Archive \ Volume.14 2023 Issue 3

Systematic Review of the Effect of Aging on Health Costs

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Population aging is one of the most important economic, social, and health challenges in the 21st century. The increase in the rate of the elderly population increases the risk of health expenses for households with elderly people. The purpose of this study is to determine the effect of old age on health costs. The results of the studies showed that old age can increase these costs by increasing long-term care and home care. However, by reducing the consumption of acute hospital care, it can reduce these types of costs. According to the results, the average health costs of the elderly in the studies reviewed in the United States were reported to be about $48,101 in 2015. Also, the average costs of inpatient services and the average costs of long-term care and home care were the highest with $19,003 and $12,583, respectively. Considering the high costs of hospitalization in the elderly, measures to reduce hospitalization cases such as establishing day care centers and home care instead of hospitalization should be included in the elderly health program as much as possible.

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Manole F, Marian P, Mekeres GM, Voiţă-Mekereş F. Systematic Review of the Effect of Aging on Health Costs. Arch Pharm Pract. 2023;14(3):58-61.
Manole, F., Marian, P., Mekeres, G. M., & Voiţă-Mekereş, F. (2023). Systematic Review of the Effect of Aging on Health Costs. Archives of Pharmacy Practice, 14(3), 58-61.

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1.        Shoghi B, Kian H. The role of managers in developing creativity and managing talent. J Organ Behav Res. 2022;7(2):18-29.

2.        Arai H. Geriatrics in the most aged country, Japan. Arch Gerontol Geriatr. 2009;49:S1-S2. doi:10.1016/S0167-4943(09)00302-1

3.        Homauni A, Mosadeghrad AM, Jaafaripooyan E. Employee performance appraisal in health care organizations: a systematic review search. J Organ Behav Res. 2021;6(2):109-21.

4.        Ellis G, Whitehead MA, Robinson D, O’Neill D, Langhorne P. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev. 2011;(7):CD006211. doi:10.1002/14651858.CD006211.pub2

5.        Yousaf M, Khan MM, Paracha AT. Leading professionally diverse workgroups of healthcare professionals for improving quality of care. J Organ Behav Res. 2021;6(1):106-19.

6.        Wu ZH, Rudkin L. Social contact, socioeconomic status, and the health status of older Malaysians. Gerontol. 2000;40(2):228-34. doi:10.1093/geront/40.2.228

7.        Karatas KS, Karatas Y, Telatar TG. Assessment of burnout syndrome and smartphone addiction in healthcare workers actively working during the Covid-19 pan. J Organ Behav Res. 2022;7(1):156-69.

8.        Patterson C, Grek A, Gauthier S, Bergman H, Cohen C, Feightner J, et al. The recognition, assessment and management of dementing disorders: conclusions from the Canadian Consensus Conference on Dementia. CMAJ. 1999;160(12 Suppl):S1-15.

9.        Tüzün B, Jafarova R, Bagirov I, Magerramova N, Nasibova T. Mathematical Modeling of the Biological Activity of a New Complex Compound Based on Palladium and Mexidol. J Biochem Technol. 2023;14(1):40-4.

10.      Abdollahzadeh A, Mehranpour R. Investigating the condition of the elderly in Sarbisheh, Southern Khorasan State. Nurs J Vulnerable. 2017;3(9):14-23.

11.      Kryuchkova AV, Tunguzbieva RU, Tokaeva KS, Isaev AA, Elmaeva LR, Mikhailenko VV. Collagen Hydrolysates in the Prevention and Treatment of Arthritis. J Biochem Technol. 2022;13(4):54-9.

12.      Khodamoradi A, Hassanipour S, Daryabeigi Khotbesara R, Ahmadi B. The trend of population aging and planning of health services for the elderly: A review study. J Torbat Heydariyeh Univ Med Sci. 2018;6(3):81-95.

13.      Belova SN, Pleshkov VA. Use of Grain Silage in Feeding Cattle Growing Stock. J Biochem Technol. 2021;12(4):29-35.

14.      Karami Matin B, Kazemi Karyani A, Soltani S, Rezaei S, Soofi M. Predictors of healthcare expenditure: aging, disability or development? Arch Rehabil. 2019;20(4):310-21.

15.      Mazlomi A, Hajizadeh L, Feyzi V. Development and Validation of Ergonomics Elderly House Risk Factors Checklist and Assessment Elderly Functional Ability Checklist. J Ergon. 2019;7(1):20-7. doi:10.30699/jergon.7.1.20

16.      Alghamdi AA, Althumali JS, Almalki MM, Almasoudi AS, Almuntashiri AH, Almuntashiri AH, et al. An Overview on the Role of Xanthine Oxidase Inhibitors in Gout Management. Arch Pharm Pract. 2021;12:94-9.

17.      Mirfallah Nassiri N. Demographic determinants of population ageing and related indicators in Iran. Iran J Off Stat Stud. 2008;18(2):1-13.

18.      Seshamani M, Gray A. Ageing and health-care expenditure: the red herring argument revisited. Health Econ. 2004;13(4):303-14. doi:10.1002/hec.826

19.      Ramzan B, Harun SN, Butt FZ, Butt RZ, Hashmi F, Gardezi S, et al. Impact of Diabetes Educator on Diabetes Management: Findings from Diabetes Educator Assisted Management Study of Diabetes. Arch Pharm Pract. 2022;13(2):44-50.

