On Aging and Aged Care in Serbia

Springer Science and Business Media LLC - Tập 30 - Trang 217-231 - 2015
G. Sevo1, M. Davidovic2, P. Erceg2, N. Despotovic2, D. P. Milosevic2, M. Tasic1
1Institute for Gerontology and Palliative Care, Belgrade, Serbia
2Medical Faculty - Geriatric Department, Zvezdara University Clinical Hospital, University of Belgrade, Belgrade, Serbia

Tóm tắt

Serbia is a demographically old nation, with 17.4 % of its residents being aged 65 years and older in 2011. The previous two decades of turbulent history have significantly affected the demographic picture of this country, and their ramifications remain visible in Serbia's economic, political, cultural, and health spheres. Major demographic forces behind population aging in Serbia can be attributed to lower fertility rates, migrations, and declining mortality (reflecting improvements in overall health leading to a longer life expectancy). In Serbia, low fertility and migrations appear to play major roles, although the relative contribution of recent migrations cannot be measured with accuracy. Patterns of demographic aging vary considerably across different geographic, socioeconomic, and cultural settings. The common denominator throughout present day Serbia is extensive political and economic transition. One would expect that, given sufficient time, this process will result in improved population health, and yet, at this stage outcomes of major health care reform in Serbia are somewhat perplexing. For the second consecutive year, Serbia’s health care system has been ranked at the very bottom of the scale among 34 European countries. It is then no surprise that the elderly represent particularly vulnerable population segment. This paper discusses some of the issues relevant to these demographic patterns of aging and aged care in contemporary Serbia, focusing on the period after 2000.

