Older adults in Jiangsu Province are experiencing significant challenges due to acute respiratory infections (ARI), with increasing hospitalization rates and medical expenses impacting their well-being and financial stability.
A comprehensive analysis of medical records from January 2019 to May 2023 reveals that adults aged 50 and above in Jiangsu Province face a growing burden from ARI. The study encompassed 209,632 hospitalization episodes, highlighting variations in incidence rates across different demographics. Annualized hospitalization rates fluctuated between 1.07 to 1.83 per 1000 person-years, influenced by factors such as age, sex, and regional differences. Additionally, severe cases, defined by intensive care unit admissions, mechanical ventilation, or mortality, constituted between 6.5% and 10.3% of all hospitalizations.
Economic Strain on Rural Residents
The financial impact of ARI hospitalizations is particularly pronounced among rural populations. The median direct medical cost per hospitalization stood at CNY 9,027, with out-of-pocket expenses accounting for 22% of this amount. For many rural residents, these out-of-pocket costs exceed their average monthly disposable income, exacerbating economic hardships. This financial strain poses additional challenges beyond the immediate health concerns, potentially limiting access to necessary medical care and leading to long-term economic repercussions for affected families.
Comorbidities Amplify Medical Costs
Individuals with pre-existing health conditions incur higher medical expenses when hospitalized for ARI, despite having a similar or lower proportion of severe cases compared to those without comorbidities. This discrepancy indicates that managing ARI in patients with other health issues requires more resources, possibly due to the complexity of their treatment plans and the need for additional medical interventions. Understanding these cost dynamics is crucial for developing targeted healthcare strategies and providing adequate financial support to vulnerable populations.
- Hospitalization rates for ARI are higher among older males and vary significantly by region within Jiangsu Province.
- Rural elderly face disproportionate financial burdens from ARI hospitalizations, often surpassing their monthly income.
- Comorbid conditions lead to increased medical costs, highlighting the need for integrated care approaches.
The study underscores the critical need for targeted healthcare policies that address both the medical and economic challenges posed by ARI in older populations. Enhancing healthcare accessibility in rural areas and providing financial assistance can mitigate the disproportionate impact on these communities. Additionally, integrating care for patients with comorbidities could help manage costs more effectively while improving patient outcomes. By focusing on these areas, Jiangsu Province can better support its aging population in managing the burden of acute respiratory infections.
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