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Clinical Pathways to Disability

Author

Listed:
  • Mary Beth Landrum
  • Kate A. Stewart
  • David M. Cutler

Abstract

This 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.

Suggested Citation

  • Mary Beth Landrum & Kate A. Stewart & David M. Cutler, 2007. "Clinical Pathways to Disability," NBER Working Papers 13304, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:13304
    Note: AG HC
    as

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    File URL: http://www.nber.org/papers/w13304.pdf
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    Other versions of this item:

    • Mary Beth Landrum & Kate A. Stewart & David M. Cutler, 2009. "Clinical Pathways to Disability," NBER Chapters,in: Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly, pages 151-187 National Bureau of Economic Research, Inc.

    References listed on IDEAS

    as
    1. Robert F. Schoeni & Vicki A. Freedman & Robert B. Wallace, 2001. "Persistent, Consistent, Widespread, and Robust? Another Look at Recent Trends in Old-Age Disability," Journals of Gerontology: Series B, Gerontological Society of America, vol. 56(4), pages 206-218.
    2. repec:aph:ajpbhl:1996:86:10:1388-1393_2 is not listed on IDEAS
    3. Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
    4. repec:aph:ajpbhl:1997:87:3:378-383_2 is not listed on IDEAS
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    6. Darius Lakdawalla & Dana Goldman & Jay Bhattacharya, 2001. "Are the Young Becoming More Disabled?," NBER Working Papers 8247, National Bureau of Economic Research, Inc.
    7. repec:aph:ajpbhl:1991:81:4:443-447_8 is not listed on IDEAS
    8. 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.
    9. Vicki Freedman & Eileen Crimmins & Robert Schoeni & Brenda Spillman & Hakan Aykan & Ellen Kramarow & Kenneth Land & James Lubitz & Kenneth Manton & Linda Martin & Diane Shinberg & Timothy Waidmann, 2004. "Resolving inconsistencies in trends in old-age disability: Report from a technical working group," Demography, Springer;Population Association of America (PAA), vol. 41(3), pages 417-441, August.
    10. Timothy A. Waidmann & Korbin Liu, 2000. "Disability Trends Among Elderly Persons and Implications for the Future," Journals of Gerontology: Series B, Gerontological Society of America, vol. 55(5), pages 298-307.
    11. 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.
    12. repec:aph:ajpbhl:1998:88:10:1457-1462_8 is not listed on IDEAS
    13. repec:aph:ajpbhl:1994:84:3:351-358_9 is not listed on IDEAS
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    15. repec:aph:ajpbhl:1998:88:10:1452-1456_3 is not listed on IDEAS
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    Cited by:

    1. 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.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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