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The Rise in Life Expectancy, Health Trends among the Elderly, and the Demand for Care - A Selected Literature Review

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  • Bjorn Lindgren

Abstract

The objective is to review the evidence on (a) ageing and health and (b) the demand for health- and social services among the elderly. Issues are: does health status of the elderly improve over time, and how do the trends in health status of the elderly affect the demand for health- and elderly care? It is not a complete review, but it covers most of recent empirical studies. The reviewed literature provides strong evidence that the prevalence of chronic disease among the elderly has increased over time. There is also fairly strong evidence that the consequences of disease have become less problematic due to medical progress: decreased mortality risk, milder and slower development over time, making the time with disease (and health-care treatment) longer but less troublesome than before. Evidence also suggests the postponement of functional limitations and disability. Some of the reduction in disability can be attributed to improvements in treatments of chronic diseases, but it is also due to the increased use of assistive technology, accessibility of buildings, etc. The results indicate that the ageing individual is expected to need health care for a longer period of time than previous generations but elderly care for a shorter.

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  • Bjorn Lindgren, 2016. "The Rise in Life Expectancy, Health Trends among the Elderly, and the Demand for Care - A Selected Literature Review," NBER Working Papers 22521, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:22521
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    Cited by:

    1. Leandro Prados de la Escosura, 2018. "Well-being Inequality in the Long Run," Working Papers 0131, European Historical Economics Society (EHES).
    2. Prados de la Escosura, Leandro, 2023. "Health, income, and the preston curve: A long view," Economics & Human Biology, Elsevier, vol. 48(C).
    3. María del Carmen Ramos-Herrera & Simón Sosvilla-Rivero, 2020. "Fiscal Sustainability in Aging Societies: Evidence from Euro Area Countries," Sustainability, MDPI, vol. 12(24), pages 1-20, December.
    4. Leandro Prados de la Escosura, 2023. "Inequality Beyond GDP: A Long View," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 69(3), pages 533-554, September.
    5. Harpa S. Eyjólfsdóttir & Neda Agahi & Johan Fritzell & Carin Lennartsson, 2022. "Physical functioning as a predictor of retirement: Has its importance changed over a thirty-year period in Sweden?," European Journal of Ageing, Springer, vol. 19(4), pages 1417-1428, December.
    6. Leandro Prados de la Escosura, 2021. "Augmented human development in the age of globalization," Economic History Review, Economic History Society, vol. 74(4), pages 946-975, November.
    7. Heger, Dörte & Kolodziej, Ingo W.K., 2016. "Changes in morbidity over time: Evidence from Europe," Ruhr Economic Papers 640, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    8. Lassila, Jukka & Valkonen, Tarmo, 2019. "Alternative Demography-based Projection Approaches for Public Health and Long-term Care Expenditure," ETLA Working Papers 74, The Research Institute of the Finnish Economy.
    9. Isabel Correia Dias & Priscila Ferreira & Lígia Costa Pinto & Marieta Valente & Paula Veiga, 2017. "Growing old, unhealthy and unequal: an exploratory study on the health of Portuguese individuals aged 50+," NIMA Working Papers 67, Núcleo de Investigação em Microeconomia Aplicada (NIMA), Universidade do Minho, revised Jun 2018.
    10. Keegan, Conor & Brick, Aoife & Bergin, Adele & Wren, Maev-Ann & Whyte, Richard & Henry, Edward, 2020. "Projections of expenditure for public hospitals in Ireland, 2018–2035, based on the Hippocrates Model," Research Series, Economic and Social Research Institute (ESRI), number RS117, June.

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    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I1 - Health, Education, and Welfare - - Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • 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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