉莉. 中国养老机构发展研究报告[M]. 北京:华龄出版社, 2015.
[29] 王玮. 南京市长期护理保险财务需求测算[J]. 科技经济市场,2014(7):147-148. doi: 10.3969/j.issn.1009-3788.2014.07.104.
[30] 国家统计局. 中国劳动统计年鉴[M].北京:中国统计出版社, 2016.
[31] 易春黎. 青岛市长期护理保险试点成效显现[N]. 中国保险报, 2018-09-11(4).
[32] 衡元元. 我国商业保险参与长期护理保险制度的模式研究[J]. 黄冈职业技术学院学报,2018,20(4):94-98.
[1] WU Richao, LIU Hong, WANG Ze, GAO Shanshan, LI Xiufang, SHI Yuhua. Pregnancy outcomes of in vitro fertilization-intracytoplasmic sperm injection-embryo transfer in women 40 years and above [J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 35-39.
[2] LIU Ying, YANG Shuxia, SHE Kaili, CHENG Chuanlong, FANG Qidi, HAN Chuang, CUI Feng, LI Xiujun. Cause of death and disease burden of residents of Zibo City, Shandong Province in 2019 [J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 114-121.
[3] DONG Xiaoqian, LI Guanjiang, XU Qianqian, XU Hongwei. Comparison among ERCP combined with ursodeoxycholic acid and other therapies in the treatment of choledocholithiasis complicated with cholecystolithiasis [J]. Journal of Shandong University (Health Sciences), 2022, 60(5): 59-66.
[4] ZHAO Sibo, PENG Li, LING Hongxiang. Relationship between medical insurance participation and risk of suicide among rural elderly [J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 113-118.
[5] WANG Xin, GUO Dan, LIANG Jiarui, GUO Li, WANG Jian. Impact of social capital on health promotion behaviors of the elderly [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 97-103.
[6] XING Zhiqun, LI Dejun, ZHAO Bao, XU Chunyang, JI Hongsheng. Correlation analysis of acetylcholinesterase activity and inflammatory factors of 45 elderly patients with postoperative delirium [J]. Journal of Shandong University (Health Sciences), 2021, 59(3): 92-97.
[7] HAO Wenting, LI Jie, JING Zhengyue, ZHAO Dan, YUAN Yemin, YU Caiting, ZHOU Chengchao. Physical frailty as a mediator between sleep quality and quality of life in rural elderly with chronic diseases in Shandong Province, China [J]. Journal of Shandong University (Health Sciences), 2021, 59(2): 102-107.
[8] Huaiyue XU,Qing WANG,Runmei MA,Jie BAN,Tiantian LI. Temperature-related burden of disease: a review of recent studies [J]. Journal of Shandong University (Health Sciences), 2021, 59(12): 13-19, 32.
[9] LYU Yan, YU Xiao, LIN Xinying, ZHAO Qi, WANG Baozhen. Association between dietary patterns and depressive symptoms among Chinese elderly women [J]. Journal of Shandong University (Health Sciences), 2020, 58(11): 103-108.
[10] CHEN Xi, LIU Xinyu, FAN Lixia, TIAN Yonghao, YUAN Suomao. Clinical value of carotid ultrasound in evaluating ischemic stroke risk in elderly patients with spinal diseases [J]. Journal of Shandong University (Health Sciences), 2019, 57(5): 48-55.
[11] WANG Qian, XU Lingzhong, ZHU Jing, ZHANG Jiao, XIE Su, YU Zihang. Mental health and its influencing factors among rural elderly hypertensive patients in Shandong Province [J]. Journal of Shandong University (Health Sciences), 2019, 57(1): 92-100.
[12] YUAN Huacai, ZHANG Tiantian, GUO Dongmei, ZHANG Huanhuan, SHEN Deqiang, CHEN Liyong, LIN Xinying. Reliability and validity of MNA scale used in community elderly [J]. Journal of Shandong University (Health Sciences), 2018, 56(9): 77-82.
[13] PAN Fang. Review of mental health assessment of the elderly based on different theoretical models [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 1-5.
[14] JIANG Hong, XU Jingjing, WANG Rui, ZHOU Yaru, YI Xiangren, PAN Fang. Age-related changes and influencing factors of loneliness and social support in urban elderly [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 17-22.
[15] JIANG Hong, XU Jingjing, WANG Rui, YI Xiangren, ZHOU Yaru, PAN Fang. A study of happiness, stress and mental resilience of elderly of different ages [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 11-16.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!