Centro de Documentacion de Fundación MAPFRE - Old-age frailty patterns and implications for long-term care programmes

MAP20170005261

Old-age frailty patterns and implications for long-term care programmes / Joelle H. Fong

Sumario: This paper examines patterns in old-age frailty within a multistate model that characterises the stochastic process of biological ageing. Using aggregate population-level U.S. mortality data, we study differences in frailty by gender and cohort. Our results show that, on average, women tend to be frailer than men at older ages with the malefemale divergence growing considerably past age 80. We also find that average frailty levels have fluctuated over time with a distinct peak-and-trough pattern. These cohort trends in frailty and the subsequent dynamic forecasts of frailty among newer cohorts closely mirror how late-life disability has evolved among older Americans in recent decades, underscoring the important connection between frailty conditions and disability among older adults. The implications of these findings on spending for long-term care programmes within the broader health insurance system are discussed

En: Geneva papers on risk and insurance : issues and practice. - Geneva : The Geneva Association, 1976- = ISSN 1018-5895. - 02/01/2017 Volumen 42 Número 1 - enero 2017 , p. 114-128

1. Programas sociales . 2. Personas mayores . 3. Envejecimiento . 4. Dependencia . 5. Asistencia sanitaria . I. Título.