Clinical Pathways to Disability
AbstractThis paper examines the pathways by which individuals transition from healthy to disabled. Because of the high prevalence and costs associated with disability, understanding these pathways is critical to developing interventions to prevent or minimize disability. We compare two estimates of disabling conditions: those observed in medical claims and conditions indicated by the disabled individual. A small number of conditions explain about half of incident disability: arthritis, infectious disease, dementia, heart failure, diabetes, and stroke. These conditions show up in medical claims and self reports. A large number of elderly also attribute disability to old age and various symptoms. Because so many of the most disabling conditions do not have clear medical treatments, the outlook for major reductions in disability might be limited.
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Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 13304.
Date of creation: Aug 2007
Date of revision:
Publication status: published as Mary Beth Landrum, Kate A. Stewart, David M. Cutler. "Clinical Pathways to Disability," in David M. Cutler and David A. Wise, editors, "Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly" University of Chicago Press (2008)
Note: AG HC
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Other versions of this item:
- I10 - Health, Education, and Welfare - - Health - - - General
- I12 - Health, Education, and Welfare - - Health - - - Health Production
This paper has been announced in the following NEP Reports:
- NEP-ALL-2007-08-14 (All new papers)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Darius Lakdawalla & Dana Goldman & Jay Bhattacharya, 2001. "Are the Young Becoming More Disabled?," NBER Working Papers 8247, National Bureau of Economic Research, Inc.
- David M. Cutler, 2005. "Intensive Medical Technology and the Reduction in Disability," NBER Chapters, in: Analyses in the Economics of Aging, pages 161-184 National Bureau of Economic Research, Inc.
- Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
- Lamb, Vicki L., 1996. "A cross-national study of quality of life factors associated with patterns of elderly disablement," Social Science & Medicine, Elsevier, vol. 42(3), pages 363-377, February.
- Nicolas Sirven, 2012. "On the Socio-Economic Determinants of Frailty: Findings from Panel and Retrospective Data from SHARE," Working Papers DT52, IRDES institut for research and information in health economics, revised Dec 2012.
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