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The importance of regional availability of health care for old age survival - Findings from German reunification.

Vogt TC, Vaupel JW - Popul Health Metr (2015)

Bottom Line: We apply cause-deleted life tables and continuous mortality decomposition for the years 1982-2007 to show how reductions in circulatory mortality among the elderly affected the East German catch-up in life expectancy.Improvements in remaining life expectancy at older ages were first seen in towns with university hospitals, where state-of-the-art services became available first.Our results suggest that the modernization of the health care system had a substantial effect on old-age life expectancy and helped to significantly reduce circulatory diseases as the main cause of death in East Germany.

View Article: PubMed Central - PubMed

Affiliation: Max Planck Institute for Demographic Research Konrad-Zuse-Str. 1, 18057 Rostock, Germany.

ABSTRACT

Background: This article investigates the importance of regional health care availability for old age survival. Using German reunification as a natural experiment, we show that spatial variation in health care in East Germany considerably influenced the convergence of East German life expectancy toward West German levels.

Method: We apply cause-deleted life tables and continuous mortality decomposition for the years 1982-2007 to show how reductions in circulatory mortality among the elderly affected the East German catch-up in life expectancy.

Results: Improvements in remaining life expectancy at older ages were first seen in towns with university hospitals, where state-of-the-art services became available first.

Conclusion: Our results suggest that the modernization of the health care system had a substantial effect on old-age life expectancy and helped to significantly reduce circulatory diseases as the main cause of death in East Germany.

No MeSH data available.


Life expectancy at birth in East and West Germany (Source: Human Mortality Database. www.mortality.org)
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Fig1: Life expectancy at birth in East and West Germany (Source: Human Mortality Database. www.mortality.org)

Mentions: In the two decades following the reunification of Germany, East Germans experienced remarkable increases in life expectancy. Between 1990 and 2009, average life expectancy rose 6.3 years among women and 7.4 years among men. Over the same period, average life expectancy among West Germans increased substantially but more modestly by 3.5 years for women and 5.1 years for men. Consequently, the gap in life expectancy between the East and West narrowed from 2.7 years for females and 3.4 years for males in 1990 to 0.04 and 1.1 years in 2009 [6] [Fig. 1].Fig. 1


The importance of regional availability of health care for old age survival - Findings from German reunification.

Vogt TC, Vaupel JW - Popul Health Metr (2015)

Life expectancy at birth in East and West Germany (Source: Human Mortality Database. www.mortality.org)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4588495&req=5

Fig1: Life expectancy at birth in East and West Germany (Source: Human Mortality Database. www.mortality.org)
Mentions: In the two decades following the reunification of Germany, East Germans experienced remarkable increases in life expectancy. Between 1990 and 2009, average life expectancy rose 6.3 years among women and 7.4 years among men. Over the same period, average life expectancy among West Germans increased substantially but more modestly by 3.5 years for women and 5.1 years for men. Consequently, the gap in life expectancy between the East and West narrowed from 2.7 years for females and 3.4 years for males in 1990 to 0.04 and 1.1 years in 2009 [6] [Fig. 1].Fig. 1

Bottom Line: We apply cause-deleted life tables and continuous mortality decomposition for the years 1982-2007 to show how reductions in circulatory mortality among the elderly affected the East German catch-up in life expectancy.Improvements in remaining life expectancy at older ages were first seen in towns with university hospitals, where state-of-the-art services became available first.Our results suggest that the modernization of the health care system had a substantial effect on old-age life expectancy and helped to significantly reduce circulatory diseases as the main cause of death in East Germany.

View Article: PubMed Central - PubMed

Affiliation: Max Planck Institute for Demographic Research Konrad-Zuse-Str. 1, 18057 Rostock, Germany.

ABSTRACT

Background: This article investigates the importance of regional health care availability for old age survival. Using German reunification as a natural experiment, we show that spatial variation in health care in East Germany considerably influenced the convergence of East German life expectancy toward West German levels.

Method: We apply cause-deleted life tables and continuous mortality decomposition for the years 1982-2007 to show how reductions in circulatory mortality among the elderly affected the East German catch-up in life expectancy.

Results: Improvements in remaining life expectancy at older ages were first seen in towns with university hospitals, where state-of-the-art services became available first.

Conclusion: Our results suggest that the modernization of the health care system had a substantial effect on old-age life expectancy and helped to significantly reduce circulatory diseases as the main cause of death in East Germany.

No MeSH data available.