Gesundheitsausgaben und die Rolle des Alters: Eine detaillierte Analyse der Kosten von Überlebenden und Verstorbenen

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Autoren

  • Jona T. Stahmeyer
  • Sascha Hamp
  • Jan Zeidler
  • Sveja Eberhard

Externe Organisationen

  • AOK - Die Gesundheitskasse für Niedersachsen
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Details

Titel in ÜbersetzungHealthcare expenditure and the impact of age: a detailed analysis for survivors and decedents
OriginalspracheDeutsch
Seiten (von - bis)1307-1314
Seitenumfang8
FachzeitschriftBundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
Jahrgang64
Ausgabenummer10
Frühes Online-Datum13 Juli 2021
PublikationsstatusVeröffentlicht - Okt. 2021

Abstract

Background: Germany faces various socio-political challenges due to its ongoing ageing population. Significant increases in social security contributions are widely expected. The impact of ageing on healthcare expenditure is a controversial issue. Experts agree that costs for end-of-life care account for a significant part of total healthcare expenditures. For a meaningful forecast, detailed information on healthcare costs differentiated by survivors and decedents is necessary. Extensive data are hardly available for Germany. The aim of the analysis was therefore to describe healthcare costs in the statutory health insurance. Methods: The basis for the calculation is billing data from the statutory health insurance “AOK Niedersachsen” (Lower Saxony). Persons who survived or died in 2017 were included in the analysis. Average costs were standardised. Results: The data of 2.46 million survivors and 34,307 decedents were analysed. The average annual healthcare costs were 2756 € for survivors and 21,830 € for decedents in the last year of life. The average healthcare costs for survivors increase with age whereas costs for decedents are highest in younger age groups and decline with increasing age. A detailed analysis of end-of-life costs shows an exponential increase of costs in the last three years of life with the highest costs in the quarter before death (10,577 €). Discussion: The analysis gives a detailed overview on the structure of healthcare expenditure in the statutory health insurance and can serve as a basis for future forecasts regarding healthcare expenditure.

Schlagwörter

    Cost development, Demografic change, End-of-life costs, Health economics, Health services utilization

ASJC Scopus Sachgebiete

Ziele für nachhaltige Entwicklung

Zitieren

Gesundheitsausgaben und die Rolle des Alters: Eine detaillierte Analyse der Kosten von Überlebenden und Verstorbenen. / Stahmeyer, Jona T.; Hamp, Sascha; Zeidler, Jan et al.
in: Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, Jahrgang 64, Nr. 10, 10.2021, S. 1307-1314.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Stahmeyer JT, Hamp S, Zeidler J, Eberhard S. Gesundheitsausgaben und die Rolle des Alters: Eine detaillierte Analyse der Kosten von Überlebenden und Verstorbenen. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz. 2021 Okt;64(10):1307-1314. Epub 2021 Jul 13. doi: 10.1007/s00103-021-03385-y
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abstract = "Background: Germany faces various socio-political challenges due to its ongoing ageing population. Significant increases in social security contributions are widely expected. The impact of ageing on healthcare expenditure is a controversial issue. Experts agree that costs for end-of-life care account for a significant part of total healthcare expenditures. For a meaningful forecast, detailed information on healthcare costs differentiated by survivors and decedents is necessary. Extensive data are hardly available for Germany. The aim of the analysis was therefore to describe healthcare costs in the statutory health insurance. Methods: The basis for the calculation is billing data from the statutory health insurance “AOK Niedersachsen” (Lower Saxony). Persons who survived or died in 2017 were included in the analysis. Average costs were standardised. Results: The data of 2.46 million survivors and 34,307 decedents were analysed. The average annual healthcare costs were 2756 € for survivors and 21,830 € for decedents in the last year of life. The average healthcare costs for survivors increase with age whereas costs for decedents are highest in younger age groups and decline with increasing age. A detailed analysis of end-of-life costs shows an exponential increase of costs in the last three years of life with the highest costs in the quarter before death (10,577 €). Discussion: The analysis gives a detailed overview on the structure of healthcare expenditure in the statutory health insurance and can serve as a basis for future forecasts regarding healthcare expenditure.",
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T2 - Eine detaillierte Analyse der Kosten von Überlebenden und Verstorbenen

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AU - Hamp, Sascha

AU - Zeidler, Jan

AU - Eberhard, Sveja

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N2 - Background: Germany faces various socio-political challenges due to its ongoing ageing population. Significant increases in social security contributions are widely expected. The impact of ageing on healthcare expenditure is a controversial issue. Experts agree that costs for end-of-life care account for a significant part of total healthcare expenditures. For a meaningful forecast, detailed information on healthcare costs differentiated by survivors and decedents is necessary. Extensive data are hardly available for Germany. The aim of the analysis was therefore to describe healthcare costs in the statutory health insurance. Methods: The basis for the calculation is billing data from the statutory health insurance “AOK Niedersachsen” (Lower Saxony). Persons who survived or died in 2017 were included in the analysis. Average costs were standardised. Results: The data of 2.46 million survivors and 34,307 decedents were analysed. The average annual healthcare costs were 2756 € for survivors and 21,830 € for decedents in the last year of life. The average healthcare costs for survivors increase with age whereas costs for decedents are highest in younger age groups and decline with increasing age. A detailed analysis of end-of-life costs shows an exponential increase of costs in the last three years of life with the highest costs in the quarter before death (10,577 €). Discussion: The analysis gives a detailed overview on the structure of healthcare expenditure in the statutory health insurance and can serve as a basis for future forecasts regarding healthcare expenditure.

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