The Politics of Alzheimer's Disease: A Case Study in Apocalyptic Demography
The Politics of Alzheimer's Disease: A Case Study in Apocalyptic Demography
复制标题
阿尔茨海默病的政治：世界末日人口学的案例研究
DOI：
10.2190/c8ae-nyc1-2r98-mhp1
复制
发表时间：
1990
影响因子：
3.4
通讯作者：
A. Robertson
中科院分区：
文献类型：
--
作者：
A. Robertson
关于人口老龄化加剧给社会带来的灾难性负担的预测比比皆是。人们普遍认为，随着利益的竞争和资源的减少（或充其量是有限的），受抚养人口老龄化的加剧意味着对社会资源（包括医疗保健资源）的需求不断增加。但这种“世界末日人口统计学”有多大合理性呢？本文通过考虑围绕最广为人知但不是最普遍的老年人疾病：阿尔茨海默病的政治，提出了对世界末日场景的一项挑战。最近出现的阿尔茨海默病作为“成人死亡的第四或第五大原因”受到了严格的审查，并讨论了“衰老的生物医学化”方面阿尔茨海默病的社会建构的证据。作者认为，医疗保健系统（目前的构成）在一定程度上是对人口和疾病分布变化的反应，而不是像人们普遍认为的那样，是老年人数量或其不断增加的“发病率”，从而推高了医疗保健成本。
Catastrophic projections of the burden to society of an increasing aging population abound. The prevailing belief is that an increasing dependent aging population means increasing demands on the resources of society, including health care resources, in the face of competing interests and diminishing, or at best finite, resources. But how justified is this “apocalyptic demography”? This article presents one challenge to the apocalyptic scenario by considering the politics surrounding the most publicized, although not the most prevalent, disease of elders: Alzheimer's disease. The recent emergence of Alzheimer's disease as the “fourth or fifth leading cause of adult deaths” is critically examined, and the evidence for the social construction of Alzheimer's disease in terms of the “biomedicalization of aging” discussed. The author considers that it is, in part, the response of the health care system (as it is currently constituted) to changes in demography and disease distribution—and not, as is commonly asserted, the numbers of elders or their increasing “morbidity”—that drives up health care costs.
DOI：
10.1001/jama.1989.03430180093036
发表时间：
1989-11-10
影响因子：
120.7
作者：
EVANS, DA;FUNKENSTEIN, H;TAYLOR, JO
通讯作者：
TAYLOR, JO
社区中的阿尔茨海默病。
DOI：
--
发表时间：
1989
期刊：
JAMA
影响因子：
--
作者：
Larson,EB
通讯作者：
Larson,EB