2026-04-17T02:42:05Zhttps://recercat.cat/oai/request

oai:recercat.cat:10256/241562024-06-18T11:47:44Zcom_2072_452955com_2072_2054col_2072_453035

00925njm 22002777a 4500 dc Carreras Pijuan, Marc author Ibern, Pere author Inoriza, José María author 2018-05 In 1999, Zweifel, Felder, and Meiers questioned conventional wisdom on ageing and healthcare expenditure (HCE). According to these authors, the positive association between age and HCE is due to an increasing age‐specific mortality and the high cost of dying. After a weighty academic debate, a new consensus was reached on the importance of proximity to death when analysing HCE. Nevertheless, the influence of individual health status remains unknown. The objective of our study is to analyse the influence individual health status has on HCE, when compared to proximity to death and demographic effects and considering a comprehensive view of healthcare services and costs. We examined data concerning different HCE components of N = 61,473 persons aged 30 to 95 years old. Using 2‐part models, we analysed the probability of use and positive HCE. Regardless of the specific group of healthcare services, HCE at the end of life depends mainly on the individual health status. Proximity to death approximates individual morbidity when it is excluded from the model. The inclusion of morbidity generally improves the goodness of fit. These results provide implications for the analysis of ageing population and its impact on HCE that should be taken into account http://hdl.handle.net/10256/24156 Salut pública -- Aspectes econòmics Public health -- Economic aspects Comptabilitat de costos Cost accounting Envelliment -- -- Aspectes econòmics Aging -- Economic aspects Ageing and healthcare expenditures: exploring the role of individual health status