Intensive Medical Care and Cardiovascular Disease Disability Reductions

David Cutler, Mary Beth Landrum and Kate A. Stewart

No 12184, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: There is little empirical evidence to explain why disability declined among the elderly over the past 20 years. In this paper, we explore the role of improved medical care for cardiovascular disease on health status improvements over time. We show that the incidence of cardiovascular disease hospitalizations remained relatively constant between 1984 and 1999 at the same time that post-event survival improved and disability declined. We find that use of appropriate therapies, including pharmaceuticals such as beta-blockers, aspirin, and ace-inhibitors, and invasive procedures, explains up to 50% and 70% of the reductions in disability and death over time, respectively. Elderly patients living in regions with high use of appropriate medical therapies had better health outcomes than patients living in low-use areas. Finally, we estimate that preventing disability after an acute event can add as much as 3.7 years of quality-adjusted life expectancy, or $316,000 of value.

JEL-codes: I1 J1 (search for similar items in EconPapers)
Date: 2006-05
New Economics Papers: this item is included in nep-hea and nep-ias
Note: AG EH
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Citations: View citations in EconPapers (11)

Published as Cutler, David and David Wise (eds.) Health at Older Ages: The Causes and Consequences of Declining Disability Among the Elderly. Chicago: University of Chicago Press, 2009
Published as Intensive Medical Care and Cardiovascular Disease Disability Reductions , David M. Cutler, Mary Beth Landrum, Kate A. Stewart. in Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly , Cutler and Wise. 2008

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