The relationship between longevity and healthy life expectancy

Robine, Jean‐Marie; Saito, Yasuhiko; Jagger, Carol

doi:10.1108/14717794200900012

Cited by 66 publications

(60 citation statements)

References 43 publications

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“…From the individual's point of view, the absolute measures of the disability-free life expectancy and the disabled life years are of higher interest than the relative measures. This study confirmed the conclusions of Mathers et al (2001) and Robine et al (2009) to also be true on the level of counties. Thus, a person who lives in a county with a high life expectancy can also expect to live absolutely more years without disability and absolutely fewer disabled years in the lifetime.…”

Section: Discussionsupporting

confidence: 79%

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

Doblhammer¹

2014

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Section: Discussionsupporting

confidence: 79%

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

Doblhammer¹

2014

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“…Additional survey rounds are needed to clarify whether these signs indicate a real pattern of improvement in functional ability among the oldest old, similar to that which was earlier reported in Finland among people younger than 85 years (Koskinen et al 2006;Sulander et al 2007). Robine et al (2009) recently discovered that healthy life expectancy increased most in countries that lagged behind in terms of life expectancy at age 65. During our study period [2001][2002][2003][2004][2005][2006][2007], life expectancy at age 65 in Finland increased from 18.0 to 19.4 years, and at age 90 from 3.8 to 4.1 years (Statistics Finland 2010a).…”

Section: Discussionmentioning

confidence: 99%

“…For people younger than 85 years, studies from the United States have reported declining rates of disability (Cai and Lubitz 2007;Crimmins 2004Crimmins , 2009Manton and Gu 2006), but also stable or increasing disability levels (Fuller-Thomson et al 2009;Seeman et al 2010). The rates in Europe have varied according to country, period, setting, and methodology Parker et al 2008;Robine et al 2009). For the oldest old, data are sparse, and the results have shown both rising and declining trends (Cai and Lubitz 2007;Engberg et al 2008;Parker et al 2005;Seeman et al 2010).…”

Section: Introductionmentioning

confidence: 99%

Disability trends among nonagenarians in 2001–2007: Vitality 90+ Study

et al. 2011

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Substantial growth of the population aged 90 years or over has focused interest on trends in the functioning and disability of the oldest old, but research findings are scarce and they vary. In the Vitality 90? Study, we evaluated overall, gender-specific, and agespecific trends in disability among total cohorts of people aged 90 years or older in the city of Tampere, Finland, in the years 2001, 2003, and 2007. The size of the target population ranged from 1113 to 1146 and the participation rate from 79 to 86%. The participants were asked whether they were able to get in and out of bed, dress and undress, move about indoors, walk 400 m, and use stairs. Independence was defined as being able to perform an activity without help. The aggregate outcome measures included independence in all five activities, dependence in one to four activities, dependence in all five activities (severe dependence), and a disability score. In analyses taking into account the within subject associations which resulted due to those who participated in several years, and proxy respondents, no overall or gender-specific trend was found in any of the independence or dependence estimates. In each year, independence decreased clearly by increasing age. Our results imply stable disability levels in nonagenarians in a population with increasing life expectancy and improving survival until the age of 90. Longer-time series are needed to confirm the trends.

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“…A good target for public health policy in the light of our ageing populations would therefore seem to be to compensate for the gain in life expectancy by an equivalent increase in healthy life expectancy. In this case all the gain is healthy, changing the proportion of good and bad years and leading to a relative compression of morbidity (Robine and Jagger, 2005) Under the name of "absolute compression of morbidity", this third scenario is the more optimistic in terms of health care cost. For this scenario it is "sufficient that the rate of increase in healthy life expectancy is greater than rate of increase in life expectancy" (Howse, 2006).…”

Section: -Is Ageing An Actual Threat For Health Care Systems Costs?mentioning

confidence: 99%

Caring an ageing population: challenges, facts, artifacts and policies

Mossé

2015

RAHIS

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An ageing population is a challenge for every country as the "demographic transition" is about to be an universal phenomenon. In this paper are first analyzed the two main dimensions of this dynamic. The first one is the demographic transition as such. Traditionally stages are defined that are placed in a chronological way. Each country being at different stage. The second dimension is the financing one, as it is necessary to allocate resources in a more efficient way that market forces would do. In a second part, the controversial impact on health care cost will be discussed. It will be demonstrated that the "last wagon" syndrome is nowadays proven. As a result, the rise of the life expectancy will not be such a burden for health insurance, whatever the models (Beveridge or Bismarck) are. To go further in the analysis of policies oriented toward caring elderly, some hints of European policy experience will be given. Beyond the European model ideology, studies show a double divide between South and North and between old and new European Union members. To conclude, the Brazilian situation will be shortly described in the light of the on going dynamic. Keywords: Ageing. Social policy. Europe. CareResumo O envelhecimento da população é um desafio para todos os países a partir do momento em que "transição demográfica" está prestes a ser um fenômeno universal. Neste artigo são analisadas pela primeira vez as duas dimensões principais desta dinâmica. O primeiro deles é a transição demográfica como tal. Tradicionalmente, estágios definidos são colocados de forma cronológica. Cada país está em uma fase diferente. A segunda dimensão é sobre necessidade financeira para alocar recursos de forma mais eficiente que as forças de mercado faria. Numa segunda parte, será discutido o impacto controverso no custo de cuidados de saúde. Será demonstrado que a síndrome do "último vagão" é hoje em dia comprovada. Como resultado, o aumento da expectativa de vida não será um problema para os sistemas de saúde, independente do modelo de saúde (Beveridge ou Bismarck). Para ir mais longe na análise das políticas voltadas para cuidar de idosos, serão mostradas algumas experiências de políticas europeias sobre o assunto. Apesar da Além da ideologia europeia, estudos mostram uma dupla divisão entre Sul e Norte e entre os novos e antigos membros da União Européia. Para concluir, a situação brasileira será brevemente descrita à luz da dinâmica em curso. Palavras-chaves: Envelhecimento. Política social. Europa. Cuidado 74 Resumen El envejecimiento de la población es un reto para todos los países desde el momento en que "transición demográfica" está a punto de ser un fenómeno universal. En este trabajo se analiza la primera vez que las dos dimensiones principales de esta dinámica. La primera es la transición demográfica como tal. Etapas definidas tradicionalmente se colocan en orden cronológico. Cada país está en una etapa diferente. La segunda dimensión es la necesidad financiera para asignar recursos de manera más eficiente que las fuer...

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The relationship between longevity and healthy life expectancy

Abstract: In the absence of data, and particularly of chronological series on the health status of elderly populations, three theories about the future health status of old people were

Cited by 66 publications

References 43 publications

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

Disability trends among nonagenarians in 2001–2007: Vitality 90+ Study

Caring an ageing population: challenges, facts, artifacts and policies

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