use of health and nursing care by the elderly – first results of data collection for germany dr....

Use of health and nursing careby the Elderly – First results of data collection for Germany

Dr. Erika Schulz

Erika Schulz14.02.2003

Tasks of WP 2– Use of health care

• hospital admissions/discharges• length of hospital stay• contact to a doctor

– LTC in institutions and at home– Changes in population composition

• household composition• marital status• family structure

– Changes in female labour supply– ECHP analyses

• connection between health status and demand of health care services

• connection between female labour force participation and informal care giving at home


Admissions to or discharges from a hospital within one year

Age or Male FemaleAge-groups0-55-1515-2525-3535-4545-5555-6565-7575 +total

for the most recent yearand - if available - for pastyears


Length of hospital stay

Age or Male FemaleAge-groups0-55-15 for the most recent year15-25 and - if available - for past25-35 years35-4545-5555-6565-7575 +total


Frequency of contact with a doctor

Age or Male FemaleAge-groups0-55-15 for the most recent year15-25 and - if available - for past25-35 years35-4545-5555-6565-7575 +total


People receiving long-term care in institutions

Age-groups Male Female if possible by disability level

0-1010-20 for the most recent year20-30 and - if available - for past30-40 years40-5050-6060-6565-7070-7575-8080-8585-9090+total


People receiving long-term care at home

Age-groups Male Female if possible by disability level

0-1010-20 for the most recent year20-30 and - if available - for past30-40 years40-5050-6060-6565-7070-7575-8080-8585-9090+total


Population by age-groups, gender and marital status

Age-GroupsSingle Married Divorced Widowed Total Single Married Divorced Widowed Total

0-15 100 10015-20 100 10020-25 100 10025-30 100 10030-35 100 10035-40 100 10040-45 100 10045-50 100 10050-55 100 10055-60 100 10060-65 100 10065-70 100 10070-75 100 10075-80 100 10080-85 100 10085-90 100 10090+ 100 100total 100 100

Share in %

Male

Share in %

Female


Population by age-groups, gender and family structure

Single Single elderly Total Single Single elderly TotalAge-groups with without with living within po- with without with living within po-

child(ren) child(ren)s family pul. child(ren) child(ren)s family pul.

0-15 100 10015-20 100 10020-25 100 10025-30 100 10030-35 100 10035-40 100 10040-45 100 10045-50 100 10050-55 100 10055-60 100 10060-65 100 10065-70 100 10070-75 100 10075-80 100 10080-85 100 10085-90 100 10090+ 100 100total 100 100

Share in % Share in %

Male FemaleMarried

child(ren)

Married

child(ren)


Population by age-groups, gender and household composition

Total TotalAge-groups Single 2-Persons 3-Persons 4-Persons 5+-Persons Single 2-Persons 3-Persons 4-Persons 5+-Persons

HH HH HH HH HH HH HH HH HH HH

0-15 100 10015-20 100 10020-25 100 10025-30 100 10030-35 100 10035-40 100 10040-45 100 10045-50 100 10050-55 100 10055-60 100 10060-65 100 10065-70 100 10070-75 100 10075-80 100 10080-85 100 10085-90 100 10090+ 100 100total 100 100

Share in % Share in %

Male FemaleHousehold type Household type


Labour force participation rates by age-groups and gender

Age-groups Male Female

0-1515-2020-2525-3030-3535-4040-4545-5050-5555-6060-6565-7070+total


Admissions to or discharges from a hospital within one year

Admissions to or Discharges from Hospital within one YearPrevalence Rates Germany 1993-1999

0

100

200

300

400

500

600

0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75+age-groups

rate

s

1993 1994 1995 1996 1997 1998 1999


Length of hospital stayLength of Hospital Stay

Prevalence Rates Germany 1993-1999

4,0

6,0

8,0

10,0

12,0

14,0

16,0

18,0

20,0

0 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75 +age-groups

days

1993 1994 1995 1996 1997 1998 1999


Hospital days per capita - GermanyHospital days per capita

0

5

10

15

20

25

30

35

40

45

0-24 25-34 35-44 45-54 55-64 65-74 75+

age-groups

da

ys

sp

en

t in

a h

osp

ita

l

survivors

decedents in their last year of life

decedents in their second year before death

decedents in their third year before death average


Share of people with contact with a doctor in last 4 weeks

Age-group Male Female

0 - 5 5,19 4,815 - 10 3,74 3,47

10 - 15 2,38 2,4415 - 20 2,75 2,7220 - 25 4,49 4,6225 - 30 4,64 4,9930 - 35 5,50 5,1135 - 40 5,61 4,8240 - 45 5,82 5,6245 - 50 6,44 6,3850 - 55 8,26 8,3655 - 60 10,65 9,7460 - 65 11,01 10,2665 - 70 12,57 13,5870 - 75 15,73 15,5175 + 19,76 20,89Total 7,41 8,20

Source: Micro-census 1999.

