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Trends in Disability at Older Ages

Summary of a Workshop

Vicki A. Freedman and Beth J. Soldo, Editors

Committee on National Statistics

Commission on Behavioral and Social Sciences and Education

National Research Council

NATIONAL ACADEMY PRESS
Washington, D.C.
1994



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Trends in Disability at Older Ages: Summary of a Workshop Trends in Disability at Older Ages Summary of a Workshop Vicki A. Freedman and Beth J. Soldo, Editors Committee on National Statistics Commission on Behavioral and Social Sciences and Education National Research Council NATIONAL ACADEMY PRESS Washington, D.C. 1994

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Trends in Disability at Older Ages: Summary of a Workshop NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance. This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce M. Alberts is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Robert M. White is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy's purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr. Robert M. White are chairman and vice chairman, respectively, of the National Research Council. This workshop was supported by funds from the National Institute on Aging through a grant, No. SES 9116694, by the National Science Foundation to the National Academy of Sciences for support of core activities of the Committee on National Statistics. Additional copies of this report are available from: Committee on National Statistics National Research Council 2101 Constitution Avenue, N.W. Washington, D.C. 20418 Printed in the United States of America

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Trends in Disability at Older Ages: Summary of a Workshop COMMITTEE ON NATIONAL STATISTICS 1993-1994 NORMAN M. BRADBURN (Chair), National Opinion Research Center, University of Chicago JOHN E. ROLPH (Vice Chair), School of Business Administration, University of Southern California MARTIN H. DAVID, Department of Economics, University of Wisconsin JOHN F. GEWEKE, Department of Economics, University of Minnesota, Minneapolis NOREEN GOLDMAN, Office of Population Research, Princeton University JOEL B. GREENHOUSE, Department of Statistics, Carnegie Mellon University ERIC HANUSHEK, Department of Economics, University of Rochester ROBERT M. HAUSER, Department of Sociology, University of Wisconsin NICHOLAS P. JEWELL, School of Public Health, University of California, Berkeley WILLIAM D. NORDHAUS, Department of Economics, Yale University JANET L. NORWOOD, The Urban Institute, Washington, D.C. DOROTHY P. RICE, Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco KEITH F. RUST, Westat, Inc., Rockville, Maryland DANIEL L. SOLOMON, Department of Statistics, North Carolina State University MIRON L. STRAF, Director SUSANNA McFARLAND, Administrative Associate

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Trends in Disability at Older Ages: Summary of a Workshop WORKSHOP ON TRENDS IN DISABILITY AT OLDER AGES Participants BETH SOLDO (Chair), Georgetown University HOWARD BELDIN, American Association of Retired Persons, Washington, D.C. LISA BERKMAN, Yale University JOHN BOUND, University of Michigan MARY CHAMIE, United Nations, New York JOHN COOMBS, Statistics Canada, Ottawa, Ontario LARRY CORDER, Duke University EILEEN CRIMMINS, University of Southern California PAUL CULLINAN, Congressional Budget Office, Washington, D.C. EDWARD DOWD, World Health Organization, Geneva, Switzerland JANE DURCH, Institute of Medicine, Washington, D.C. JACOB FELDMAN, National Center for Health Statistics, Hyattsville, Maryland STEPHEN FIENBERG, Carnegie Mellon University VICKI FREEDMAN, Agency for Health Care Policy and Research, Rockville, Maryland MICHAEL HURD, State University of New York, Stony Brook SYLVIA KNIEL, National Institute on Aging, Bethesda, Maryland KAJAL LAHIRI, Social Security Administration, Baltimore, Maryland HAROLD LENTZNER, National Center for Health Statistics, Hyattsville, Maryland ROSE LI, National Institute on Aging, Bethesda, Maryland JENNIFER MADANS, National Center for Health Statistics, Hyattsville, Maryland KENNETH MANTON, Duke University DAVID McCARTHY, Pension and Welfare Benefits Administration, Washington, D.C. STEVE McKAY, Social Security Administration, Baltimore, Maryland MARY BETH OFSTEDAL, National Center for Health Statistics, Hyattsville, Maryland GEORGEANNE PATMIOS, National Institute on Aging, Bethesda, Maryland VIRGINIA RENO, National Academy of Social Insurance, Washington, D.C. KALMAN RUPP, Office of the Assistant Secretary for Planning and Evaluation, Washington, D.C. STEVEN SANDELL, Office of the Assistant Secretary for Planning and Evaluation, Washington, D.C. RAYMOND SELTSER, Agency for Health Care Policy and Research, Rockville, Maryland MICHAEL STOTO, Institute of Medicine, Washington, D.C. RICHARD SUZMAN, National Institute on Aging, Bethesda, Maryland CYNTHIA TAEUBER, Bureau of the Census, Washington, D.C. ASHLESHA TAMBOLI, National Institute on Aging, Bethesda, Maryland DENNIS TOLLEY, Brigham Young University DENTON VAUGHN, Social Security Administration, Baltimore, Maryland MARTYNAS YCAS, Social Security Administration, Baltimore, Maryland TIM ZAYATZ, Social Security Administration, Baltimore, Maryland MIRON STRAF, Director, Committee on National Statistics ANU PEMMARAZU, Senior Project Assistant, Committee on National Statistics