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No evidence of morbidity compression in Spain: a time series study based on national hospitalization records

Author

Listed:
  • Stefan Walter

    () (University of California San Francisco)

  • Hiram Beltrán-Sánchez

    (University of California)

  • Enrique Regidor

    (Universidad Complutense de Madrid)

  • Carlos Gomez-Martin

    (12 de Octubre University Hospital)

  • Jose Luis del-Barrio

    (Rey Juan Carlos University)

  • Angel Gil-de-Miguel

    (Rey Juan Carlos University)

  • S. V. Subramanian

    (Harvard T.H. Chan School of Public Health)

  • Ruth Gil-Prieto

    (Rey Juan Carlos University
    Harvard Medical School)

Abstract

Abstract Objectives Compression of morbidity postulates that as the populations age, the age of onset of disease is postponed. The objective of this study is to test for evidence of compression of morbidity in Spain. Methods We calculated the age and sex-specific incidence of myocardial infarction, heart failure, cerebrovascular disease, as well as bladder, prostate, breast, lung, and colon cancer among hospital discharges covering 99.5 % of the Spanish population, approximately 40 million inhabitants for two non-overlapping periods, 1997–2000 and 2007–2010, and estimated the length of life spent with disease using the Sullivan method. Results We found that expansion of morbidity due to an earlier age-specific onset of incident disease and increase in life expectancy was the norm in Spain. Notable exceptions were cardiovascular disease in women (−0.2 % time spent with disease) and lung cancer for men (−0.9 % time spent with disease) from 1997–2000 to 2007–2010. Conclusions Compression of morbidity is often cited by policy makers when discussing adjustments to the health-care system. If morbidity is measured by age at onset of disease, the burden of morbidity has increased in Spain.

Suggested Citation

  • Stefan Walter & Hiram Beltrán-Sánchez & Enrique Regidor & Carlos Gomez-Martin & Jose Luis del-Barrio & Angel Gil-de-Miguel & S. V. Subramanian & Ruth Gil-Prieto, 2016. "No evidence of morbidity compression in Spain: a time series study based on national hospitalization records," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 729-738, September.
  • Handle: RePEc:spr:ijphth:v:61:y:2016:i:7:d:10.1007_s00038-016-0829-5
    DOI: 10.1007/s00038-016-0829-5
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    References listed on IDEAS

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    1. Vicki Freedman & Brenda Spillman & Patti Andreski & Jennifer Cornman & Eileen Crimmins & Ellen Kramarow & James Lubitz & Linda Martin & Sharon Merkin & Robert Schoeni & Teresa Seeman & Timothy Waidman, 2013. "Trends in Late-Life Activity Limitations in the United States: An Update From Five National Surveys," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 661-671, April.
    2. Bloom, David E. & Canning, David & Mansfield, Richard K. & Moore, Michael, 2007. "Demographic change, social security systems, and savings," Journal of Monetary Economics, Elsevier, vol. 54(1), pages 92-114, January.
    3. Laura Romeu Gordo, 2011. "Compression of morbidity and the labour supply of older people," Applied Economics, Taylor & Francis Journals, vol. 43(4), pages 503-513.
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    Cited by:

    1. Juliane Tetzlaff & Denise Muschik & Jelena Epping & Sveja Eberhard & Siegfried Geyer, 2017. "Expansion or compression of multimorbidity? 10-year development of life years spent in multimorbidity based on health insurance claims data of Lower Saxony, Germany," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(6), pages 679-686, July.
    2. 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.
    3. Siegfried Geyer, 2016. "Morbidity compression: a promising and well-established concept?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 727-728, September.

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