Title |
The importance of regional availability of health care for old age survival - Findings from German reunification
|
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Published in |
Population Health Metrics, September 2015
|
DOI | 10.1186/s12963-015-0060-2 |
Pubmed ID | |
Authors |
Tobias C. Vogt, James W. Vaupel |
Abstract |
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. 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 18% |
France | 1 | 9% |
United Kingdom | 1 | 9% |
Unknown | 7 | 64% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 5 | 45% |
Members of the public | 4 | 36% |
Scientists | 2 | 18% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 12 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 3 | 25% |
Student > Doctoral Student | 2 | 17% |
Librarian | 1 | 8% |
Student > Bachelor | 1 | 8% |
Other | 1 | 8% |
Other | 2 | 17% |
Unknown | 2 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 3 | 25% |
Social Sciences | 2 | 17% |
Economics, Econometrics and Finance | 1 | 8% |
Nursing and Health Professions | 1 | 8% |
Engineering | 1 | 8% |
Other | 0 | 0% |
Unknown | 4 | 33% |