Center on the Demography and Economics of Health and Aging

Summary

Principal Investigator: Jay Bhattacharya
Abstract: DESCRIPTION (provided by applicant): The Stanford Center on Demography and Economics of Health and Aging (CDEHA) promotes the study of trends in demography, economics, health, and health care, and the effects of these trends on the wellbeing of the elderly. Its program areas are: 1) Effects of medical technology on costs, health outcomes, physical and psychological well-being, and health care decisions of the elderly. 2) Longitudinal and cohort studies of medical care, costs, and health and economic outcomes of older populations, in the United States and other countries, with particular emphasis on economic and health interest in outcome disparities. 3) Application of demographic techniques, including biodemography, to understand changes in survival, health, and well-being among the elderly over time. 4) Promotion of research in the demography and economics of aging at Stanford and in collaborating institutions, including other demography centers. Support is proposed for administrative and communications infrastructure (Core A);new project development (Core B);and external research resources support and dissemination (Core D). Each of these cores supplement existing support for ongoing activities in the medical school, economics department, Morrison Institute for Population and Resource Studies, and the Center for Health Policy/Center for Primary Care and Outcomes Research. An Advisory Committee will be responsible for oversight of CDEHA activities. Benefiting from a University environment supportive of multidisciplinary research, CDEHA has access to a unique combination of clinical expertise and strength in economics and other disciplines relevant to the program areas;the ability to draw upon an extensive foundation of ongoing projects and research support;and collections of U.S. and international data relevant to the program areas, along with the expertise to work with large longitudinal databases. The proposed center will support enhanced communications, seminars, educational workshops, and research development. It incorporates mechanisms to attract trainees and junior faculty. CDEHA has already attracted faculty at Stanford and collaborating institutions to research on the demography and economics of health and aging, and has served as the core of a growing body of research that has been able to attract substantial funding. Its renewal will help ensure the continued vitality and growth of this endeavor. PUBLIC HEALTH RELEVANCE: The Stanford Center on the Demography and Economics of Health and Aging (CDEHA) was established to promote the study of trends in demography, economics, health and health care of the elderly.
Funding Period: 1999-08-15 - 2014-06-30
more information: NIH RePORT

Top Publications

  1. pmc Who searches the internet for health information?
    M Kate Bundorf
    Stanford University School of Medicine, HRP Redwood Building, Room 108, Stanford, CA 94305 5405, USA
    Health Serv Res 41:819-36. 2006
  2. pmc The relation of price of antiretroviral drugs and foreign assistance with coverage of HIV treatment in Africa: retrospective study
    Eran Bendavid
    Division of General Internal Medicine, Stanford University, Stanford, CA 94305, USA
    BMJ 341:c6218. 2010
  3. ncbi The potential impact of comparative effectiveness research on U.S. health care expenditures
    Daniella J Perlroth
    Stanford Health Policy, Stanford University, 105 Encina Commons, Stanford, CA 94305 6019, USA
    Demography 47:S173-90. 2010
  4. pmc Comparative analysis of old-age mortality estimations in Africa
    Eran Bendavid
    Division of General Internal Medicine, Stanford University, Stanford, California, United States of America
    PLoS ONE 6:e26607. 2011
  5. pmc United States aid policy and induced abortion in sub-Saharan Africa
    Eran Bendavid
    Department of Medicine, Stanford University, 251 Campus Drive, Stanford, CA 94305, United States of America
    Bull World Health Organ 89:873-880C. 2011
  6. pmc HIV development assistance and adult mortality in Africa
    Eran Bendavid
    Division of General Medical Disciplines, Center for Health Policy, Stanford University, Stanford, California 94305, USA
    JAMA 307:2060-7. 2012
  7. pmc Implications of metric choice for common applications of readmission metrics
    Sheryl Davies
    Center for Primary Care and Outcomes Research, Stanford School of Medicine, Stanford, CA
    Health Serv Res 48:1978-95. 2013
  8. pmc Affective traits link to reliable neural markers of incentive anticipation
    Charlene C Wu
    Psychology and Neuroscience, Stanford University, Stanford, CA 94305, USA
    Neuroimage 84:279-89. 2014
  9. ncbi Palm oil taxes and cardiovascular disease mortality in India: economic-epidemiologic model
    Sanjay Basu
    Prevention Research Center, and Center on Poverty and Inequality, Stanford University, Stanford, CA, USA
    BMJ 347:f6048. 2013
  10. pmc Limitations of using same-hospital readmission metrics
    Sheryl M Davies
    117 Encina Commons, Stanford, CA 94305
    Int J Qual Health Care 25:633-9. 2013

