Population Aging and Health Expenditure in Kerala: An Empirical Analysis

Singh, Yadawendra

doi:10.1007/978-94-007-6140-7_5

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Among the states of India, Kerala is likely to become the first ageing society, as it has already had the highest proportion of the elderly population (12.6%). This proportion is expected to increase to 18.3 per cent in 2026 (Singh, 2013).…”

Section: Introductionmentioning

confidence: 99%

Health Conditions, Medication and Hospitalisation Preferences of Elderly in Kerala

Sanitha

Parida

Awasthi

2019

Indian Journal of Human Development

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This article intends to study the health conditions, medication and hospitalisation preferences, and the determinants of medication preferences of the elderly population in Kerala. It is based on the primary data collected from a sample of 801 households and three old-age homes (OAHs) in three districts of the state, namely Kozhikode, Ernakulum and Trivandrum. The evidence suggests that the elderly population are vulnerable to various chronic diseases and they tend to spend more on healthcare. In the absence of public provision of effective healthcare services in Kerala, the elderly spend out-of-pocket on health expenses and choose private hospitals for effective and better treatment. However, those who prefer government hospitals mostly belong to poor and marginalised groups, including the inmates of OAHs. With regard to the type of medicines, the elderly often prefer Ayurveda and Homeopathy to Allopathy medicines. Based on these findings, we suggest that the government intervention in terms of more health care facilities and health insurance schemes for the elderly is necessary to improve their quality of life.

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Section: Introductionmentioning

confidence: 99%

Health Conditions, Medication and Hospitalisation Preferences of Elderly in Kerala

Sanitha

Parida

Awasthi

2019

Indian Journal of Human Development

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“…The flattening of the pyramidal age structure and aging in general have implications for optimal retirement decisions (Poterba 2014), savings behavior (Bloom, Canning et al 2003, Finkelstein andPoterba 2004), the progress of interest rates Becker 1998, Prettner andCanning 2012), family caregiving (Gannon and Davin 2010) and labor participation (Imrohoroğlu and Kitao 2012), as well as intergenerational wealth transfer programs and policies (Behrman and Parker 2013). Other studies have investigated the relative merits of a pay-as-you-go versus a funded pension system in light of population aging (Schieber 2010, Venti 2010 or the impact of aging on disability and qualify of life (Oshio, Shimizutani et al 2010, Suzman 2010, Singh 2013. But many facets of social and economic life are also implicated beyond pension and retirement policies (Manton, Stallard et al 1998, Aísa, Pueyo et al 2012, including issues as seemingly far-removed as fertility (Grant, Hoorens et al 2004, Cullinan, Gannon et al 2013, immigration (Martínez and Marín 2014), and national security (Coleman and Rowthorn 2011).…”

Section: Introductionmentioning

confidence: 99%

Social Context of Functional Limitations and Disability in Russia

Ivanova¹,

Lopakov²,

Zemlyanova³

et al. 2019

Soc.Asp.Pop.Hlth

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Japan has experienced pronounced population aging, and now has the highest proportion of elderly adults in the world. Yet few projections of Japan's future demography go beyond estimating population by age and sex to forecast the complex evolution of the health and functioning of the future elderly. This study adapts to the Japanese population the Future Elderly Model (FEM), a demographic and economic state-transition microsimulation model that projects the health conditions and functional status of Japan's elderly population in order to estimate disability, health, and need for long term care. Our FEM simulation suggests that by 2040, over 27 percent of Japan's elderly will exhibit 3 or more limitations in IADLs and social functioning; almost one in 4 will experience difficulties with 3 or more ADLs; and approximately one in 5 will suffer limitations in cognitive or intellectual functioning. Since the majority of the increase in disability arises from the aging of the Japanese population, prevention efforts that reduce age-specific disability (or future compression of morbidity among middle-aged Japanese) may have only a limited impact on reducing the overall prevalence of disability among Japanese elderly.

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“…This indicates that although life expectancy has improved, it has not been accompanied by good quality of life. [ 12 ]…”

Section: Introductionmentioning

confidence: 99%

End-of-life characteristics of the elderly: An assessment of home-based palliative services in two panchayats of Kerala

Jayalakshmi¹,

Chatterjee²,

Chatterjee³

2016

Indian J Palliat Care

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Background:Home-based palliative services form the cornerstone of Kerala's palliative program. However, two issues need research: (a) whether family-homes can be considered as the locus of ageing and dying for marginal populations who experience deprivation and poverty and (b) whether the present delivery structure meets the needs of elderly population. These issues are examined in the context of two rural areas. The study explores end-of-life characteristics of the elderly – their sociodemographic status and living patterns, morbidity profile, and functional status. It also looks into the accessibility and utilization of palliative services and respondents’ satisfaction with different components of the services.Materials and Methods:A descriptive cross-sectional survey design is used. Data were collected based on the interviews of sixty service users sampled randomly from a roster of palliative care services. Semi-structured interviews were substantiated by personal field observations.Results:The study has found people living under extreme financial distress with inadequate shelter and poor social security provisions. The health profile is characterized by high level of functional dependence. Many dependent widowed women were living alone without appropriate care and shelter. The palliative program as perceived by the respondents is characterized by few doctor visitations and poor frequency.Conclusion:The study concludes that home-based palliation in its present form does not promote good end-of-life care. It lacks an integrated approach with good service-mix. It raises serious questions on family-home as the locus of ageing and dying for marginal populations, and suggests need for restructuring of the palliative program.

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Population Aging and Health Expenditure in Kerala: An Empirical Analysis

Cited by 3 publications

References 10 publications

Health Conditions, Medication and Hospitalisation Preferences of Elderly in Kerala

Health Conditions, Medication and Hospitalisation Preferences of Elderly in Kerala

Social Context of Functional Limitations and Disability in Russia

End-of-life characteristics of the elderly: An assessment of home-based palliative services in two panchayats of Kerala

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