Journal of the Economics of Ageing最新文献

China is experiencing a rise in its ageing population alongside rapid advancements in industrial robotics. Using panel data from China’s industries (2006 to 2021), this study empirically examines the impact of population ageing on the application of industrial robots. The results show that population ageing significantly promotes industrial robot application. The impact of population ageing on the application of industrial robots varies by industry. The promotion effect is greater in low and medium-technology industries than that of high-tech industries. This effect became more evident after 2012. Industries with high state ownership exhibit stronger influence coefficients than those with lower state ownership. Mechanism analysis indicates that population ageing promotes industrial robot adoption through the labour cost substitution effect. These findings offer insights for government policies to promote sustainable ageing and upgrading the manufacturing sector through artificial intelligence represented by the application of robotics.

As populations age, more people worldwide will live and die with serious illness like cancer, heart disease and dementia. Prior projections of serious illness prevalence and end-of-life care needs have typically used static population-level methods. We estimated future disease prevalence and healthcare costs by applying dynamic microsimulation models to high-quality individual-level panel data on older adults (aged 50 + ) in Ireland. We estimated that the number of people living and dying with serious illness will increase approximately 70 % over 20 years. Per-capita annual costs both at end of life and not at end of life increase substantially due to ageing populations and growing complexity. Total health system expenditures on care for people with serious illness are projected to double before accounting for rising cost of inputs in real terms. Decomposition of these estimates suggests that 39 % of additional costs are accounted for by rising absolute numbers of older people, 37 % by changing age distribution and growing life expectancy, and 23 % due to rising individual complexity including morbidity and functional limitations. Our results and methods will be of interest to other countries planning for the future population health needs, and formidable health system resources associated with these needs, in the coming years.

We study the socioeconomic horizontal inequity in the allocation of publicly subsidised long-term care (LTC) in Spain, using administrative data from the universe of applicants in Catalonia. We find that, after controlling for needs, cash subsidies for informal care are disproportionately concentrated among wealthier individuals, while the use of formal care services (home care and nursing homes) is concentrated among the less well-off. This suggests that cash benefits may inadvertently facilitate access to wealthier individuals’ private care. We also find inequity in the form of provision, with in-kind services being more prevalent among the worse-off while wealthier beneficiaries are more likely to receive vouchers. While this duality in provision does not lead to significant differences in overall time to access LTC, we find that lower-income individuals wait longer for telecare, and wealthier individuals opting for in-kind nursing home care wait longer, suggesting potential differences in preferences or constraints. We find no evidence of socioeconomic inequity in the time spent navigating the administrative application process. Our findings highlight the need for policymakers to consider the potential unintended consequences of cash benefits and different forms of provision to ensure equitable access to LTC services.

Aging populations exert upwards pressure on healthcare systems, raising concerns about increasing expenditures on health. This paper reviews the empirical literature on the issue and critically assesses the strengths and weaknesses of the outcomes measured, methodologies used, and the hypotheses tested. While age strongly predicts long-term care expenditure, the time-to-death factor renders the aging effect null for hospital care expenditure. Existing literature disagrees on the importance of age and time-to-death effects on prescription drug and ambulatory care costs. Morbidity and medical innovation mediate these effects, proving crucial for aging-related healthcare expenditure growth. We identify several opportunities for future research including gender differences, utilization of emerging methods, and the importance of institutional settings.

The intergenerational transfer of resources is gaining importance across countries facing population ageing. This paper investigates the economic and budgetary consequences of ageing in the Slovak Republic, which is projected to be one of the fastest ageing polities of the European Union. Using dependency and support indicators derived from the National Transfer Accounts, the quantitative analysis shows how this demographic development impacts aggregate labour income, consumption, taxes and public and private transfers. For instance, the transfer weighted public sector dependency ratio increases by 117 %, from 1.12 in 2015 to 2.43 in 2060. While increasing the retirement age may dampen the negative economic effect of demographic ageing, it cannot resolve the ensuing imbalance in labour income and consumption on its own. Moreover, the potential positive effect of higher fertility is preceded by an increase in consumption by the economically inactive Youth, which results in a deteriorating balance of private transfers. This trade-off is often overlooked in the scholarly debate. A combination of measures composed of increased labour productivity and lower consumption appears the most likely solution to the problem of growing imbalance between aggregate labour income and consumption.

