Health and Ageing
Encyclopedia
Health and Ageing is a research programme set up by the Geneva Association, also known as the International Association for the Study of Insurance Economics.
The Geneva Association Research Programme on Health and Ageing seeks to bring together facts, figures and analyses linked to issues in health
Health
Health is the level of functional or metabolic efficiency of a living being. In humans, it is the general condition of a person's mind, body and spirit, usually meaning to be free from illness, injury or pain...

. The key is to test new and promising ideas, linking them to related studies and initiatives in the health sector and trying to find solutions for the future financing of healthcare.

Major concerns are generally directed at the rising health costs resulting from technological advances and the changing demographic structure where the population over 60 largely exceeds other sectors. Importance is placed on two major issues:
  • The change in demographic structures leading to the perceived "ageing society"
  • The technological advances, which are perceived as resulting in increasing health costs


It is important to view these issues from the proper perspective. We are not ageing as a society but benefiting from an extended period of good health, which is largely a consequence of technological advances. It is not the increased spending on health that should be the concern but what it is spent on. It is crucial that spending is targeted and appropriately controlled with respect to the intended aim. Demographic changes and technological progress are driving changes in the governments' finances; the proportion of people in work compared with those already retired will decrease, leading to shrinking the tax base. The difficulties of financing the care of an increasing number of elderly people
Old age
Old age consists of ages nearing or surpassing the average life span of human beings, and thus the end of the human life cycle...

 for increasingly long periods combined with an ever-shrinking tax base are very great. Faced with the growing health expenditure, changes have affected entire healthcare systems. The main trend in most developed countries is a creeping decentralization
Decentralization
__FORCETOC__Decentralization or decentralisation is the process of dispersing decision-making governance closer to the people and/or citizens. It includes the dispersal of administration or governance in sectors or areas like engineering, management science, political science, political economy,...

 combined with a change in funding emphasis from public to a mix of public and private.

As the life cycle is getting longer, people have the opportunity to be productive for a longer period of time than ever before, which will therefore extend the period of wealth accumulation. This can allow funds or premiums to build up over a long period in order to cover the cost of care in the later stages of life. A good balance of the two complementarity systems public and private appears to be the best way to cope with the increase in health cost. To what extent could such mechanisms be managed in conjunction with building up pension or retirement funds? Would this imply that for some markets, in respect to certain products and circumstances we could adopt a common and coordinated approach to life and health insurance
Health insurance
Health insurance is insurance against the risk of incurring medical expenses among individuals. By estimating the overall risk of health care expenses among a targeted group, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to ensure that money is...

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Selected Key Issues

  • The integration of long-term care in health insurance system
  • The effect of technology on future health insurance cost
  • Cost of intervention and technological advances in medicine
  • Long term health care insurance and long-term health risks
  • Development of health care systems and the capitalization issue
  • The evolution of Health Maintenance Organizations
  • Health issues for an ageing population in the workplace

Publications




  • Special Issue on Health, The Geneva Papers on Risk and Insurance - Issues and Practice, Vol.29 - No.4 / October 2004, Palgrave Macmillan

  • Special Issue on Health, The Geneva Papers on Risk and Insurance - Issues and Practice, Vol.28 - No.2 / April 2003, Palgrave Macmillan

  • Problems and Perspectives of Health Insurance, The Geneva Papers on Risk and Insurance - Issues and Practice, No.45 / October 1987

External links

The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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