Research Grants

  1. STUDIES OF JOINT AGING AND OSTEOARTHRITIS
    Martin K Lotz; Fiscal Year: 2013

Detail Information

Publications36

  1. pmc Who searches the internet for health information?
    M Kate Bundorf
    Stanford University School of Medicine, HRP Redwood Building, Room 108, Stanford, CA 94305 5405, USA
    Health Serv Res 41:819-36. 2006
    ..To determine what types of consumers use the Internet as a source of health information...
  2. pmc The relation of price of antiretroviral drugs and foreign assistance with coverage of HIV treatment in Africa: retrospective study
    Eran Bendavid
    Division of General Internal Medicine, Stanford University, Stanford, CA 94305, USA
    BMJ 341:c6218. 2010
    ..To determine the association of reductions in price of antiretroviral drugs and foreign assistance for HIV with coverage of antiretroviral treatment...
  3. ncbi The potential impact of comparative effectiveness research on U.S. health care expenditures
    Daniella J Perlroth
    Stanford Health Policy, Stanford University, 105 Encina Commons, Stanford, CA 94305 6019, USA
    Demography 47:S173-90. 2010
    ..These results imply that if patient management strategies were shifted to those supported by CER-based criteria, an estimated $1.7 to $3.0 billion (2009 present value) could be saved each year...
  4. pmc Comparative analysis of old-age mortality estimations in Africa
    Eran Bendavid
    Division of General Internal Medicine, Stanford University, Stanford, California, United States of America
    PLoS ONE 6:e26607. 2011
    ..These estimates are important for social planning and demographic projections. We provide direct estimations of older-age mortality using survey data...
  5. pmc United States aid policy and induced abortion in sub-Saharan Africa
    Eran Bendavid
    Department of Medicine, Stanford University, 251 Campus Drive, Stanford, CA 94305, United States of America
    Bull World Health Organ 89:873-880C. 2011
    ..To determine whether the Mexico City Policy, a United States government policy that prohibits funding to nongovernmental organizations performing or promoting abortion, was associated with the induced abortion rate in sub-Saharan Africa...
  6. pmc HIV development assistance and adult mortality in Africa
    Eran Bendavid
    Division of General Medical Disciplines, Center for Health Policy, Stanford University, Stanford, California 94305, USA
    JAMA 307:2060-7. 2012
    ..The initiative's effect on all-cause adult mortality is unknown...
  7. pmc Implications of metric choice for common applications of readmission metrics
    Sheryl Davies
    Center for Primary Care and Outcomes Research, Stanford School of Medicine, Stanford, CA
    Health Serv Res 48:1978-95. 2013
    ..To quantify the differential impact on hospital performance of three readmission metrics: all-cause readmission (ACR), 3M Potential Preventable Readmission (PPR), and Centers for Medicare and Medicaid 30-day readmission (CMS)...
  8. pmc Affective traits link to reliable neural markers of incentive anticipation
    Charlene C Wu
    Psychology and Neuroscience, Stanford University, Stanford, CA 94305, USA
    Neuroimage 84:279-89. 2014
    ..The findings thus reveal neural markers for affective dimensions of healthy personality, and potentially for related psychiatric symptoms. ..
  9. ncbi Palm oil taxes and cardiovascular disease mortality in India: economic-epidemiologic model
    Sanjay Basu
    Prevention Research Center, and Center on Poverty and Inequality, Stanford University, Stanford, CA, USA
    BMJ 347:f6048. 2013
    ..To examine the potential effect of a tax on palm oil on hyperlipidemia and on mortality due to cardiovascular disease in India...
  10. pmc Limitations of using same-hospital readmission metrics
    Sheryl M Davies
    117 Encina Commons, Stanford, CA 94305
    Int J Qual Health Care 25:633-9. 2013
    ..To quantify the limitations associated with restricting readmission metrics to same-hospital only readmission...
  11. pmc Averting obesity and type 2 diabetes in India through sugar-sweetened beverage taxation: an economic-epidemiologic modeling study
    Sanjay Basu
    Prevention Research Center Centers for Health Policy, Primary Care and Outcomes Research Center on Poverty and Inequality and Cardiovascular Institute, Stanford University, Stanford, California, United States of America Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom
    PLoS Med 11:e1001582. 2014
    ....
  12. pmc AIDS and declining support for dependent elderly people in Africa: retrospective analysis using demographic and health surveys
    Tim Kautz
    Department of Economics, University of Chicago, Chicago, IL 60637, USA
    BMJ 340:c2841. 2010
    ..To determine the relation between the HIV/AIDS epidemic and support for dependent elderly people in Africa...
  13. ncbi Long-term and short-term changes in antihypertensive prescribing by office-based physicians in the United States
    Randall S Stafford
    Program on Prevention Outcomes and Practices, Stanford Prevention Research Center, Stanford University, Palo Alto, California, USA
    Hypertension 48:213-8. 2006
    ..The recorded long- and short-term trends indicate that evidence-based clinical recommendations had an impact on antihypertensive prescribing practices, but the magnitude of impact may be smaller and of more limited duration than desired...
  14. ncbi Changes in antihypertensive prescribing during US outpatient visits for uncomplicated hypertension between 1993 and 2004
