The US Health Care System and Lagging Life Expectancy: A Case Study

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dc.contributor.authorPreston, Samuel
dc.contributor.authorHo, Jessica Y.
dc.date2023-05-17T02:50:42.000
dc.date.accessioned2023-05-23T00:35:52Z
dc.date.available2023-05-23T00:35:52Z
dc.date.issued2009-03-25
dc.date.submitted2009-03-25T09:17:28-07:00
dc.description.abstractLife expectancy in the United States fares poorly in international comparisons. Its low ranking is often blamed on a poor performance by the health care system rather than on behavioral factors. This paper compares mortality trends from prostate cancer in the United States to those in other developed countries. Prostate cancer is chosen because it can be detected at an early stage, because effective treatments are available, and because it is less heavily influenced by behavioral factors than most other chronic diseases. We find that, after the introduction of the PSA screening test for prostate cancer, mortality from the disease declined significantly faster in the United States than in the set of comparison countries. Trends in incidence and survival rates support the interpretation that the US health care system has worked very effectively to reduce mortality from this important disease. A brief consideration of breast cancer suggests that similar processes may have been at work among women.
dc.description.commentsPreston, Samuel H. and Jessica Ho. 2009. "The US Health Care System and Lagging Life Expectancy: A Case Study." PSC Working Paper Series PSC 09-01.
dc.identifier.urihttps://repository.upenn.edu/handle/20.500.14332/44308
dc.legacy.articleid1010
dc.legacy.fulltexturlhttps://repository.upenn.edu/cgi/viewcontent.cgi?article=1010&context=psc_working_papers&unstamped=1
dc.legacy.nativeurlhttps://repository.upenn.edu/context/psc_working_papers/article/1010/type/native/viewcontent
dc.source.issue11
dc.source.journalPSC Working Paper Series
dc.source.peerreviewedtrue
dc.source.statuspublished
dc.subject.otherAge
dc.subject.otherBMI
dc.subject.otherBody mass index
dc.subject.otherBreast cancer
dc.subject.otherCancer
dc.subject.otherCancer mortality
dc.subject.otherCause of death
dc.subject.otherCauses of death
dc.subject.otherData
dc.subject.otherDeath rate
dc.subject.otherDemographic methods
dc.subject.otherDemography
dc.subject.otherDeveloped countries
dc.subject.otherDeveloping Countries
dc.subject.otherDisease
dc.subject.otherHealth care system
dc.subject.otherInternational Agency for Research on Cancer
dc.subject.otherLife expectancy
dc.subject.otherMorbidity
dc.subject.otherMortality
dc.subject.otherPersonal health care
dc.subject.otherProstate cancer
dc.subject.otherProstate Specific Antigen Screening
dc.subject.otherPSA screening test
dc.subject.otherRace
dc.subject.otherRisk
dc.subject.otherSex
dc.subject.otherStatistics
dc.subject.otherSurvival rates
dc.subject.otherTreatment
dc.subject.otherTrends
dc.subject.otherUnited States
dc.subject.otherUnited States National Center for Health Statistics
dc.subject.otherWorld Health Organization
dc.subject.otherDemography, Population, and Ecology
dc.subject.otherSocial and Behavioral Sciences
dc.subject.otherSociology
dc.titleThe US Health Care System and Lagging Life Expectancy: A Case Study
dc.typeWorking Paper
digcom.contributor.authorisAuthorOfPublication|email:spreston@sas.upenn.edu|institution:University of Pennsylvania|Preston, Samuel
digcom.contributor.authorisAuthorOfPublication|email:yjho@sas.upenn.edu|institution:University of Pennsylvania|Ho, Jessica Y.
digcom.identifierpsc_working_papers/11
digcom.identifier.contextkey797071
digcom.identifier.submissionpathpsc_working_papers/11
digcom.typeworkingpaper
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscovery360ada12-99f2-45cc-91c1-db78b936a3a5
upenn.schoolDepartmentCenterPSC Working Paper Series
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