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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.


Number of operations per 1,000 persons received by age group (Source: German Heart Reports 1990-1999)
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Fig3: Number of operations per 1,000 persons received by age group (Source: German Heart Reports 1990-1999)

Mentions: At the same time, more and more older East Germans received cardiac interventions (Fig. 3). In 1990, only 0.46 heart operations per 1,000 inhabitants were performed on East Germans over the age of 60 while West Germans above this age received 3.37 heart operations per 1,000 inhabitants. Only seven years later, older Germans in the East had 7.41 heart operations per 1,000 inhabitants compared to 9.55 in the West.Fig. 3


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

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

Number of operations per 1,000 persons received by age group (Source: German Heart Reports 1990-1999)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig3: Number of operations per 1,000 persons received by age group (Source: German Heart Reports 1990-1999)
Mentions: At the same time, more and more older East Germans received cardiac interventions (Fig. 3). In 1990, only 0.46 heart operations per 1,000 inhabitants were performed on East Germans over the age of 60 while West Germans above this age received 3.37 heart operations per 1,000 inhabitants. Only seven years later, older Germans in the East had 7.41 heart operations per 1,000 inhabitants compared to 9.55 in the West.Fig. 3

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.