Skip to main content
Log in

More than just aging societies: the demographic change has an impact on actual numbers of patients

  • Original Article
  • Published:
Journal of Public Health Aims and scope Submit manuscript

Abstract

Objective

The purpose of this paper is to estimate the number of patients resulting from the aging of the population for selected diseases (colon cancer, myocardial infarction, diabetes mellitus and dementia) in 2012 and 2020 compared to 2002 based on the Federal State of Mecklenburg-West Pomerania as a model for Germany.

Data sources

The population projection considers fertility, migration and age-specific mortality in Mecklenburg-West Pomerania. The calculation of patient number is based on age-specific incidence or prevalence from population-based epidemiological studies and/or registers.

Study design

The population for 2012 and 2020 is projected for 1-year gender-specific age-cohorts. The demographic projection is then used for the estimation of age- and gender-specific numbers of patients.

Results

While the total population will decrease by 10.5% in Mecklenburg-West Pomerania by 2012, both the proportion and the absolute number of people older than 64 years will increase (2002: 294,000; 2012: 349,000; 2020: 382,000). Asa consequence, the incident number of patients with colon cancer will increase by 24.4% by 2012 (+30.9% in 2020) and with myocardial infarction by 27.5% by 2012 (+40.9% in 2020).

Conclusion

The demographic change will lead to an absolute increase of patients with colon cancer, myocardial infarction, diabetes mellitus and dementia. At the same time the age-spectrum of patients with these diseases will shift towards older ages.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Bergmann E, Kamtsiuris P (1999) Inanspruchnahme medizinischer Leistungen [Utilization of medical services]. Gesundheitswesen 61(Sonderheft 2):S138–S144

    PubMed  Google Scholar 

  • Bickel H (2000) Demenzsyndrom und Alzheimer Krankheit: Eine Schaetzung des Krankenbestandes und der jaehrlichen Neuerkrankungen in Deutschland [Dementia syndrome and Alzheimer disease: an assessment of morbidity and annual incidence in Germany]. Gesundheitswesen 62:211–218

    Article  PubMed  CAS  Google Scholar 

  • Burholt V, Windle G (2003) Housing for an aging population: planning implications. Centre for Social Policy Research and Development

  • Eisinger B, Mustroph P, Richter D et al (2002) Krebsinzidenz 1999 im Erfassungsgebiet des Gemeinsamen Krebsregisters -Jahresbericht-Gemeinsames Krebsregister der Laender Berlin, Brandenburg Mecklenburg-Vorpommern, Sachsen-Anhalt und der Freistaaten Sachsen und Thueringen (GKR). Medialis Berlin

  • Fischer H, Karpinski J, Kueck U (2002) Bevoelkerungsentwicklung in Mecklenburg-Vorpommern seit der Wende- Bilanz und Ausblick. Stat Mon.hefte-Mecklenbg-Vorpommern 249–262

  • Greinacher A, Fendrich K, Alpen U, Hoffmann W (2007) Impact of demographic changes on the blood supply- Mecklenburg-West Pomerania as a model region for Europe. Transfusion 47:395–401

    Article  PubMed  Google Scholar 

  • Grundmann S (1998) Bevoelkerungsentwicklung in Ostdeutschland. Leske + Budrich, Opladen

    Google Scholar 

  • Jordan K, Ong BN, Croft PR (2003) Previous consultation and self reported health care status as predictors of future demand for primary care. Public Health Policy and Practice 57:109–113

    CAS  Google Scholar 

  • Luy M (2005) A tempo-based hypothesis for converging mortality in West and East Germany. Extended abstract at the IUSSP XXV International Population Conference 2005

  • Meisinger C, Heilander P, Lukitsch D et al. MONICA/KORA Herzinfarktregister Augsburg. Available at: http://www.herzschlag-info.de/01-himorb.html. Accessed April 4, 2004

  • Mollenkopf H (2003) Impact of transportation systems on mobility of elderly persons in Germany. In: Schaie KW, Wahl HW, Mollenkopf H et al (eds) Aging independently: living arrangements and mobility. Springer, Berlin Heidelberg New York, pp 177–191

    Google Scholar 

  • Mollenkopf H, Marcellini F, Ruoppila I et al (2004) Ageing and outdoor mobility. Assistive technology research series, vol 13. IOS Press

  • National Institute for Clinical Excellence (2004) The assessment and prevention of falls in older people. [Clinical Guideline 21 web site]. Available at: http://www.nice.org.uk/CG021NICEguideline. Accessed December 14, 2004

  • Nolte E, Shkolnikov V, McKee M (2000) Changing mortality patterns in East and West Germany and Poland. II: short-term trends during transition and in the 1990s. J Epidemiol Community Health 54:899–906

    Article  PubMed  CAS  Google Scholar 

  • Oeppen J, Vaupel JW (2002) Broken limits to life expectancy. Science 296:1029–1031

    Article  PubMed  CAS  Google Scholar 

  • Okoro CA, Strine TW, Young SL et al (2005) Access to health care among older adults and receipt of preventive services. Results from the Behavioral Risk Factor Surveillance System, 2002. Prev Med 40:337–343

    Article  PubMed  Google Scholar 

  • Schulz E, Leidl R, König HH (2004) The impact of ageing on hospital care and long-term care-the example of Germany. Health Policy 67:57–74

    Article  PubMed  Google Scholar 

  • Statistisches Amt Mecklenburg-Vorpommern (2006) Statistisches Jahrbuch Mecklenburg-Vorpommern 2006. Statistisches Amt, Schwerin

    Google Scholar 

  • Statistisches Landesamt Mecklenburg-Vorpommern (2003) Bevölkerung nach Alter und Geschlecht in Mecklenburg-Vorpommern 2002 (data file)

  • Statistisches Amt Mecklenburg-Vorpommern (2007) 3. Landesprognose Bevölkerungsentwicklung in Mecklenburg-Vorpommern bis 2020 - überarbeitete Fassung 2007 - . Statistische Berichte. Statistisches Amt Mecklenburg-Vorpommern, Schwerin

    Google Scholar 

  • Thefeld W (1999) Praevalenz des Diabetes mellitus in der erwachsenen Bevoelkerung Deutschlands [Prevalence of diabetes mellitus in the adult German population]. Gesundheitswesen 61(Sonderheft 2):S85–S89

    PubMed  Google Scholar 

  • Vaupel JW, Carey JR, Christensen K (1998) Biodemographic trajectories of longevity. Science 280:855–860

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgement

This work was supported by the German Federal Ministry of Education and Research (NBL3 program, reference 01ZZ0403).

Conflict of interest statement

The authors disclose any relevant associations that might pose a conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wolfgang Hoffmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fendrich, K., Hoffmann, W. More than just aging societies: the demographic change has an impact on actual numbers of patients. J Public Health 15, 345–351 (2007). https://doi.org/10.1007/s10389-007-0142-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10389-007-0142-0

Keywords

Navigation