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The future of the elderly population health status: Filling a knowledge gap

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Listed:
  • Vincenzo Atella
  • Federico Belotti
  • Daejung Kim
  • Dana Goldman
  • Tadeja Gracner
  • Andrea Piano Mortari
  • Bryan Tysinger

Abstract

The aging process in OECD countries calls for a better understanding of the future disease prevalence, life expectancy (LE) and patterns of inequalities in health outcomes. In this paper we present the results obtained from several dynamic microsimulation models of the Future Elderly Model family for 12 OECD countries, with the aim of reproducing for the first time comparable long‐term projections in individual health status across OECD countries. We provide projections of LE and prevalence of major chronic conditions and disabilities, overall, by gender and by education. We find that the prevalence of main chronic conditions in Europe is catching‐up with the United States and significant heterogeneity in the evolution of gender and educational gradients. Our findings represent a contribution to support policymakers in designing and implementing effective interventions in the healthcare sector.

Suggested Citation

  • Vincenzo Atella & Federico Belotti & Daejung Kim & Dana Goldman & Tadeja Gracner & Andrea Piano Mortari & Bryan Tysinger, 2021. "The future of the elderly population health status: Filling a knowledge gap," Health Economics, John Wiley & Sons, Ltd., vol. 30(S1), pages 11-29, November.
  • Handle: RePEc:wly:hlthec:v:30:y:2021:i:s1:p:11-29
    DOI: 10.1002/hec.4258
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    1. Goldman Dana P & Cutler David M & Shang Baoping & Joyce Geoffrey F, 2006. "The Value of Elderly Disease Prevention," Forum for Health Economics & Policy, De Gruyter, vol. 9(2), pages 1-29, January.
    2. David M. Cutler & Adriana Lleras-Muney & Tom Vogl, 2008. "Socioeconomic Status and Health: Dimensions and Mechanisms," NBER Working Papers 14333, National Bureau of Economic Research, Inc.
    3. Marc Luy, 2003. "Causes of Male Excess Mortality: Insights from Cloistered Populations," Population and Development Review, The Population Council, Inc., vol. 29(4), pages 647-676, December.
    4. Aïda Solé-Auró & Pierre-Carl Michaud & Michael Hurd & Eileen Crimmins, 2015. "Disease Incidence and Mortality Among Older Americans and Europeans," Demography, Springer;Population Association of America (PAA), vol. 52(2), pages 593-611, April.
    5. Chen, Brian K. & Jalal, Hawre & Hashimoto, Hideki & Suen, Sze-chuan & Eggleston, Karen & Hurley, Michael & Schoemaker, Lena & Bhattacharya, Jay, 2016. "Forecasting trends in disability in a super-aging society: Adapting the Future Elderly Model to Japan," The Journal of the Economics of Ageing, Elsevier, vol. 8(C), pages 42-51.
    6. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    7. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, in: Erik Hanushek & F. Welch (ed.), Handbook of the Economics of Education, edition 1, volume 1, chapter 10, pages 577-633, Elsevier.
    8. Michaud, Pierre-Carl & Goldman, Dana & Lakdawalla, Darius & Gailey, Adam & Zheng, Yuhui, 2011. "Differences in health between Americans and Western Europeans: Effects on longevity and public finance," Social Science & Medicine, Elsevier, vol. 73(2), pages 254-263, July.
    9. David M. Cutler & Ellen Meara, 2004. "Changes in the Age Distribution of Mortality over the Twentieth Century," NBER Chapters, in: Perspectives on the Economics of Aging, pages 333-366, National Bureau of Economic Research, Inc.
    10. Herman Oyen & Wilma Nusselder & Carol Jagger & Petra Kolip & Emmanuelle Cambois & Jean-Marie Robine, 2013. "Gender differences in healthy life years within the EU: an exploration of the “health–survival” paradox," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(1), pages 143-155, February.
    11. Goldman, Dana & Michaud, Pierre-Carl & Lakdawalla, Darius & Zheng, Yuhui & Gailey, Adam & Vaynman, Igor, 2010. "The Fiscal Consequences of Trends in Population Health," National Tax Journal, National Tax Association;National Tax Journal, vol. 63(2), pages 307-330, June.
    12. Goldman, D.P. & Zheng, Y. & Girosi, F. & Michaud, P.-C. & Olshansky, S.J. & Cutler, D. & Rowe, J.W., 2009. "The benefits of risk factor prevention in Americans aged 51 years and older," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2096-2101.
    13. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    14. Jinjing Li & Cathal O'Donoghue, 2013. "A survey of dynamic microsimulation models: uses, model structure and methodology," International Journal of Microsimulation, International Microsimulation Association, vol. 6(2), pages 3-55.
    15. Roberto Astolfi & Luca Lorenzoni & Jillian Oderkirk, 2012. "A Comparative Analysis of Health Forecasting Methods," OECD Health Working Papers 59, OECD Publishing.
    16. Astolfi, Roberto & Lorenzoni, Luca & Oderkirk, Jillian, 2012. "Informing policy makers about future health spending: A comparative analysis of forecasting methods in OECD countries," Health Policy, Elsevier, vol. 107(1), pages 1-10.
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    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • J1 - Labor and Demographic Economics - - Demographic Economics
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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