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Morbidity and Outpatient Care for the Elderly in Kerala, South India: Evidence from a National Population based Survey

机译:印度南部喀拉拉邦的老年人发病率和门诊服务:来自全国人口调查的证据

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This paper aims at understanding the elderly-non-elderly difference in morbidity and utilization of outpatient care and how such differences vary across economic classes by using a population based self reported health survey in the context of Kerala—an Indian state which is in the advanced stage of demographic transition and has the highest share of elderly population in comparison to other Indian states. It is found that for the elderly chronic non-communicable diseases account for four out of five of the most frequently reported illnesses. An elderly belonging to rich or middle classes is more likely to utilize outpatient care in comparison to a rich non-elderly, however such a pattern is not observed for the poor elderly. Experience of Kerala suggests that ageing of the population is going to impose severe challenge to the public health sector in other Indian states which will be entering into the advanced stage of demographic transition shortly and there is a need to examine in greater details the willingness and capacity of the private sector to share this increased burden for health care need.
机译:本文旨在通过使用印度喀拉拉邦的人口自我报告健康调查,了解老年人与非老年人在发病率和门诊利用方面的差异,以及这种差异在不同经济类别之间的差异,印度喀拉拉邦处于发达阶段与印度其他州相比,人口处于过渡阶段,老年人口比例最高。结果发现,在老年人中,慢性非传染性疾病占最常报告的疾病的五分之四。与富裕的非老年人相比,属于富裕或中产阶级的老年人更有可能使用门诊护理,但是对于贫困的老年人却没有观察到这种模式。喀拉拉邦的经验表明,人口老龄化将对其他印度邦的公共卫生部门构成严峻挑战,这些国家不久将进入人口转变的高级阶段,有必要更详细地研究其意愿和能力私营部门共同承担医疗保健需求的增加负担。

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