This paper uses long-term population projections to study the evolution of dementia in Luxembourg through 2070, as well as its impact on public expenditure through healthcare and long-term care. We extend a standard micro-simulation model on health outcomes by adding an algorithm to identify individuals suffering from dementia. This allows us to simulate dementia prevalence among individuals aged 50 and more in several scenarios incorporating alternative hypotheses about risk factors, new treatments and comorbidities (including long-run effects of COVID-19). Public health policies reducing stroke and hypertension risk could lower dementia prevalence by 17% and public expenditure on healthcare for dementia patients by a similar amount. A new treatment extending the mild dementia phase could nearly double prevalence and possibly triple the associated healthcare costs. Finally, past exposure to COVID-19 could raise prevalence by 12% to 24% in the medium term and public expenditure on dementia healthcare by 6% to 12%. Public expenditure on long-term care for dementia patients would increase even more, generally doubling by 2070.

The balance between maintaining and enhancing the health, quality of life, and healthy life expectancy of the elderly and their corresponding social costs, including medical and long-term care expenses, is an important policy issue in the context of Japan’s super-aging society. In this paper, we employ individual panel data from the four waves of the Japanese Study of Aging and Retirement to examine how retirement from the labor market affects the health of elderly males. Numerous empirical studies have shown mixed results concerning the causal effect of retirement on health through diverse and complex mechanisms. However, we present several new insights by focusing on the policy change in 2000 of raising the pensionable age for the earnings-related public pension system which completely eliminates pension income after the statutory retirement age for particular cohorts. Our fixed-effects instrumental variable estimation shows that retirement significantly improves oral function and mental health, but it also makes male retirees more susceptible to lifestyle-related diseases. Supplemental results further suggest that a significant increase in dental care utilization would help improve post-retirement oral function.

I investigate the links between the part-time employment opportunities and the labour supply adjustments of older workers, focusing on both the extensive and intensive margins. Utilising data for 30 European countries in the period from 2011 to 2021, I construct a quasi-panel that compares individuals aged 60–64 with those aged 55–59 from five years prior. I find that the employees in sectors offering more part-time jobs are more likely to stay in employment, and that the total hours worked by these employees decrease at a slower rate than those of the employees in sectors imposing more rigid hours constraints. These results are most pronounced for women in manual types of occupation, but are significant across almost all examined worker categories. The positive relationship between the part-time employment opportunities and the total hours worked of older employees is robust to various modifications in the empirical setup. However, this relationship is heterogeneous across countries, and is least pronounced in the countries with a high availability of part-time jobs.

This paper develops an overlapping generations model with intergenerational transfer of time in the form of grandparenting and pay-as-you-go (PAYG) pension system. The introduction of time transfer allows taking into account child care responsibilities. Under the situation of population ageing, a fall in the fertility rate leads to not only a reduction in contributions to the pension system but also lower childcare responsibilities that increase life-cycle income. Hence, the impacts of demographic changes on old labour decisions and pensions need to be re-examined. I find that in countries with low fertility rates and small pension systems, a fall in fertility rate reduces working time in old age. Consequently, population ageing due to a lower fertility rate always decreases pensions. On the other hand, for countries with high fertility rates and countries with low fertility rates but large pension systems, a decrease in fertility rate reduces retirement age. In these countries, pensions will increase if retirement is elastic to changes in fertility. In all cases, longer life expectancy increases pensions if retirement is relatively inelastic to changes in longevity.

We investigate the potential dynamics in the effect of retirement, on food-at-home purchases and dietary quality in Denmark. We combine Home-scan data with nutritional information and administrative data on retirement, income and health status. The panel contains 497 retiring and 1,471 control households. We estimate the effect of retirement up to 10 years after the date of retirement by using Fixed Effects with health and wealth proxies, as well as Fixed Effects IV with the ages eligible for retirement as instruments to control for the potential endogeneity of retirement. Based on the Fixed effects results we find that overall dietary quality increase slightly at retirement, but find only minor and mostly insignificant changes in the individual components of the diet. The effects are found to be of the same magnitude, but insignificant in the FE-IV estimation. Hence, there seem to be a small increase in dietary health upon retirement in Denmark. The results for food expenditure and energy consumption are ambiguous. Based on the FE with proxy variables we find indications of long-run adjustments in food expenditures, while energy consumption is immediately affected by retirement, but has no further adjustment. Both effects are insignificant in the FE-IV estimation. The very small changes observed, suggest that dietary behaviour might be governed by habitual behaviour and might also be due to the high income replacement rate at retirement in Denmark.