National Surveys and the Health and Functioning of the Elderly: The Effects of Design and Content
评估了五项美国全国健康调查在提供老年人健康和功能数据方面的优缺点,讨论了调查设计和内容对长期护理保险设计及未来护理负担的影响。
Abstract The rapid growth of the U.S. elderly (age 65+) and oldest-old (age 85+) populations, combined with their high per capita acute health and long-term care (LTC) service needs, raises concerns about existing health care payment systems. Adapting and designing new types of health insurance and existing health policies require accurate data on the elderly's health and functional characteristics. Strengths and weaknesses of five national health surveys in providing such data are evaluated. Methodological issues arising in surveying elderly populations and analyzing data from those surveys are discussed, with implications for designing private LTC insurance and for reducing future LTC service burden. Key Words: Activities of daily livingChronic disabilityHealth care policyHealth transitionsList samplingLong-term careModel-based inference