Can public spending reduce mortality disparities? Findings from East Germany after reunification

Vogt, Tobias; Kluge, Fanny A.

doi:10.1016/j.jeoa.2014.09.001

Cited by 28 publications

(23 citation statements)

References 36 publications

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“…Income levels and living standard rose after the social, economic and currency union between East and West Germany on July 1, 1990. In particular, East German pensioners benefitted from a substantial income increase with the introduction of the West German public pension system; this may have helped them to improve their standards of living and health [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

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

Vogt

Vaupel

2015

Popul Health Metrics

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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.

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Section: Discussionmentioning

confidence: 99%

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

Vogt

Vaupel

2015

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“…Eastern German life expectancy changed in response to the transformation of the society (see Figure 1). One of the main reasons for the convergence in mortality levels between eastern and western Germany was the increase in income after reunification (Diehl, 2008;Vogt and Kluge, 2012). The main beneficiaries of this increase were pensioners in the east, who indeed experienced the biggest gains in life expectancy, as can be seen in Figure 2.…”

Section: The German Reunification -A Natural Experimentsmentioning

confidence: 94%

Care for Money? Mortality Improvements, Increasing Intergenerational Transfers, and Time Devoted to the Elderly

Vogt

Kluge

2014

SSRN Journal

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“…Meanwhile, other East European countries continued to lag behind. The convergence of old-age life expectancy in Germany is attributed to large increases in old-age pensions and the expansion of access to health care in the East (Vogt and Kluge 2014). At the same time, the convergence across the two regions has been accompanied by increased differential mortality across SES groups when measured by relative pension amounts (a proxy for work-life income) and occupation (Kibele and others 2013).…”

Section: Prior Researchmentioning

confidence: 99%

Evidence of Increasing Differential Mortality: A Comparison of the HRS and SIPP

Bosworth

Zhang

House³

et al. 2015

SSRN Journal

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Can public spending reduce mortality disparities? Findings from East Germany after reunification

Cited by 28 publications

References 36 publications

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

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

Care for Money? Mortality Improvements, Increasing Intergenerational Transfers, and Time Devoted to the Elderly

Evidence of Increasing Differential Mortality: A Comparison of the HRS and SIPP

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