Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress

Fries, James F.; Bruce, Bonnie; Chakravarty, Eliza F.

doi:10.4061/2011/261702

Cited by 243 publications

(193 citation statements)

References 49 publications

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“…Currently, there is no conclusive evidence on whether people will age in good or bad health in the future (Bonneux et al, 2012;Lafortune G et al, 2007;Manton 2008). The large baby boom cohorts will push up social services spending, but the extent and amount of such spending growth will depend on whether or not there will be a compression of morbidity and disability in the elderly (Fries et al, 2011;European Commission, 2012;DG ECFIN, 2006;Manton et al, 2007;Spillman, 2004). This means investing now in health policy efforts focused on children, youth and adults to enjoy a longer life expectancy in good health (European Commission, 2007).…”

Section: Discussionmentioning

confidence: 99%

Inequity in long-term care use and unmet need: Two sides of the same coin

García-Gómez

Hernández-Quevedo²,

Jiménez-Rubio

et al. 2015

Journal of Health Economics

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International studies have shown evidence on inequity in use of health services of different kinds, depending on the type of health care service analysed. However, equity in the access to long-term care (LTC) services has received much less attention. We investigate the determinants of several LTC services and the existence of unmet need by the disabled population using unique data from a survey conducted on the disabled population in Spain in 2008. We further measure the level of horizontal inequity using methods based on the Concentration Index, a widely used indicator of income-related inequality in health. At the time of the analysis, only those respondents with the highest dependency level were covered by the recently introduced universal LTC system, which allows us to explore whether inequities remain for this subgroup of the population. In addition, we compare results using self-reported versus a more objective indicator of unmet needs. Evidence suggests that after controlling for a wide set of need variables, there is not an equitable distribution of use and unmet need of LTC services in Spain, with socioeconomic status being an important factor in access to LTC. We find that individuals at the higher end of the income distribution utilize a relatively larger share of formal services (provided by a professional), while intensive informal care (provided by friends and family) is concentrated among the worst-off. In terms of unmet needs for LTC services, their distribution depends on the service considered as well as on whether we focus on subjective or objective measures. Interestingly, for the population covered by the new universal LTC system, inequities in most LTC services and unmet needs remain statistically significant and even increase for certain services, in particular, formal services provided by professionals. JEL classification codes: I14, 138, J14

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Section: Discussionmentioning

confidence: 99%

Inequity in long-term care use and unmet need: Two sides of the same coin

García-Gómez

Hernández-Quevedo²,

Jiménez-Rubio

et al. 2015

Journal of Health Economics

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“…Theorists have suggested a number of ways in which quality of life and wellbeing can be promoted in order to address the changing needs of ageing populations and older individuals. The compression of morbidity hypothesis proposes the objective to decrease the years of illness relative to the life span, the so-called 'squaring' of one's functioning trajectory (Fries, 1989;Fries et al 2011).…”

Section: Adding Life To Yearsmentioning

confidence: 99%

Healthy ageing, resilience and wellbeing

Cosco

Howse

Brayne

2017

Epidemiol Psychiatr Sci

207

100

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The extension of life does not appear to be slowing, representing a great achievement for mankind as well as a challenge for ageing populations. As we move towards an increasingly older population we will need to find novel ways for individuals to make the best of the challenges they face, as the likelihood of encountering some form of adversity increases with age. Resilience theories share a common idea that individuals who manage to navigate adversity and maintain high levels of functioning demonstrate resilience. Traditional models of healthy ageing suggest that having a high level of functioning across a number of domains is a requirement. The addition of adversity to the healthy ageing model via resilience makes this concept much more accessible and more amenable to the ageing population. Through asset-based approaches, such as the invoking of individual, social and environmental resources, it is hoped that greater resilience can be fostered at a population level. Interventions aimed at fostering greater resilience may take many forms; however, there is great potential to increase social and environmental resources through public policy interventions.

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“…Global health surveys, cohort studies, and national registries have provided controversial evidence, supporting not only compression of morbidity but also its expansion ( Fig. 1) (Beltran-Sanchez et al 2014;Fries et al 2011). Additional evidence supports the view of dynamic equilibrium (Manton 1982) in which changes in the severity and progression of disability and/or functional limitation (FL/D) have appeared to keep pace with mortality changes, so that the progression of FL/D seemed to be halted at early stages, resulting in potentially more FL/D in the population but with decreased consequences (Chatterji et al 2015).…”

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confidence: 99%

No evidence of morbidity compression in Spain: a time series study based on national hospitalization records

Walter

Beltrán‐Sánchez

Regidor

et al. 2016

Int J Public Health

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Objectives Compression of morbidity postulates that as the populations age, the age of onset of disease is postponed. The objective of this study is to test for evidence of compression of morbidity in Spain. Methods We calculated the age and sex-specific incidence of myocardial infarction, heart failure, cerebrovascular disease, as well as bladder, prostate, breast, lung, and colon cancer among hospital discharges covering 99.5 % of the Spanish population, approximately 40 million inhabitants for two non-overlapping periods, 1997-2000 and 2007-2010, and estimated the length of life spent with disease using the Sullivan method. Results We found that expansion of morbidity due to an earlier age-specific onset of incident disease and increase in life expectancy was the norm in Spain. Notable exceptions were cardiovascular disease in women (-0.2 % time spent with disease) and lung cancer for men (-0.9 % time spent with disease) from

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Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress

Cited by 243 publications

References 49 publications

Inequity in long-term care use and unmet need: Two sides of the same coin

Inequity in long-term care use and unmet need: Two sides of the same coin

Healthy ageing, resilience and wellbeing

No evidence of morbidity compression in Spain: a time series study based on national hospitalization records

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