Age diffusion never stops? Carotid endarterectomy among the elderly
In view of the rising proportion of elderly in the population, diffusion of medical technologies to the elderly is a particularly interesting phenomenon, with respect to both quality of life and health care costs. Using data on all carotid endarterectomies (CEAs) performed in Sweden, we explore the pattern of age diffusion 1982-1999. The overall rates of CEA are considerably lower in Sweden than in the US and Canada, possibly reflecting the different reimbursement systems. At the same time, the responses from the health-care sectors in the three countries to the scientific literature seem to have been qualitatively very similar. Prominent age diffusion - a relative shift of procedure rates towards elderly patients - is demonstrated for the whole period, both when overall treatment rates are increasing, when they are declining, and when they remain relatively constant. Furthermore, in Sweden (contrary to what was the case North America) there was not just a relative shift, but treatment rates actually increased among the 75+ when overall rates were declining, perhaps indicating a previous resource constraint on extending treatment to this age group. There are differences in levels of treatment rates between men and women but the pattern of age diffusion appears strikingly gender-neutral.
To our knowledge, this item is not available for
download. To find whether it is available, there are three
1. Check below under "Related research" whether another version of this item is available online.
2. Check on the provider's web page whether it is in fact available.
3. Perform a search for a similarly titled item that would be available.
|Date of creation:||28 Feb 2002|
|Publication status:||Published in Applied health economics and health policy, 2003, pages 1-8.|
|Contact details of provider:|| Postal: Department of Economics, School of Economics and Management, Lund University, Box 7082, S-220 07 Lund,Sweden|
Phone: +46 +46 222 0000
Fax: +46 +46 2224613
Web page: http://www.nek.lu.se/en
More information through EDIRC
When requesting a correction, please mention this item's handle: RePEc:hhs:lunewp:2002_007. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (David Edgerton)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.