20.      Shahid Beheshti University of Medical Sciences, Health Vice Chancellor in Health Affairs. [cited 2017 Jan 5]. Geriaric Health program. Available from:

21.      Alhammad IM, Aseri AM, Alqahtani SA, Alshaebi MF, Alqahtani SA, Alzahrani RA, et al. A review on updates in management and treatment of psoriasis. Arch Pharma Pract. 2021;12(1):74-8.

22.      Rasel M, Ardalan A. The future of ageing and its health care costs: a warning for health system. Iran J Ageing. 2007;2(4):30-5.

23.      Jenson J. Health Care Spending and the Aging of the Population. Washington, DC: Congressional Research Service (CRS) Reports and Issue Briefs; 2007.

24.      Shojaei A, Akbari Kamrani AA, Azimian M, Ghafari S, Jamali MR. The health costs and diseases in medical services insurance organization, Tehran province, 1386 (2008). Iran J Ageing. 2012;6(4):65-74.

25.      Mirzaie M, Darabi S. Population aging in Iran and rising health care costs. Iran J Ageing. 2017;12(2):156-69.

26.      Yahyavi Dizaj J, Tajvar M, Mohammadzadeh Y. The effect of the presence of an elderly member on health care costs of Iranian households. Iran J Ageing. 2020;14(4):462-77.

27.      Hyun KR, Kang S, Lee S. Population aging and healthcare expenditure in Korea. Health Econ. 2016;25(10):1239-51. doi:10.1002/hec.3209

28.      PoorReza A, Khabiri Nemati R. Health Economics and Aging. Iran J Ageing. 2007;1(2):80-7.

29.      Pourrahimi A, Norozi K, Mohammadi F, Khorasani B, Rezasoltani P, Keshavarz Afshar M. Comparison of costs and length of stay of elderly and middle-aged patients hospitalized in Tehran's milad hospital during year 2012. Iran J Rehabil Res Nurs. 2017;3(3):11-5.

30.      Babajani K. Review the economic, social and cultural rights of the elderly in the past, present and future. Tehran: Institute of Statistics; 2010.

31.      Alizadeh-Khoei M, Khosbin S, Khavarpour F. Assessing quality of life, well being and depression among Iranian elderly in Australia. Iran J Ageing. 2009;4(4):56-63.

32.      Upatising B, Wood DL, Kremers WK, Christ SL, Yih Y, Hanson GJ, et al. Cost comparison between home telemonitoring and usual care of older adults: a randomized trial (Tele-ERA). Telemed J E Health. 2015;21(1):3-8. doi:10.1089/tmj.2014.0021

33.      Ackerman SJ, Polly DW, Knight T, Holt T, Cummings J. Nonoperative care to manage sacroiliac joint disruption and degenerative sacroiliitis: high costs and medical resource utilization in the United States Medicare population. J Neurosurg Spine. 2014;20(4):354-63. doi:10.3171/2014.1.SPINE13188

34.      Schwarzkopf L, Menn P, Leidl R, Wunder S, Mehlig H, Marx P, et al. Excess costs of dementia disorders and the role of age and gender – an analysis of German health and long-term care insurance claims data. BMC Health Serv Res. 2012;12(1):165.

35.      Shen Y, Sambamoorthi U, Rajan M, Miller D, Banerjea R, Pogach L. Obesity and expenditures among elderly Veterans Health Administration users with diabetes. Popul Health Manag. 2009;12(5):255-64. doi:10.1089/pop.2008.0022

36.      Bass E, French DD, Bradham DD. A national perspective of Medicare expenditures for elderly veterans with hip fractures. J Am Med Dir Assoc. 2008;9(2):114-9. doi:10.1016/j.jamda.2007.10.001

37.      Lang K, Earle CC, Foster T, Dixon D, Van Gool R, Menzin J. Trends in the treatment of acute myeloid leukaemia in the elderly. Drugs Aging. 2005;22(11):943-55. doi:10.2165/00002512-200522110-00004

38.      Langa KM, Fendrick AM, Chernew ME, Kabeto MU, Paisley KL, Hayman JA. Out-of- pocket health-care expenditures among older Americans with cancer. Value Health. 2004;7(2):186-94. doi:10.1111/j.1524-4733.2004.72334.x

39.      Fried TR, Bradley EH, Williams CS, Tinetti ME. Functional disability and health care expenditures for older persons. Arch Intern Med. 2001;161(21):2602-7. doi:10.1001/archinte.161.21.2602

40.      Spillman BC, Lubitz J. The Effect of Longevity on Spending for Acute and Long-Term Care. N Engl J Med. 2000;342(19):1409-15. doi:10.1056/NEJM200005113421906

41.      Getzen E. Health Economics. Translated by Nekuei Moghaddam M. Tehran: Parsa Nashr; 2008.

42.      Ziloochi MH, Pourreza A, Akbari F, Rahimi-Foroshani A. Evaluating the hospitalization costs for elderly patients in teaching hospitals of Kashan university of Medical Sciences during 2009-10. Feyz. 2012;16(1):86-94.

43.      Levinsky NG. Influence of age on medicare expenditures and medical care in the last year of life. JAMA. 2001;286(11):1349-55.

44.      Hoover DR, Crystal S, Kumar R, Sambamoorthi U, Cantor JC. Medical expenditures during the last year of life: findings from the 1992-1996 medicare current beneficiary survey. Health Serv Res. 2002;37(6):1625-42. doi:10.1111/1475-6773.01113



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