This study aims to summarise the characteristics of elderly care system and analyse expenditures of healthcare for the elderly in Shanghai. The authors use medical records of 2015 and health account results of 2014 based on System of Health Accounts 2011 to describe the pattern of care expenditures for elderly. Individuals aged 60 years and above account for 19.5 per cent of Shanghai’s population but utilise 52.2 per cent of all outpatient visits and 45.3 per cent of all hospitalisations. Almost two-thirds of their medical expenditures occur in hospitals and 16 per cent in community health centres, corresponding to the status of resource allocation. The out-of-pocket payment ratio of the elderly is lower than that of the younger adults, which is attributable to the preferential reimbursement polices set by the insurance schemes. The leading causes of expenditures are cardiovascular disease, neoplasms and respiratory diseases. Care for the elderly costs more, and the elderly use more services than other age groups. The article recommends the monitoring of irrational utilisation of services, strengthening of primary level care and integration of services across different facilities to streamline care for elderly in Shanghai.

中文翻译：

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上海市老年人医疗保健支出模式

本研究旨在总结上海市养老体系的特点，分析上海市老年人的医疗保健支出。作者使用 2015 年的医疗记录和基于 2011 年健康账户系统的 2014 年健康账户结果来描述老年人的护理支出模式。60 岁及以上老年人占上海人口的 19.5%，但使用了所有门诊量的 52.2% 和所有住院的 45.3%。近三分之二的医疗支出发生在医院，16% 发生在社区卫生中心，这与资源分配状况相对应。老年人的自付费用率低于年轻人，这得益于保险计划的优惠报销政策。支出的主要原因是心血管疾病、肿瘤和呼吸系统疾病。照顾老人的费用更高，老年人使用的服务比其他年龄组多。文章建议监测服务的不合理利用，加强基层护理和不同设施的服务整合，以简化上海的老年人护理。