Costa Rican Health System Overview
Health System Rankings
Health System Outcomes
Coverage and Costs for Consumers
Health System Expenditures
Population, Mid-Year 2019: 5,048,000
Projected Population Mid-Year 2030: 5,468,000
Percentage of Population Under Age 25 Years, Mid-Year 2019: 36%
Percentage of Population 65 Years Or Over, Mid-Year 2019: 10%
Source: United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Data Booklet (ST/ESA/SER.A/424).
https://population.un.org/wpp/Publications/Files/WPP2019_DataBooklet.pdf
https://population.un.org/wpp/
Percent of Adults Aged 65 Years and Over Reporting To Be In Good Or Very Good Health (2015): NA
People With Dementia Per 1,000 Population (2017): 9.3
Projected Number of People With Dementia Per 1,000 Population in 2037: 20.4
Long-Term Care Workers Per 100 People Aged 65 And Over (2015): NA
Long-Term Care Beds In Institutions and Hospitals Per 1,000 Population Aged 65 And Over (2015): NA
Long-Term Care Expenditure (Health and Social Components) By Government and Compulsory Insurance Schemes, as a Share of GDP (%) (2015): NA
Source: OECD (2017), Health at a Glance 2017: OECD Indicators, OECD Publishing, Paris. http://dx.doi.org/10.1787/health_glance-2017-en
https://www.oecd.org/health/health-systems/health-at-a-glance-19991312.htm
“The social security system of Costa Rica has been in place for 77 years. It provides essentially universal (96%), health care including maternity care, disability and retirement income subsidies. With universal health care coverage, there are 102 public health districts served by 29 hospitals. 22 of these have staff geriatricians who have no insurance barriers to referral to the national geriatric hospital, NGGH [National Geriatrics and Gerontology Hospital]. Referrals come from any of the national network of hospitals and clinics. Adults aged 60 and older requiring specialized geriatric care can be referred to the central NGGH. We treated 57593 patients in the out-patient department last year, 2792 patients of the in-patient department and 19460 patients from the emergency department with a mean age of 84 years. The mean stay was 16.2 days. Patients are triaged to acute 137 beds) and intensive 134 beds) care or directly to subacute care for rehabilitation from strokes, fractures and other immobilizing conditions. More patients not requiring admission or no longer requiring inpatient care can be treated at the Day Hospital, outpatient consultation clinics or community care. When patients are ready to return home, NGGH staff coordinates with the community providers to whom the patient will return.”
A Teaching Geriatric Hospital. Morales-Martínez, F. J Nutr Health Aging (2019) 23: 4. https://doi.org/10.1007/s12603-018-1132-3
https://link.springer.com/article/10.1007/s12603-018-1132-3
“Costa Rica has shown rapid growth of the elderly population. The life expectancy in 1950 was 57.3 years, while today it is 79.8 years. It is expected that by 2050 life expectancy will reach 82 years; this places Costa Rica in 34th place worldwide and 1st place in Latin America. The annual population growth rate is 1.4% due to a moderate birth rate (18 per 1000) and a low mortality rate (4.3 per 1000). In 2017, the Supreme Electoral Tribunal reported 680 centenarians. Three quarters of them were male and one quarter female. The information from the National Institute of Statistics and Census (INEC) has shown a decrease in birth rates (from 2.12 children per females to 1.76 in 2015). This is clear evidence that the Costa Rican populace is in a continuous process of demographic ageing and Costa Rica is now below the maintenance replace rate of 2.16 per female. The population less than 15 years of age is decreasing from 31.9% in 2000 to 24.8% in 2011; while the 65 years and older population is increasing from 5.3% in 2000 to 7.7% in 2018 (Figure 2).”
A Teaching Geriatric Hospital. Morales-Martínez, F. J Nutr Health Aging (2019) 23: 4. https://doi.org/10.1007/s12603-018-1132-3
https://link.springer.com/article/10.1007/s12603-018-1132-3
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Page last updated Dec. 1, 2020 by Doug McVay, Editor.