Centre for Policy on Ageing



Health expectancy — from a population health indicator to a tool for policy making
Author(s)	Jan J Barendregt, Luc Bonneux, Paul J Van Der Maas
Journal title	Journal of Aging and Health, vol 10, no 2, May 1998
Pages	pp 242-258
Keywords	Health [elderly] ; Physical disabilities ; Mobility ; Quality of life ; Life expectancy tables ; Measurement.
Annotation	Health expectancy indicators combine information on health states with mortality rates into a single indicator. This article presents a methodological framework for a disability-adjusted life expectancy (DALE), an extended and enhanced variety of the common health expectancy indicator. The DALE is based on a causal link running from risk factors through diseases and disability to mortality. This causal link allows the DALE to be used for evaluation of potential interventions and analysis of observed trends. The DALE methodology consists of a combination of multistate life table with explicitly modelled disease processes and disease-specific disability weights. Two illustrations are presented: the impact on the DALE of trends in cardiovascular disease epidemiology and the benefits of non-smoking. Two problems of the DALE are discussed: estimating "all other causes" disability and the presence of comorbidity. (AKM).
Accession Number	CPA-980721406 A
Classmark	CC: BN: C4: F:59: S7: 3R
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...from the Ageinfo database published by Centre for Policy on Ageing.