RURAL AGEING SOME STATISTICS
RURAL AGEING SOME STATISTICS
National Rural Health Alliance
Our focus is national:
– our member bodies are national organisations
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– our vision is for good h l h d llb i
health and wellbeing for people in rural and remote Australia
• Th
The term ‘rural’ incorporates t
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regional, rural and remote areas.
• Alliance Councillors are people who live and work in
people who live and work in rural areas.
• The Alliance has a broad view of health, which includes health professionals p
and health services as well as economic, social, environmental and cultural
environmental and cultural determinants.
The Alliance has 28 member bodies:
• health professionals, researchers, educators, service providers, students, managers, Indigenous groups, consumers.
• a united voice to Government and policy makers to ensure access to health services for all Australians wherever they live
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Seven ages of man as they were (but what about woman?)
All the world's a stage,
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And all the men and women merely players;
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They have their exits and their entrances,
And one man in his time plays many parts,
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His acts being seven ages. At first, the infant,...
Then the whining schoolboy, with his satchel... And then the lover, sighing like furnace... Then a soldier, full of strange oaths... h
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And then the justice, in fair round belly... The sixth age shifts
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pantaloon
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Into the lean and slippered
With spectacles on nose and pouch on side;
His youthful hose, well saved, a world too wide
For his shrunk shank, and his big manly voice,
Turning again toward childish treble, pipes
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And whistles in his sound. Last scene of all,
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That ends this strange eventful history,
Is second childishness and mere oblivion,
Sans teeth, sans eyes, sans taste, sans everything.
(As You Like It, 2. 7. 139‐167) ‐ With apologies to William Shakespeare Indigenous versus non Indigenous
Indigenous versus non Indigenous
Rural and remote population
Rural and remote population
Aged Dependency Ratio
Aged Dependency Ratio
Change in age dependency
Change in age dependency
Ageing population
Ageing population
Changes in working population
Changes in working population
Average change in working population
Lake Conjola prime retiree country
Lake Conjola‐
prime retiree country
Older workers
Older workers
Age (years)
85+
males
75‐84
65‐74
55‐64
45‐54
35‐44
25‐34
20‐24
15‐19
10‐14
5‐ 9
0‐ 4
Services per capita per year
Costs MBS by age
Costs‐MBS by age
30 25 20 15
15 10 females
5 ‐
PBS by age
PBS by age
Hospitals
Average length of stay
Average length of stay
Decreasing ALOS
Decreasing ALOS
Now to some risk factors
Now to some risk factors
Risk factors
Behavioural risk factors
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Tobacco
smoking
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Hazardous/harmful alcohol consumption
Sedentary levels of physical activity
Consume reduced fat milk
Consume 2+ serves of fruit per day
Consume 4+
4 serves of vegetables per day
Experience food insecurity in past 12 months
Personal risk factors
High blood pressure
High cholesterol
Obese/overweight
Changes (1995-2004/05)
Smoking (males)
Smoking (females)
Alcohol (males)
Alcohol (females)
Sedentary (persons)
Obesity (persons)
MC
1 00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
IR (OR+Remote)
All regional and remote
Age standardised prevalence ratio
*1 15
*1.15
*1 30
*1.30
*1 21
*1.21
*1.16
*1.30
*1.21
*1.09
*1.24
*1.15
*0.94
*0.83
*0.89
*0.90
*0.95
0.98
*1.44
1.44
*1.54
1.54
*1.48
1.48
*1.20
1.19
1.21
1.00
1.00
1.00
*1.11
*0.88
*1.05
1.13
*0.82
*1.12
*1.12
*0.85
*1.08
*0.83
*0.84
*1.39
*1.69
1.69
*0.95
*1.13
0.95
0.96
*1.40
*1.73
1.73
1.03
*1.14
0.94
1.09
*1.40
*2.29
2.29
*1.08
*1.18
0.95
1.01
*1.40
*1.91
1.91
*1.05
*1.15
Burden of disease
Burden of disease
Access to specialists
Access to specialists
Aged move to where the services are
Aged move to where the services are
Life expectancy
Life expectancy
Rates aged care
Rates aged care
Dementia
Carers
Carers declining
Carers declining
Age related govt spending as % of GDP, 2045
Years on aged pension
Years on aged pension
Demand for public housing
Demand for public housing
Prospects
• Implication 1: Leave it for future generations to pay
• The general argument goes something like this: due to productivity gains, the younger generation will enjoy substantially higher incomes than the older generation did, and therefore they will have an enhanced capacity to pay. Consequently some economists advocate leaving all of the increased tax burden for care of the aged to future younger generations.
Prospects 2 ‐ increase workforce participation
• Increase retirement age
Increase participation
• Increase participation between 55 and 65
• Increase other Increase other
participation eg women
Implication 3 ‐enhanced efficiency of health system
• Enhance
Enhance preventive care
preventive care
• Focus on primary care
• Social and environmental determinants of health
• Joined up government approach Si lif / t
Simplify/streamline delivery –one funder
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www ruralhealth org au
www.ruralhealth.org.au