    Jun Ma
    Stanford Prevention Research Center, Stanford, CA 94305 5705, USA
    Hypertension 48:846-52. 2006
    ..Evidence-based guidelines for antihypertensive drug therapy do impact physician prescribing, but the impact seems to be short lived. Future interventions are imperative for promoting long-term adherence to published guidelines...
  15. ncbi Systematic review: the safety and efficacy of growth hormone in the healthy elderly
    Hau Liu
    Stanford University, Stanford, California 94305 6019, USA
    Ann Intern Med 146:104-15. 2007
    ..Human growth hormone (GH) is widely used as an antiaging therapy, although its use for this purpose has not been approved by the U.S. Food and Drug Administration and its distribution as an antiaging agent is illegal in the United States...
  16. pmc Influence of race on inpatient treatment intensity at the end of life
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Gen Intern Med 22:338-45. 2007
    ..To examine inpatient intensive care unit (ICU) and intensive procedure use by race among Medicare decedents, using utilization among survivors for comparison...
  17. pmc Anticipation of monetary gain but not loss in healthy older adults
    Gregory R Samanez-Larkin
    Department of Psychology, Stanford University, Jordan Hall, Building 420, Stanford, California 94305 2130, USA
    Nat Neurosci 10:787-91. 2007
    ..These findings suggest that there is an asymmetry in the processing of gains and losses in older adults that may have implications for decision-making...
  18. ncbi Using pedometers to increase physical activity and improve health: a systematic review
    Dena M Bravata
    Center for Primary Care and Outcomes Research, Stanford University, Stanford, California, USA
    JAMA 298:2296-304. 2007
    ..Without detailed evidence of their effectiveness, pedometers have recently become popular as a tool for motivating physical activity...
  19. pmc Screening, treatment, and control of hypertension in US private physician offices, 2003-2004
    Jun Ma
    Palo Alto Medical Foundation Research Institute, 795 El Camino Real, Stanford, CA 94301, USA
    Hypertension 51:1275-81. 2008
    ..1 to 2.4). In conclusion, more intervention efforts are needed to further reduce the gaps and variations in routine practice in relation to evidence-based practice guidelines for hypertension screening, treatment, and control...
  20. pmc Individual differences in insular sensitivity during loss anticipation predict avoidance learning
    Gregory R Samanez-Larkin
    Department of Psychology, Stanford University, Stanford, CA 94305 2130, USA
    Psychol Sci 19:320-3. 2008
    ..These findings suggest that in addition to correlating with self-reported anxiety, heightened insular sensitivity may promote learning to avoid loss...
  21. pmc Future costs and the future of cost-effectiveness analysis
    Alan M Garber
    Center for Primary Care and Outcomes Research, Center for Health Policy, VA Palo Alto Health Care System and Stanford University, Stanford, CA 94305, United States
    J Health Econ 27:819-21. 2008
  22. pmc Affect dynamics, affective forecasting, and aging
    Lisbeth Nielsen
    Stanford University corrected USA
    Emotion 8:318-30. 2008
    ..Overall, the findings are consistent with a growing literature suggesting that older people experience less negative emotion than their younger counterparts and further suggest that they may better predict dynamic changes in affect...
  23. pmc Cost-effectiveness of HIV screening in patients older than 55 years of age
    Gillian D Sanders
    Duke Clinical Research Institute, Durham, North Carolina 27715, USA
    Ann Intern Med 148:889-903. 2008
    ..Recent guidelines recommend HIV screening in patients age 13 to 64 years. The cost-effectiveness of HIV screening in patients age 55 to 75 years is uncertain...
  24. pmc Simple counts of ADL dependencies do not adequately reflect older adults' preferences toward states of functional impairment
    Tamara Sims
    Center for Primary Care and Outcomes Research, 117 Encina Commons, Stanford University, Stanford, CA 94305 6019, United States
    J Clin Epidemiol 61:1261-70. 2008
    ..To test this assumption, we analyzed standard gamble (SG) utilities of single and combination ADL dependencies among older adults...
  25. pmc The incidence of the healthcare costs of obesity
    Jay Bhattacharya
    Stanford University, School of Medicine, United States
    J Health Econ 28:649-58. 2009
    ..A substantial part of the lower wages among obese women attributed to labor market discrimination can be explained by their higher health insurance premiums...
  26. pmc Choice set size and decision making: the case of Medicare Part D prescription drug plans
    M Kate Bundorf
    Department of Health Research and Policy, Stanford University, Stanford, CA, USA
    Med Decis Making 30:582-93. 2010
    ..The impact of choice on consumer decision making is controversial in US health policy...
  27. pmc Expected value information improves financial risk taking across the adult life span
    Gregory R Samanez-Larkin
    Jordan Hall, Building 420, 450 Serra Mall, Stanford, CA 94305 2130, USA
    Soc Cogn Affect Neurosci 6:207-17. 2011
    ....

Research Grants30

  1. STUDIES OF JOINT AGING AND OSTEOARTHRITIS
    Martin K Lotz; Fiscal Year: 2013
    ..Sah) will analyze biomechanical mechanisms of early and advanced cartilage degeneration and determine consequences for chondrocyte function and survival. ..