Tài liệu tham khảo

(2014). Personal communication with Mirjana Rasevic. Institute for social sciences, Belgrade (unpublished data). 2002 Census of Population, Household and Dwelling in the Republic of Serbia – Final Results (in Serbian). Communication 31. No 295, LII, Statistical Office of the Republic of Serbia, Belgrade 24.12.2012. 2010 Census Briefs: The Older Population 2010. U.S. Census Bureau. Available from URL: http://www.census.gov/prod/cen2010/briefs/c2010br-09.pdf. Accessed 19 Feb 2013 2011 Census of Population, Households and Dwellings in the Republic of Serbia. Age and sex: Data by settlements. Statistical Office of the Republic of Serbia, Belgrade 2012. Available from URL: http://pod2.stat.gov.rs/ObjavljenePublikacije/Popis2011/Starost%20i%20pol-Age%20and%20sex.pdf. Accessed 14 Feb 2013. A study on living standard: Serbia 2002–2007. D. Vukovic & R. Smith Govoni (Eds.), Statistical Office of the Republic of Serbia, Publikum, Belgrade, 2008. (in Serbian). Available from URL: http://siteresources.worldbank.org/INTLSMS/Resources/3358986-1181743055198/3877319-1204816266932/studijaS.pdf. Accessed 12 July 2014. Bajec, J., Krstić, G., Pejin-Stokić, Lj., Penev, G. Social Protection and Social Inclusion in the Republic of Serbia, EC – European Commission (2008), (available from URL: http://ec.europa.eu/social/BlobServlet?docId=4452&langId=en. Beard, J., Biggs, S., Bloom, D., Fried, L., Hogan, P., Kalache, A., Olshansky, J. Global Population Ageing: Peril or Promise? PGDA Working Paper No. 89, January 2012. Available from URL: http://www.hsph.harvard.edu/pgda/WorkingPapers/2012/PGDA_WP_89.pdf. Accessed 14 Feb 2013. Björnberg, A. Euro Health Consumer Index: 2012 and 2013, Report. Health Consumer Powerhouse AB, 2012 and 2013. Census of refugees and other persons endangered by war in the Federal Republic of Yugoslavia. UNHCR and Ekonomski instut, Beograd. (no year of publication indicated) (in Serbian). Available from URL: http://www.kirs.gov.rs/docs/statistika/Popis%20Izbeglica%20i%20Drugih%20Ratom%20Ugrozenih%20Lica%20u%20SRJ%201996.pdf. Accessed 5 July 2014. Colombo, F. et al. Help Wanted?: Providing and Paying for Long-Term Care, OECD Health Policy Studies, OECD Publishing 2011. Available from URL:http://dx.doi.org/10.1787/9789264097759-en. Accessed 21 Feb 2013. Editorial Board: Components of the population trends in Serbia (Without Kosovo and Metohija) 1991–2002. Stanovništvo 1-4, XLII (2004). (in Serbian). Available from URL: http://www.komunikacija.org.rs/komunikacija/casopisi/stanov/XLII_1-4/index_html?stdlang=ser_lat. Accessed 5 July 2014. Employment and Earnings. Statistical Office of the Republic of Serbia. Available from URL: http://webrzs.stat.gov.rs/WebSite/Public/PageView.aspx?pKey=26. Accessed 21 Feb 2013. Employment in the Republic of Serbia (2012). Statistical Office of the Republic of Serbia. Report 18, LXIII, 30.01.2013. (in Serbian). Available from URL: http://webrzs.stat.gov.rs/WebSite/repository/documents/00/00/91/54/zp21012013.pdf. Accessed 21 Feb 2013. European Public Health Alliance (EPHA). What are the leading causes of death in the EU? Available from URL: http://www.epha.org/a/2352. Accessed 09 July 2014. Eurostat Yearbook (2011). Population. Available from URL: http://epp.eurostat.ec.europa.eu/portal/page/portal/product_details/publication?p_product_code=KS-CD-11-001. Accessed 20 Feb 2013. Eurostat Yearbook (2012). Population. Available from URL: http://epp.eurostat.ec.europa.eu/portal/page/portal/product_details/publication?p_product_code=KS-CD-12-001. Accessed 20 Feb 2013. Gajic-Stevanovic, M., Dimitrijevic, S., Vuksa, A., Jovanović, D. Health care system and spending in Serbia from 2004 to 2008. Serbian Institute of Public Health “Dr Milan Jovanovic Batut”, Belgrade 2011. Available from URL: http://www.batut.org.rs/search.php?cx=015452139015581533861%3Ar7hxrw-bpq8&cof=FORID%3A9&ie=UTF-8&q=Health+care+system+&sa=Pretraga. Accessed 14 Feb 2013. Government of the Republic of Serbia, Analysis of characteristics of poverty in Serbia. Markovic J. (Ed.). Standard, Belgrade 2009. (in Serbian). Available from URL: http://www.cep.edu.rs/media/files/Analiza-karakteristika-siromastva-u-Srbiji.pdf. Accessed 12 July 2014. Grecic, V. More our scientists in Diaspora than in Serbia (in Serbian). Views: Politika Daily on 4 February 2013. Available from URL: http://www.politika.rs/pogledi/Vladimir-Grecic/Vise-nasih-naucnika-u-dijaspori-nego-u-Srbiji.lt.html. Accessed 19 Feb 2013. Health care system and spending in Serbia. Health Systems 20/20. US AID. Available from URL: http://www.healthsystems2020.org/content/impact/detail/2285/. Accessed 14 Feb 2013. Health of the population of Serbia (2008). Analytical Study 1997–2007. Serbian Institute of Public Health “Dr Milan Jovanovic Batut”, Belgrade. Health Statistical Yearbook of Republic of Serbia (2012). Serbian Institute of Public Health “Dr Milan Jovanovic Batut”, Belgrade. Health statistics – Atlas on mortality in the European Union, Eurostat, Statistical books. Luxembourg, 2009. Available from URL: http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-30-08-357/EN/KS-30-08-357-EN.PDF. Accessed 09 July 2014. International Monetary Fund. Report for Selected Countries and Subjects. Serbia. Available from URL: http://www.imf.org/external/pubs/ft/weo/2010/01/weodata/weorept.aspx?sy=2008&ey=2015&scsm=1&ssd=1&sort=country&ds=.