Increasing life expectancy and the ageing of the baby-boomer
generation mean that the size of the over-65 population is projected
to rise significantly in many developed countries. Older
people are heavy users of care services (Colombo et al., 2011;
Karlsson et al., 2006) and the increase in their number is likely to
affect the future sustainability of public programmes of care and
support (Comas-Herrera et al., 2010; Gleckman and Fund, 2010;
Office for Budget Responsibility, 2013; Wittenberg et al., 2011).
Although the size of the older population influences future social
care costs, it is the difficulties in undertaking basic activities for
self-care that are the major drivers of the need for support. A crucial
question for researchers and policymakers is therefore whether
projected gains in longevity will be accompanied by an expansion
or a contraction in disability-free life expectancy and hence in the
number of disabled older people and the demand for care services
Increasing life expectancy and the ageing of the baby-boomergeneration mean that the size of the over-65 population is projectedto rise significantly in many developed countries. Olderpeople are heavy users of care services (Colombo et al., 2011;Karlsson et al., 2006) and the increase in their number is likely toaffect the future sustainability of public programmes of care andsupport (Comas-Herrera et al., 2010; Gleckman and Fund, 2010;Office for Budget Responsibility, 2013; Wittenberg et al., 2011).Although the size of the older population influences future socialcare costs, it is the difficulties in undertaking basic activities forself-care that are the major drivers of the need for support. A crucialquestion for researchers and policymakers is therefore whetherprojected gains in longevity will be accompanied by an expansionor a contraction in disability-free life expectancy and hence in thenumber of disabled older people and the demand for care services
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