Health Costs of Aging: Present and Future Trends: This sub-component aims to introduce direct costs of care into the discussion of the population impact of diseases. In developing countries, data sets from national insurance schemes are not available and it will first be necessary to develop methods for data collection for data collection. The long-term goal is to build an information base showing country variations in the direct costs of aging, but the short run goals are to: 1. estimate the expenditure on health care on people over 65, and the proportion of total national health care expenditures on people over 65, in 7 developing countries at various stages of the epidemiological and demographic transitions. 2. project these costs over time in the 7 countries using country level micro-level data on income elasticities of demand, and projections of changes in population size, structure, income and other socio-economic variables; 3. project these costs over time in the 7 countries based on estimating a multi country, multi time period model of the determinants in expenditure in people older than 65, and projections of population size and structure; 4. Undertake a validation study by comparing the predicted projected expenditures in selected OECD countries from a past baseline year using the two proposed methods- the cross-country age specific cost model, and the single country micro-level model. This cannot be done in the 7 developing countries due to a lack of histological data on these variables. 5. Devise a general method for estimating and predicting expenditures on health care on the population older than 65 years in lower-income countries.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Program Projects (P01)
Project #
1P01AG017625-01
Application #
6383150
Study Section
Special Emphasis Panel (ZAG1-DAG-8 (O1))
Project Start
2000-09-30
Project End
2005-08-31
Budget Start
Budget End
Support Year
1
Fiscal Year
2000
Total Cost
$180,480
Indirect Cost
Name
Harvard University
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02115
Prospective Studies Collaboration and Asia Pacific Cohort Studies Collaboration (2018) Sex-specific relevance of diabetes to occlusive vascular and other mortality: a collaborative meta-analysis of individual data from 980?793 adults from 68 prospective studies. Lancet Diabetes Endocrinol 6:538-546
Akgun, S; Colak, M; Bakar, C (2012) Identifying and verifying causes of death in Turkey: National verbal autopsy survey. Public Health 126:150-8
Fang, Margaret C; Cutler, David M; Rosen, Allison B (2010) Trends in thrombolytic use for ischemic stroke in the United States. J Hosp Med 5:406-9
Prospective Studies Collaboration; Whitlock, Gary; Lewington, Sarah et al. (2009) Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet 373:1083-96
Salomon, Joshua A; Nordhagen, Stella; Oza, Shefali et al. (2009) Are Americans feeling less healthy? The puzzle of trends in self-rated health. Am J Epidemiol 170:343-51
Stewart, Susan T; Woodward, Rebecca M; Rosen, Allison B et al. (2008) The impact of symptoms and impairments on overall health in US national health data. Med Care 46:954-62
Ikeda, Nayu; Gakidou, Emmanuela; Hasegawa, Toshihiko et al. (2008) Understanding the decline of mean systolic blood pressure in Japan: an analysis of pooled data from the National Nutrition Survey, 1986-2002. Bull World Health Organ 86:978-88
Wan, Xia; Wang, Li-Jun; Wang, Jun-Fang et al. (2008) Validity of diagnostic evidence for deceased cases in hospitals. Biomed Environ Sci 21:247-52
Gakidou, Emmanuela; Vayena, Effy (2007) Use of modern contraception by the poor is falling behind. PLoS Med 4:e31
Wang, Lijun; Yang, Gonghuan; Jiemin, Ma et al. (2007) Evaluation of the quality of cause of death statistics in rural China using verbal autopsies. J Epidemiol Community Health 61:519-26

Showing the most recent 10 out of 74 publications