Health status of the population 1999

Share of consultants of a doctorwithin the population

Germany


People receiving long-term care in institutions

People in Need for Long-Term Care in InstitutionsPrevalence Rates Germany 1997-2001

0

50

100

150

200

250

300

0 - 14 15 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85 - 89 90 +age-groups

rate

s

1997 1998 1999 2000 2001


People receiving long-term care at home

People in Need for Long-Term Care at HomePrevalence Rates Germany 1997-2001

0

50

100

150

200

250

300

350

400

0 - 14 15 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85 - 89 90 +age-groups

rate

s

1997 1998 1999 2000 2001


Disability level

– All levels: 2 or more ADL; need for assistance with IADLs several times a week

– Level I: substantial: ADL at leat once a day; assistance total at least 90 min. (45 min. ADL)

– Level II: severe: ADL at leat three times a day; assistance total at least 3 hours (2 hours ADL)

– Level III: very severe: ADL day and night; assistance total at least 5 hours (4 hours ADL)


Share of LTC in institutions and at homeShare of People in Institutions within People receiving Long-Term Care

0

100 000

200 000

300 000

400 000

500 000

600 000

700 000

800 000

900 000

1 000 000

1997 1998 1999 2000 2001 1997 1998 1999 2000 2001 1997 1998 1999 2000 2001

disability

at home in institutions

level I level II level III


LTC in institutions by disability level

People in Need for Long-Term Care in Institutions and by Disability Level 2001Total

0

20 000

40 000

60 000

80 000

100 000

120 000

140 000

160 000

0 - 14 15 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85 - 89 90 +age-groups

level I level II level III


Population by age-groups and marital status - men

Age- Single Married Divorced WidowedGroups

0 - 20 0,09 / / / 20 - 25 5,64 - 5,35 / / 25 - 30 18,15 - 17,62 - 0,52 / 30 - 35 20,38 - 19,92 - 0,47 / 35 - 40 13,44 - 14,11 0,76 - 0,1140 - 45 8,78 - 10,40 1,88 - 0,2445 - 50 4,38 - 8,31 3,75 0,1050 - 55 3,07 - 6,52 4,02 - 0,5355 - 60 3,06 - 6,27 4,15 - 0,8960 - 65 2,40 - 4,53 3,23 - 1,1465 - 70 1,82 - 1,25 1,33 - 1,8570 - 75 0,15 0,68 0,73 - 1,6475 + - 0,64 3,29 0,32 - 2,92Total 0,76 - 2,08 1,48 - 0,16

1) Population in private households.Sources: Federal Statistical Office of Germany,Fachserie 1, Reihe 3 (Mikrozensus).

Change in %-points

2000/1985


Population by age-groups and marital status - women

Age- Single Married Divorced WidowedGroups

0 - 20 0,45 - 0,40 / / 20 - 25 12,58 - 12,14 - 0,36 / 25 - 30 59,66 10,83 0,44 / 30 - 35 15,83 - 14,75 - 0,69 - 0,4535 - 40 9,45 - 10,25 1,23 - 0,4340 - 45 4,90 - 6,91 2,62 - 0,5745 - 50 2,61 - 5,39 4,10 - 1,3250 - 55 - 0,36 - 2,04 5,35 - 2,8555 - 60 - 2,93 3,51 4,87 - 5,4560 - 65 - 3,68 10,48 3,19 - 10,0465 - 70 - 2,45 14,21 1,86 - 13,5470 - 75 - 0,31 12,27 0,97 - 12,9875 + - 1,19 3,82 1,53 - 4,16Total 0,71 - 0,23 1,80 - 2,29

1) Population in private households.Sources: Federal Statistical Office of Germany,Fachserie 1, Reihe 3 (Mikrozensus).

Change in %-points

2000/1985


Population by age-groups and family structure - men

Single elderlyAge- living within

groups with without with without child(ren)sfamily

0 - 25 -1,70 -4,08 4,99 0,79 0,0025 - 30 0,30 -5,67 3,06 2,30 0,0030 - 35 -2,75 -1,54 2,43 1,86 0,0035 - 40 -1,82 -1,73 1,70 1,85 0,0040 - 45 -1,55 -1,44 1,21 1,78 0,0045 - 50 -5,65 1,11 1,08 3,46 0,0050 - 55 -9,20 5,09 0,33 3,78 0,0055 - 60 -12,83 8,11 -0,03 4,76 0,0060 - 65 -8,62 5,83 -0,06 2,85 0,00

65 + -1,67 4,07 -0,24 -2,16 0,00Total -8,28 5,30 0,69 2,29 0,00

Change in %-points

2000/1985

Married Solitary person

children children


Population by age-groups and family structure - women

Single elderlyAge- living within

groups with without with without child(ren)sfamily

0 - 25 -9,59 -11,31 20,02 0,88 0,0025 - 30 -5,14 -7,81 13,73 -0,78 0,0030 - 35 -6,26 -2,47 9,46 -0,73 0,0035 - 40 -4,98 -2,18 7,41 -0,24 0,0040 - 45 -4,43 -1,86 5,44 0,85 0,0045 - 50 -6,76 0,68 2,69 3,39 0,0050 - 55 -8,76 4,70 -0,36 4,42 0,0055 - 60 -9,77 9,71 -2,40 2,46 0,0060 - 65 -3,62 14,49 -2,80 -8,07 0,00

