Does the Association Between Age and Major Illness Vary by Healthcare System Quality?

Research on Aging
Matthew A AnderssonMarkus H Schafer

Abstract

This study builds on research into global aging, by offering a multiple-indicator test of whether national healthcare system quality modifies the association between age and major illness. Recent individual-level data on morbidity among respondents aged 50 or older (16 countries; 2014 European Social Survey) are merged with nation-level healthcare indicators. Healthcare system quality is assessed using a subjective, evaluation-based approach and an objective, attributable-mortality approach. Lagged nation-level economic and health indicators are controlled to help isolate healthcare system effects. Results across subjective and objective approaches to healthcare system quality are strikingly consistent. While older individuals showed approximately a 10% reduction in probability of major illness when residing in countries with higher healthcare quality, associations between age and morbidity indices combining number and severity of illness showed greater modification by healthcare quality, with reductions around 18%. Taken together, results are suggestive of healthcare's protective role in reducing age-related illness and disability.

References

Jun 1, 1994·American Journal of Public Health·A E Kunst, J P Mackenbach
Feb 9, 1987·Health Policy and Planning·J Frenk, A Donabedian
Nov 10, 2000·Social Science & Medicine·S M CampbellS A Buetow
Apr 3, 2001·Social Science & Medicine·D L BlackwellE M Crimmins
Dec 15, 2004·Journal of Health and Social Behavior·Jo C PhelanBruce Levin
Mar 12, 2005·Annual Review of Public Health·Shoshanna Sofaer, Kirsten Firminger
May 16, 2006·Social Science & Medicine·Olaf von dem KnesebeckNico Dragano
Oct 23, 2008·Demography·Sherry Glied, Adriana Lleras-Muney
Oct 17, 2009·Journal of Epidemiology and Community Health·Irina StirbuJohan P Mackenbach
Dec 22, 2010·Journal of Health and Social Behavior·Stefan Timmermans, Hyeyoung Oh
Feb 9, 2011·Demography·Arie Kapteyn
Mar 16, 2011·Ageing Research Reviews·Alessandra MarengoniLaura Fratiglioni
Apr 14, 2012·Sociology of Health & Illness·Matthias RichterKlaus Hurrelmann
Jul 6, 2012·Health Policy·Theodore Marmor, Claus Wendt
Jul 17, 2012·JAMA : the Journal of the American Medical Association·Mary E TinettiCynthia M Boyd
Nov 22, 2012·Medical Care Research and Review : MCRR·Cheryl RathertSuzanne Austin Boren
Apr 2, 2013·Lancet·Johan P MackenbachMartin McKee
Dec 21, 2013·Social Science & Medicine·Henry LeePaul Dolan
Nov 14, 2014·Journal of Cross-cultural Gerontology·Danan GuMatthew E Dupre
Aug 19, 2015·Social Science & Medicine·Graham P MartinMary Dixon-Woods
Jan 21, 2016·Journal of Internal Medicine·H BurstinD Goldmann
Feb 27, 2017·Social Science & Medicine·Craig A Gallet, Hristos Doucouliagos
Apr 4, 2017·Sociology of Health & Illness·Johan P MackenbachRianne de Gelder
May 23, 2017·Lancet·UNKNOWN GBD 2015 Healthcare Access and Quality Collaborators. Electronic address: cjlm@uw.edu, UNKNOWN GBD 2015 Healthcare Access and Quality Collaborators
Nov 23, 2017·Journal of Health and Social Behavior·Benjamin Sosnaud, Jason Beckfield

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