Ageing, health and disability – An economic perspective

Karlsson, Martin; Klohn, Florian

doi:10.1007/978-3-642-15594-9_5

Cited by 4 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Also, taking into account health status indicators such as disability in health costs models reduces the effect of age and TTD. 11 Given the above-mentioned issues, it is essential to better understand the relationship between age, TTD, and hospital expenditures in order to accurately predict future health spending to meet the challenge of an ageing population in the healthcare system. This is important for developing countries, especially Iran, which will experience significant growth in the ageing population in the coming years.…”

Section: Introductionmentioning

confidence: 99%

Hospital Expenditure at the End-of-Life: A Time-to-Death Approach

Alipour

Pourreza

Kosheshi

et al. 2020

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: In recent years the use of time to death (TTD) variables in the modeling of individual health expenditures has been of interest to health economics researchers. The aim of this study was to investigate the effect of age and TTD on hospital inpatient expenditure (HIE). Methods: We used a claims database from Iran Health Insurance Organization of Tehran city that includes considerable proportion of Tehran residents and contains information on insured individuals’ HIE. We included HIE of all insured decedents (30 to 90 years old) who died during March 2013 and March 2014 (n=1018). No sampling was required. According to the decedents’ date of death, we extracted their last 24 months HIE. The period of time March 30, 2011 until March 30, 2014 (3 years) was used to guarantee a full 24 months of observations for decedents. A two-part econometric model was employed to investigate the effect of age, TTD, and some demographic variables on probability and conditional amount of individuals’ hospital expenditure. Stata software (version 16.0) was used for data processing and analysis. Results: Our results demonstrated that the month-based TTDs especially near months before death of decedents (TTD1 to TTD10) significantly affected both probability and conditional amount of HIE. One month before death incurred more HIE than the rest of the months. A further interesting finding is that after including TTD, age variable as a conditional driver of HIE loses its direct effect on decedents’ HIE, but age TTD interaction effect on HIE is still positive and statistically significant. Conclusion: The results confirm that TTD as a proxy of mortality indicator has a considerable effect on decedents’ HIE. The age variable has not directly affected decedents’ HIE but indirectly and through its interaction with TTD has a statistically significant effect on HIE. In addition to age, policy-makers should consider TTD to make better predictions of future HIE.

show abstract

Section: Introductionmentioning

confidence: 99%

Hospital Expenditure at the End-of-Life: A Time-to-Death Approach

Alipour

Pourreza

Kosheshi

et al. 2020

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

An integrated framework for investigating the challenges and opportunities of demographic change

Boehm

Kunisch

Boppel

2010

From Grey to Silver

View full text Add to dashboard Cite

Testing the red herring hypothesis on an aggregated level: ageing, time-to-death and care costs for older people in Sweden

Karlsson

Klohn

2013

Eur J Health Econ

View full text Add to dashboard Cite

In this paper we test the 'red herring' hypothesis for expenditures on long-term care (LTC). The main contribution of this paper is to assess the 'red herring' hypothesis by using the probability of dying as a measure for time-to-death (TTD). In addition, we implement models that allow for age-specific TTD effects on LTC utilization as well as sex-specific effects. We also focus on total, institutional and domiciliary LTC separately. For our analysis we use high quality administrative data from Sweden. Our analysis is based on fixed effects estimates. We use our findings to project future LTC expenditures and show that, although TTD is a relevant predictor, age itself remains the main driver of LTC expenditures.

show abstract

Ageing, health and disability – An economic perspective

Cited by 4 publications

References 23 publications

Hospital Expenditure at the End-of-Life: A Time-to-Death Approach

Hospital Expenditure at the End-of-Life: A Time-to-Death Approach

An integrated framework for investigating the challenges and opportunities of demographic change

Testing the red herring hypothesis on an aggregated level: ageing, time-to-death and care costs for older people in Sweden

Contact Info

Product

Resources

About