IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-03457321.html
   My bibliography  Save this paper

The cost of frailty in France

Author

Listed:
  • Nicolas Sirven

    (LIRAES - EA 4470 - Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé - UPD5 - Université Paris Descartes - Paris 5)

  • Thomas Rapp

    (LIRAES - EA 4470 - Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé - UPD5 - Université Paris Descartes - Paris 5)

Abstract

The objective of the present work is to explore the incremental costs of frailty associated with ambulatory health care expenditures (HCE) among the French population of community-dwellers aged 65 or more in 2012. We make use of a unique dataset that combines nationally representative health survey with respondents' National Health Insurance data on ambulatory care expenditures. Several econometric specifications of generalized linear models are tested and an exponential model with gamma errors is eventually retained. Because frailty is a distinct health condition, its contribution to HCE was assessed in comparison with other health covariates (including chronic diseases and functional limitations, time-to-death, and a multidimensional composite health index). Results indicate that whatever health covariates are considered, frailty provides significant additional explanative power to the models. Frailty is an important omitted variable in HCE models. It depicts a progressive condition, which has an incremental effect on ambulatory health expenditures of roughly €750 additional euros for pre-frail individuals and €1500 for frail individuals.

Suggested Citation

  • Nicolas Sirven & Thomas Rapp, 2017. "The cost of frailty in France," Post-Print hal-03457321, HAL.
  • Handle: RePEc:hal:journl:hal-03457321
    DOI: 10.1007/s10198-016-0772-7
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sicsic, Jonathan & Ravesteijn, Bastian & Rapp, Thomas, 2020. "Are frail elderly people in Europe high-need subjects? First evidence from the SPRINTT data," Health Policy, Elsevier, vol. 124(8), pages 865-872.
    2. Giuseppe Liotta & Francesco Gilardi & Stefano Orlando & Gennaro Rocco & Maria Grazia Proietti & Federica Asta & Manuela De Sario & Paola Michelozzi & Sandro Mancinelli & Leonardo Palombi & Maria Crist, 2019. "Cost of hospital care for the older adults according to their level of frailty. A cohort study in the Lazio region, Italy," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-13, June.
    3. Wee Shiong Lim & Sweet Fun Wong & Ian Leong & Philip Choo & Weng Sun Pang, 2017. "Forging a Frailty-Ready Healthcare System to Meet Population Ageing," IJERPH, MDPI, vol. 14(12), pages 1-16, November.
    4. Marianne Tenand & Pieter Bakx & Eddy van Doorslaer, 2020. "Eligibility or use? Disentangling the sources of horizontal inequity in home care receipt in the Netherlands," Health Economics, John Wiley & Sons, Ltd., vol. 29(10), pages 1161-1179, October.
    5. Brettschneider, Christian & Hajek, Andre & Röhr, Susanne & Fuchs, Angela & Weeg, Dagmar & Mamone, Silke & Werle, Jochen & Heser, Kathrin & Mallon, Tina & Stein, Janine & Pentzek, Michael & Bickel, Hor, 2019. "Determinants of health-care costs in the oldest-old in Germany," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    6. Andrea Riganti, 2021. "Containing costs in the Italian local healthcare market," Health Economics, John Wiley & Sons, Ltd., vol. 30(5), pages 1001-1014, May.
    7. Àngel Lavado & Júlia Serra-Colomer & Mateu Serra-Prat & Emili Burdoy & Mateu Cabré, 2023. "Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia," European Journal of Ageing, Springer, vol. 20(1), pages 1-10, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:hal-03457321. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.