Nicolas Sirven

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Prevention has been identified as an effective strategy to lead healthy, active and independent lives in old age. Developing effective prevention programs requires understanding the influence of both individual and health system level factors on utilisation of specific services. This study examines the variations in utilisation of preventive services by the(More)
Using the Survey of Health, Ageing & retirement in Europe (SHARE) data for respondents aged 50 years and over in 2004, this study evaluates the potential contribution of increased social participation to self-reported health (SRH) in 11 European countries. The probability to report good or very good health is calculated for the whole sample (after(More)
The aim of this paper is to measure and to correct for the potential incomparability of responses to the SHARE survey on health care responsiveness. A parametric approach based on the use of anchoring vignettes is applied to cross-sectional data (2006-07) in ten European countries. More than 6,000 respondents aged 50 years old and over were asked to assess(More)
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(More)
OBJECTIVE Hospital services use, which is a major driver of total health expenditures, is expected to rise over the next decades in Europe, especially because of population aging. The purpose of this article is to better understand the dynamics of older people's demand for hospital care over time in a cross-country setting. DATA SOURCE We used data from(More)
This study uses a time-based approach to examine the causal relationship (Granger-like) between health and social capital for older people in Europe. We use panel data from waves 1 and 2 of SHARE (the Survey of Health, Ageing, and Retirement in Europe) for the analysis. Additional wave 3 data on retrospective life histories (SHARELIFE) are used to model the(More)
The aim of this study is to analyse the pathways between income and self-rated health through the mediating role of social capital. Taking up recent criticisms on statistical approaches to social capital, we propose to endogenize this concept as an outcome of households' economic status and personal characteristics. In this way it becomes possible to(More)
This issue presents some preliminary results from wave 2 of SHARE. These results deal with health and labour market dynamics. They show the influence of working conditions and institutional differences – especially concerning disability assurance enrolment, on early exits from the labour force and retirement decisions. Moreover, the new data confirms first(More)
The concept of frailty as a health dimension in old age is recent and has its origin in the development of geriatric medicine. Initially an unformulated clinical intuition, it is now defined by a diminished physiological reserve of multiple organs that exposes older individuals to increased vulnerability to stressors and a higher risk of adverse outcomes.(More)
Promoting social participation of the older population (e.g. membership in voluntary associations) is often seen as a promising strategy for ‘healthy ageing’ in Europe. Although a growing body of academic literature challenges the idea that the link between social participation and health is well established, some statistical evidence suggest a robust(More)