International Comparisons in Health Economics: Evidence from Aging Studies
International Comparisons in Health Economics: Evidence from Aging Studies
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DOI：
10.1146/annurev-economics-080511-110944
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发表时间：
2012-01-01
期刊：
影响因子：
--
通讯作者：
Smith, James P.
中科院分区：
文献类型：
--
作者：
Banks, James;Smith, James P.
我们提供了一个越来越多的文献，使用来自多个国家的微观层面的数据来调查健康结果，以及它们与社会经济因素的联系，在老年人的概述。由于这些数据还处于相对年轻的阶段，因此大部分分析都处于早期阶段，仅限于少数几个国家，对美国和英国的分析是最常见的。随着我们采取更好的措施，显而易见的是，在国家之间，老年人的健康差异是真实的和巨大的。根据是否考虑预期寿命、患病率或特定疾病的发生率，各国的排名不同。此外，根据衡量标准是采用医生诊断的病情还是采用基于生物标志物的疾病和健康状况不佳指标，国际差异的程度可能各不相同。但一个关键的发现出现了-美国在所有指标上排名都很差，除了自我报告的主观健康状况。
We provide an overview of the growing literature that uses microlevel data from multiple countries to investigate health outcomes, and their link to socioeconomic factors, at older ages. Because the data are at a comparatively young stage, much of the analysis is at an early stage and limited to a handful of countries, with analysis for the United States and England being the most common. What is immediately apparent as we get better measures is that, between countries, health differences amongst those at older ages are real and large. Countries are ranked differently according to whether one considers life expectancy, prevalence, or the incidence of a specific condition. Moreover, the magnitude of international disparities may vary according to whether measures utilize doctor-diagnosed conditions or biomarker-based indicators of disease and poor health. But one key finding emerges-the United States ranks poorly on all indicators, with the exception of self-reported subjective health status.