Analysis of disability onset of the elderly in Catalonia

Authors

  • Lluís Bermúdez Morata Departamento de Matemática Económica, Financiera y Actuarial, RFA-IREA Universidad de Barcelona
  • Daniel Blay Berrueta Departamento de Econometría, Estadística y Economía Española, RFA-IREA Universidad de Barcelona
  • Montserrat Guillén Estany Departamento de Econometría, Estadística y Economía Española, RFA-IREA Universidad de Barcelona

DOI:

https://doi.org/10.46661/revmetodoscuanteconempresa.2102

Keywords:

Análisis de supervivencia, dependencia, actividades de la vida diaria, survival analysis, dependence, activities of daily living

Abstract

In Spain individuals aged 60 years and above are major consumers of the health care system. The risk of becoming unable to perform daily life activities is higher for the elderly than for the younger population, and in addition, it increases with age. As a consequence we focus on the study of the period of life after an abled person who is 60 years old becomes disabled and we also study the factors that are related to the risk of disability.

Using data from the Survey of Disabilities, Handicaps and Health Status (EDDES, INE 1999), and using the Kaplan-Meier estimator, we estimate the survival functions to calculate the probability of becoming disabled at different age points. Besides, a Weibull regression model is estimated in order to interpret the effects of individual characteristics on the disability risk.

Downloads

Download data is not yet available.

References

Avorn J. Improving Drug Use in Elderly Patients: Getting to the Next Level. Journal of the American Medical Association 2001; 286: 2866-2868.

Bonk ME, Krown H, Matuszewski K, Oinonen M. Potentially inappropriate medications in hospitalized senior patients. American Journal of Health-System Pharmacy 2006; 63: 1161-1165.

Comas-Herrera A, Wittenberg R, editors. European Study of Long-Term Care Expenditure: Investigating the Sensitivity of Future Long-term Care Expenditure in Germany, Spain, Italy and the United Kingdom to Changes in Assumptions about Demography, Dependency, Informal Care, Formal Care and Unit Costs. London: London School of Economics, Health and Social Care, 2003.

Fialová D, Topinková E, Gambassi G, Finne-Soveri H, Jónsson PV, Carpenter I, et al. Potentially Inappropriate Medication Use Among Elderly Home Care Patients in Europe. Journal of the American Medical Association 2005; 293: 1348-1358.

Guillen M, Ayuso M. La importancia del efecto del diseño. Medicina Clínica 2004; 122: 35-38.

Gurwitz JH, Field TS, Harrold LR, Rothschild J, Debellis K, Seger AC, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. Journal of the American Medical Association 2003; 289: 1107-1116.

Gutiérrez-Fisac JL, Gispert R, Solà J. Factors explaining the geographical differences in Disability Free Life Expectancy in Spain. Journal of Epidemiology and Community Health 2000; 54: 451-455.

Grundy E, Glaser K. Socio-demographic differences in the onset and progression of disability in early old age: a longitudinal study. Age & Ageing 2000; 29(2): 149-157.

Holmes HM, Hayley DC, Alexander GC, Sachs GA. Reconsidering Medication Appropriateness for Patients Late in Life. Archives of Internal Medicine 2006; 166: 605-609.

Instituto Nacional de Estadística (INE). Encuesta sobre Discapacidades, Deficiencias y Estado de Salud. Madrid: INE, 1999.

Jewell NP, Van der Laan MJ. Current Status Data: Review, Recent Developments and Open Problems. U.C. Berkeley Division of Biostatistics Working Paper Series, 2002.

Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. Journal of the American Statistical Association 1958; 53: 457-481.

Karlsson M, Mayhew L, Plumb R, Rickayzen B. An International Comparison of Long-Term Care Arrangements: An Investigation into the Equity, Efficiency and sustainability of the Long-Term Care Systems in Germany, Japan, Sweden, the United Kingdom and the United States. London: Faculty of Actuarial Science and Statistics, 2004.

Klein JP, Moeschberger ML. Survival Analysis: Techniques for Censored and Truncated Data. New York: Springer-Verlag, 1997.

Lam S, Ruby CM. Impact of an interdisciplinary team on drug therapy outcomes in a geriatric clinic. American Journal of Health-System Pharmacy 2005; 62: 626-629.

Maio V, Hartmann CW, Poston S, Liu-Chen X, Diamond J, Arenson C. Potentially Inappropriate Prescribing for Elderly Patients in 2 Outpatient Settings. American Journal of Medical Quality 2006; 21: 162-168.

Matthews RJ, Smith LK, Hancock RM, Jagger C, Spiers NA. Socioeconomic factors associated with the onset of disability in older age: a longitudinal study of people aged 75 years and over. Social Science & Medicine 2005; 61: 1567-1575.

Ministerio de Trabajo y Asuntos Sociales (MTAS). Libro Blanco de la Dependencia. Madrid: MTAS, 2005.

Murtagh KN, Hubert HB. Gender differences in physical disability among an elderly cohort. American Journal of Public Health 2004; 94(8): 1406-1411.

Pedrera JL, Canal ML, Lavado JM, Postigo S, Sánchez M, Durán N. Estudio de salud de las personas mayores en Extremadura: consumo de fármacos y patologías crónicas más frecuentes. Revista Española de Salud Pública 1999; 73: 677-686.

Pfeffermann D. The Role of Sampling Weights When Modeling Survey Data. International Statistical Review 1993; 61(2): 317-337.

Taş Ü, Verhagen AP, Bierma-Zeinstra MA, Hofman A, Odding E, Pols AP, Koes BW. Incidence and risk factors of disability in the elderly: The Rotterdam Study. Preventive Medicine 2007; 44: 272-278.

Zhan C, Sangl J, Bierman AS, Miller MR, Friedman B, Wickizer SW, et al. Potentially Inappropriate Medication Use in the Community-Dwelling Elderly Findings From the 1996 Medical Expenditure Panel Survey. Journal of the American Medical Association 2001; 286: 2823-2829.

Published

2016-11-04

How to Cite

Bermúdez Morata, L., Blay Berrueta, D., & Guillén Estany, M. (2016). Analysis of disability onset of the elderly in Catalonia. Journal of Quantitative Methods for Economics and Business Administration, 5, Páginas 3 a 16. https://doi.org/10.46661/revmetodoscuanteconempresa.2102

Issue

Section

Articles