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July 1, 2022Age and AgeingOpen Access

Projections of dependency and associated social care expenditure for the older population in England to 2038: effect of varying disability progression

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Authors

AKAndrew KingstonRWRaphael WittenbergBHBo Hu

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Overview

Microsimulation study projects increased social care expenditure in older adults, indicating that slowing disability progression could substantially mitigate future costs.

Key Points

  • To evaluate the effect of stalling life expectancy and varying scenarios of disability progression on projected social care expenditure and healthy, independent life expectancy in England through 2038.
  • Linked two projection frameworks: the Population Ageing and Care Simulation (PACSim) microsimulation model and the Care Policy and Evaluation Centre long-term care projections model using 2018-based population data.
  • Analyzed a representative sample of approximately 303,589 individuals aged 35 and older (a 1% sample of England's 2014 population) derived from three longitudinal ageing studies across five disability progression and recovery scenarios.
  • Total social care expenditure was projected to rise by 94.1% between 2018 and 2038, reaching 1.25% of gross domestic product.
  • Independent life expectancy at age 65 was projected to increase by 14.7% (range 11.3–16.5%) in men, but only by 4.7% (range 3.2–5.8%) in women.
  • A 10% reduction in disability progression combined with increased recovery yielded the lowest expenditure growth and enabled both men and women to surpass the targeted 8% gain in independent life expectancy.

Cite This Study

Kingston et al. (2022) studied this question.

synapsesocial.com/papers/69fc2da257c27e0ed678cf5chttps://doi.org/10.1093/ageing/afac158
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