インドにおける高齢者の健康状態とケアシステム

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  • インド ニ オケル コウレイシャ ノ ケンコウ ジョウタイ ト ケアシステム

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Demographic Transition process in India is proceeding rapidly. Changes in the population structure that occurred during the demographic transition have resulted in a decline in infant mortality and fertility. The ratio of younger population decreases, and in contrast the proportion of the elderly population is increasing. The problems of ageing in India are its large population size and the rapid aging of the population, and these need to respond to new challenges in addition to the remaining challenges. On the change of the disease structure with epidemiological transition, measures to infectious diseases and non-infectious diseases are required. While infectious and acute diseases are decreasing, chronic and degenerative diseases are emerging as new diseases, but measures against infectious diseases and parasitic diseases remain a public health system challenge. Public medical institutions can receive medical examinations free of charge, except for medicines and tests. but the supply of public medical institutions is limited, and doctors and facilities are insufficient. In addition, differences in medical care support by local communities are affecting the acceptance of medical services. Although the health insurance system reduces the burden of medical expenses, the social stratification level in which the insurance system can be used is limited, and it has not reached the national insurance. Subsidies are provided for people below the poverty line, and insurance for employers or private insurance that the wealthy can join is provided. However, coverage for the population of lower income class remains excluded from insurance. It is necessary to expand the support system from the population below the poverty line to the lower income class that is currently not eligible for support.

論文 / Treatises

source:ANNALS of Josai Graduate School of Economics

identifier:JOS-09110658-3503

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