Limits...
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.


Remaining and partial life expectancy in East Germany and East German towns with university hospitals compared to West German levels for the age groups above age 65 and below age 65
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig4: Remaining and partial life expectancy in East Germany and East German towns with university hospitals compared to West German levels for the age groups above age 65 and below age 65

Mentions: Both men and women in East German university towns caught up with West German life expectancy faster than men and women in the rest of East Germany (Fig. 4). The results differ by age. While East Germans above age 65 reached the West German mean life expectancy quickly, the gap in partial life expectancy for those under age 65 remained or even increased.Fig. 4


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

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

Remaining and partial life expectancy in East Germany and East German towns with university hospitals compared to West German levels for the age groups above age 65 and below age 65
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig4: Remaining and partial life expectancy in East Germany and East German towns with university hospitals compared to West German levels for the age groups above age 65 and below age 65
Mentions: Both men and women in East German university towns caught up with West German life expectancy faster than men and women in the rest of East Germany (Fig. 4). The results differ by age. While East Germans above age 65 reached the West German mean life expectancy quickly, the gap in partial life expectancy for those under age 65 remained or even increased.Fig. 4

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.