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WORKSHOP AGIR THE HAGUE FEBRUARY 14-15 2003 RESULTS FOR BELGIUM – WP2 J. MESTDAGH – M. LAMBRECHT Federal Planning Bureau Economic Analysis & Forecasts
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WP2 - Results Belgium TABLE OF CONTENTS Demand for (use of ) health care Long term care at home / in institutions Supply of health care Household composition / family situation Labour market developments
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Hospital admissions Average number of admissions, 1998, by age and gender Highest at age 0, then decrease, to increase again with age Women are less frequently admitted except at age 15-34
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Hospital admissions (2) Average number of admissions – 1991 – 1998, by gender / age Increase between 1991-’98 for younger and older age groups Decrease between 1991-’98 between age 1 and 45
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Length of hospital stay Average length of hospital stay by age group and gender, 1998 Positive relation with age : increases as people get older Higher for women than for men, especially in oldest age group
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Length of hospital stay (2) Average length of hospital stay by age group / gender, 1991-98 Decrease between 1991-1998, men/women, all age groups
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Volume of hospital stay Volume of hospital stay, 1998, by gender and age
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Volume of hospital stay (2) Volume of hospital stay, by age and gender, 1991 – 1998 Slight decrease between 1991 and 1998, all ages
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Contacts with doctor Average number of contacts a year, by age group and gender, 2001 (National Health Survey) Number of contacts increases with age Higher for women than for men (except youngest age group)
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Contacts with doctor (2) Contacts with doctor by gender and age, 1997- 2001 (NHS) Again positive relation with age For men and women, more contacts in 2001 than in 1997, EXCEPT: women in oldest age group (!!)
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Long term care at home % of population using LTC at home by age group, 1998 – 2001 Clear positive relation with age : increases as people get older Little evolution in time, only small increase for oldest group
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Long term care at home (2) % of population using LTC at home, 2001, by category Positive relation with age, % increases as people get older % lower for higher degrees of dependence (cfr. Institutions)
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Long term care at home (3) % of population using home-delivered meals, age / gender, 2001 Positive relation with age; % increases as people get older No clear difference between men and women Note: similar data for 1997 (no increase or decrease in use)
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Long term care at home (4) % of population receiving help in household, 2001, age/gender Positive relation with age; % increases as people get older Higher for women than for men, in all age groups
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LTC in institutions (2) % of population living in ROB-RVT by age group, 1996-2001 Positive relation with age; % increases as people get older Increase between 1996-2001, especially at older ages
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LTC in institutions (3) % of population in ROB-RVT, by age group and category, 2001 Positive relation with age; % increases as people get older In older age groups, categories with higher dependence become more important
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Forecasting exercise Use of long term care at home 2030-2050 Increase of 124%: 277.432 people in 2050 compared to 123.566 in 2001
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Forecasting exercise (2) Use of LTC in institutions, 2030-2050 Increase of 166%: 317.979 people in 2050 compared to 119.254 in 2001
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Supply of formal health care Density of care givers (per 1000 inhabitants) Slight increase in density for all, especially nurses
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Supply of formal health care (2) Density of care givers in ROB-RVT (per 1000 people living in institutions)
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Supply of formal health care (4) Number of hospital beds for LTC per 1000 inhabitants aged 65+ Decrease in density of hospital beds for LTC
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Supply of formal health care (5) Density of acknowledged beds in ROB-RVT per 1000 inhabitants older than 65 Overall slight increase in density Decrease for ROB, increase for RVT
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Average household size Average household size 1900 – 1999 Decrease from 4.3 in 1900 to 2.4 in 1999
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Number of HH members Evolution in share of households 1930-2001 Increase in proportion HH with 1 / 2 members Proportion of bigger families decreases 3231 11 25 1617 14 21 7
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Composition by marital status % of men by marital status, 1965 – 2001 Increased proportion single and divorced Smaller proportion married or widowed
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Composition by marital status (3) Marital status by age group, MEN, 2001
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Composition by marital status (4) Marital status by age group, WOMEN, 2001
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Composition by relation with others Total population, 1961 – 2001 Increase in single with or without children Decrease in married with or without children Similar situation for men and women separately 17 34 7 12 30 24 46 30
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Elderly people % of HH having elderly person living with them Decrease between 1970 and 2001
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Elderly people (2) Living situation of elderly people in 1991
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Participation rates Participation rates, MEN, by age group, 1947-2050 Reversed U shape curve Decrease between 1947 and 2050, especially youngest and oldest age groups
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Participation rates (2) Participation rates, WOMEN, by age group, 1947-2050 Shape curve has changed from flat to reverse U-shape Increase between 1947 and 2050 except youngest and oldest age groups
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Weekly working hours Average weekly working hours, by gender, 1983-2000 Higher for men (38 in 2000) than women (30) Decrease for women, rather stable for men
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Weekly working hours (2) % of MEN working certain hours a week, 1983-2000
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Weekly working hours (3) % of WOMEN working certain hours a week, 1983-2000 Increase in lowest groups (part time employment!) Decrease in highest age groups
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Part time employment PT employment in % of total employment, by gender Spectacular increase for women (from 5 to 30%)
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Part time employment (2) % PT employment by gender and age group, 1999 Much higher for women than for men (all ages) For men, higher in lower and higher age groups
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Reasons for PT employment Reasons for PT employment,by gender, 2000, % of PT workers giving this as reason
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CONCLUSIONS Demand for health care increases with age Demand for LTC increases with age Decrease in supply of formal health care Supply of informal health care? - household composition - labour market evolutions
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