65 + -0,32 7,53 -1,22 -5,99 0,00Total -6,03 4,79 1,59 -0,35 0,00

Change in %-points

2000/1985

Married Solitary person

children children


Population by age-groups and household composition - men

Age- Single 2-Pers. 3-Pers.4-Pers. 5+-Pers.groups HH HH HH HH HH

0 - 20 -0,10 1,09 -0,24 2,34 -3,0920 - 25 5,19 -0,85 1,77 1,96 -8,0325 - 30 8,01 -1,46 -1,81 -1,60 -3,1930 - 35 9,42 0,67 -2,85 -5,94 -1,3035 - 40 7,50 -0,54 -2,90 -2,23 -1,8340 - 45 4,77 -0,26 -2,29 0,24 -2,5245 - 50 4,28 2,21 -0,60 -0,52 -5,4250 - 55 4,39 6,37 -1,78 -2,57 -6,4755 - 60 5,19 9,02 -5,23 -4,62 -4,3560 - 65 3,61 6,07 -4,79 -2,76 -2,2165 - 70 0,88 5,21 -3,17 -1,40 -1,5270 - 75 -0,36 4,20 -1,66 -0,91 -1,3775 + 0,54 5,54 -1,87 -1,48 -2,81Total 3,78 4,91 -2,29 -1,97 -4,43

2000/1985Household type

Change in %-points


Population by age-groups and household composition - women

Age- Single 2-Pers. 3-Pers. 4-Pers. 5+-Pers.groups HH HH HH HH HH

0 - 20 -0,19 1,04 -0,20 2,31 -2,9620 - 25 3,50 -0,93 0,79 1,26 -4,6325 - 30 4,91 3,92 -2,60 -4,77 -1,4630 - 35 4,18 3,72 -0,64 -4,89 -2,3735 - 40 2,73 1,56 -2,06 0,31 -2,5540 - 45 1,34 2,09 -0,69 1,04 -3,7845 - 50 2,08 6,85 0,48 -3,04 -6,3750 - 55 2,37 10,45 -3,06 -4,00 -5,7655 - 60 0,22 11,77 -5,71 -3,45 -2,8360 - 65 -6,89 10,78 -1,63 -1,02 -1,2565 - 70 -10,33 11,73 0,16 -0,50 -1,0670 - 75 -7,76 10,44 0,08 -0,72 -2,0475 + 4,38 2,04 -1,58 -1,71 -3,13Total 0,73 5,20 -1,43 -1,12 -3,39

2000/1985Household type

Change in %-points


Labour force participation rates by age-groups - West Germany

Age-groups 1962 1970 1980 1990 2000 2001

15 - 20 71,9 53,6 41,4 37,3 29,4 28,720 - 25 71,2 69,8 71,1 75,7 67,6 68,025 - 30 51,1 51,1 62,5 71,6 74,3 74,830 - 35 44,8 45,4 56,2 66,9 74,6 75,435 - 40 46,2 46,2 55,4 68,0 75,7 76,740 - 45 46,9 48,4 54,9 69,4 77,9 79,245 - 50 43,5 48,9 52,2 66,7 77,1 78,450 - 55 39,6 44,8 47,1 57,8 69,2 70,155 - 60 33,7 37,2 38,7 43,8 53,5 55,260 - 65 21,7 22,5 13,0 12,5 14,9 16,465 - 70 12,0 10,7 4,8 3,9 3,9 4,670 - 75 7,3 6,2 3,0 2,0 1,9 1,975 + 3,0 2,5 1,3 0,8 0,6 0,6

Total 32,5 30,2 32,6 39,2 40,6 41,2

female


Labour force participation rates by age-groups - East Germany

Age-groups 1990 1992 1995 1999 2000 2001

15 - 20 49,5 42,7 30,4 31,1 29,6 30,620 - 25 86,5 84,8 81,0 73,8 72,5 71,725 - 30 96,5 95,1 90,7 87,2 84,8 83,830 - 35 94,0 97,1 94,8 92,6 91,5 90,035 - 40 97,3 97,3 96,3 93,2 93,6 93,840 - 45 95,3 96,6 96,2 95,1 94,9 94,145 - 50 95,7 95,7 93,9 92,9 92,7 93,050 - 55 88,8 90,3 89,8 88,2 89,0 90,155 - 60 70,9 27,1 53,7 74,6 76,4 76,960 - 65 24,3 2,7 3,3 6,3 6,6 9,065 - 70 7,0 0,4 0,4 0,7 0,0 0,070 - 75 / / / 1,6 1,4 1,5

75 + / / / / / /

Total 79,9 48,5 48,4 48,5 47,9 48,1

female


Labour force participation rates of women

30,0

35,0

40,0

45,0

50,0

55,0

60,0

65,0

70,0

75,0

80,0

years

%

45 - 50

50 - 55

55 - 60

use of health and nursing care by the elderly – first results of data collection for germany dr....

Documents

100100total100100if

recent year15

recent year20

long time series

informal care

health status

disability level0

totaltable epeople