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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.


Gap in years lost to circulatory mortality. East German females and males above age 65 in university towns and outside university towns in comparison to West Germany 
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Fig5: Gap in years lost to circulatory mortality. East German females and males above age 65 in university towns and outside university towns in comparison to West Germany 

Mentions: The rapid convergence of life expectancy after reunification is mainly due to circulatory mortality improvements among the elderly. Figure 5 shows the impact of circulatory mortality and its contribution to the East-West German life expectancy gap for the age group over 65 years.Fig. 5


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

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

Gap in years lost to circulatory mortality. East German females and males above age 65 in university towns and outside university towns in comparison to West Germany 
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig5: Gap in years lost to circulatory mortality. East German females and males above age 65 in university towns and outside university towns in comparison to West Germany 
Mentions: The rapid convergence of life expectancy after reunification is mainly due to circulatory mortality improvements among the elderly. Figure 5 shows the impact of circulatory mortality and its contribution to the East-West German life expectancy gap for the age group over 65 years.Fig. 5

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.