&br=1&pr1.x=49&pr1.y=10&c=942&s=NGDPD%2CNGDPDPC%2CPPPGDP%2CPPPPC&grp=0&a=. Accessed 21 Feb 2013. Jankelic, S. (2013). Social security of the elderly: history of legal framework from the perspective of socio-political ideologies in 20th and 21st century. In: Sevo et al. (Ed.), Gerontology in Serbia (pp. 91–101). Gradski zavod, Belgrade. (in Serbian with English summary). Lakicevic, M. (2011). Social reforms and social development in Serbia. In: D. Vukovic & R. Smith Govoni (Eds.) Social reforms: contents and results (pp. 107–128). University of Belgrade, Faculty of political sciences, Cigoja Belgrade. (in Serbian with English sumarry). Available from URL: http://www.fpn.bg.ac.rs/wp-content/uploads/2011/04/Socijalne-reforme.pdf. Accessed 12 July 2014. Miletic-Stepanovic, V. (2011). Extended Family in Serbia. Beograd: Cigoja (in Serbian with English summary). Milic, A. (2004a). Old People and Family Care. In A. Milic (Ed.), Social transformation and strategies of social groups: Everyday life in Serbia at the beginning of the third millennium (pp. 443–465). Belgrade: Institute for sociological research. Milic, A. (2004b). Transformation of the family and households: Stagnation and Survival Strategies. In A. Milic (Ed.), Social Transformation and Strategies of Social Groups: Everyday life in Serbia at the beginning of the third millenium (pp. 317–347). Belgrade: Institute for sociological research. Monthly Statistical Bulletin (2012). Statistical Office of the Republic of Serbia, Belgrade, 2013. Available from URL: http://webrzs.stat.gov.rs/WebSite/repository/documents/00/00/92/77/MSB_11_2012.pdf. Accessed 21 Feb 2013. Monthly statistical bulletin (2012). Statistical office of the Republic of Serbia (Available from URL: http://webrzs.stat.gov.rs/WebSite/repository/documents/00/00/92/77/MSB_11_2012.pdf. Accessed 21 Feb 2013. Niederlaender, E. Causes of death in the EU. Statistics in focus: population and social conditions. Available from URL: http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-NK-06-010/EN/KS-NK-06-010-EN.PDF. Accessed 09 July 2014. Nikitović, V., & Lukić, V. (2010). Could refugees have a significant impact on the future demographic change of Serbia? International Migration, 48(1), 106–128. Penev, G. (1997). Demographic determinants of population aging in FR Yugoslavia. 35(3–4), 109–130. Penev, G. (Ed.). (2006). Population and Households of Serbia According to Census 2002. Belgrade: Statistical Office of the Republic of Serbia, Institute for Social Sciences and Serbian Society or Demographers. in Serbian with English translation. Penev, G. (Ed.). (2011). Migrations, crisis and war actions in the Balkans at the end of 20th century. Belgrade: Serbian Association of Demographers, DémoBalk. Penev, G., & Marinković, I. (2012). First results of the Census of population of Serbia 2011 and their comparability with results of prior two censuses. Demography, IX, 45–68. UDK Belgrade. Population Reference Bureau (2009). World Population Data Sheet. Available from URL: http://www.prb.org/pdf09/09wpds_eng.pdf. Accessed 5 Feb 2013. Population, Census of population, households and appartments 2011 in the Republic of Serbia (in Serbian). Available from URL: http://webrzs.stat.gov.rs/WebSite/Public/PageView.aspx?pKey=162accessed. 5 July 2014. Predojevic, J. (2002). The demographic age of refugees and other people jeopardized by the war. // Stanovnistvo; Comments of the 6. Gerontological Congress of Yugoslavia, 1(4), 171–177. Report from the workshop on long-term care, organized in the Palace of Serbia by the Social inclusion and poverty reduction unit, supported by the Technical Assistance Information Exchange (TAIEX) instrument of the European Commission 2012. Available from URL: http://socijalnoukljucivanje.gov.rs/en/report-from-the-workshop-on-long-term-care/. Accessed 13 April 2015. Report with actions taken on national level in relation to the UNECE Regional Implementation Strategy of the Madrid International Plan of Action on Ageing (MIPAA) 2012. Available from URL: http://www.unece.org/fileadmin/DAM/pau/age/Ministerial_Conference_Vienna/Information/Speeches/Others/2nd-panel/Serbia-L.Kozarcanin.pdf. Accessed 21 Feb 2013. Serbian Institute of Public Health (2013). “Dr Milan Jovanovic Batut” – unpublished data provided in personal communication with Miljus, D. Sevo, G., Despotovic, N., Erceg, P., Jankelic, S., Milosevic, D. P., & Davidovic, M. (2009). Aging in Serbia. Advances in Gerontol, 22(4), 553–557. Statistical Office of the Republic of Serbia. Communication 27 December 2013. Census of the population 2011 in Serbia. Book 13: Basic characteristics of population, households and apartments. (in Serbian). Available from URL: http://webrzs.stat.gov.rs/WebSite/repository/documents/00/01/24/65/Saopstenje_Osnovne_karakteristike_domacinstava.pdf. Accessed 5 July 2014. Statistical Yearbook of the Republic of Serbia (2012). Statistical Office of the Republic of Serbia, Belgrade 2012. Available from URL: http://webrzs.stat.gov.rs/WebSite/repository/documents/00/00/81/64/SGS_2012.zip. Accessed 14 Feb 2013. Stevanovic, R. (2006). Migrant population of Serbia, 5,71-106. In G. Panev (Ed.), Population and Households in Serbia according to 2002 Census. Belgrade: Serbian Association of Demographers. in Serbian. The Ministerial Conference, under the motto “Ensuring a society for all ages: promoting quality of life and active ageing”, UNECE member States marked the tenth anniversary of MIPAA/RIS 2012. Available from URL: http://www.unece.org/pau/ageing/ministerial_conference_2012.html. Accessed 21 Feb. 2013. The World Bank. Serbia. World Development indicators. Available from URL: http://data.worldbank.org/country/serbia#cp_wdi and http://www.worldbank.org/en/country/serbia. Accessed 21.02.2013. Health expenditure per capita (current US$), World Bank. Available from URL: http://data.worldbank.org/indicator/SH.XPD.PCAP. Accessed 14 Feb 2013. WHO: Serbian health care system making progress (2012). Available from URL: http://setimes.com/cocoon/setimes/xhtml/en_GB/features/setimes/features/2012/10/17/feature-03. Accessed 14 Feb 2013.