Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term Care

This research aims to estimate the transition probabilities of lives becoming disabled and the extent to which they are disabled using the approach of functional Markov model. The transition probability from one disabled state to a more or less severely disabled state is best estimated using longitu...

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Main Author: Syazreen Niza Shair
Format: Article
Language:English
Published: Academy of Sciences Malaysia 2020-06-01
Series:ASM Science Journal
Subjects:
Online Access:https://doi.org/10.32802/asmscj.2020.553
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author Syazreen Niza Shair
author_facet Syazreen Niza Shair
author_sort Syazreen Niza Shair
collection DOAJ
description This research aims to estimate the transition probabilities of lives becoming disabled and the extent to which they are disabled using the approach of functional Markov model. The transition probability from one disabled state to a more or less severely disabled state is best estimated using longitudinal data in which the change in the health status of each respondent can be monitored over one or more years. Such data are limited in Malaysia, typically covering only a smaller area of the nation. The functional Markov model overcomes such data limitations, using cross-sectional data which measures the disability status of individuals only at one point in time and build a functional form for the transition probabilities in a multiple state model. Results suggested that multiple state model's prevalence rates replicated the Malaysian prevalence rates quite well, indicating that the parameters of the probability of deterioration had been estimated accurately with sum squared of errors less than 5% for almost all age groups and disability levels. Furthermore, severely disabled elderlies, especially among the oldest age group, have the highest probability to die compared to less severely disabled elderlies.
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spelling doaj.art-5be90097183f484ba1ea6cb7c10871d52023-02-22T06:09:29ZengAcademy of Sciences MalaysiaASM Science Journal1823-67822020-06-011311010.32802/asmscj.2020.553553Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term CareSyazreen Niza Shair0Universiti Teknologi MARA Shah AlamThis research aims to estimate the transition probabilities of lives becoming disabled and the extent to which they are disabled using the approach of functional Markov model. The transition probability from one disabled state to a more or less severely disabled state is best estimated using longitudinal data in which the change in the health status of each respondent can be monitored over one or more years. Such data are limited in Malaysia, typically covering only a smaller area of the nation. The functional Markov model overcomes such data limitations, using cross-sectional data which measures the disability status of individuals only at one point in time and build a functional form for the transition probabilities in a multiple state model. Results suggested that multiple state model's prevalence rates replicated the Malaysian prevalence rates quite well, indicating that the parameters of the probability of deterioration had been estimated accurately with sum squared of errors less than 5% for almost all age groups and disability levels. Furthermore, severely disabled elderlies, especially among the oldest age group, have the highest probability to die compared to less severely disabled elderlies.https://doi.org/10.32802/asmscj.2020.553long term care; disability; transition rates; multiple state model
spellingShingle Syazreen Niza Shair
Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term Care
ASM Science Journal
long term care; disability; transition rates; multiple state model
title Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term Care
title_full Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term Care
title_fullStr Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term Care
title_full_unstemmed Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term Care
title_short Transition Probabilities of Disablement for Malaysian Population in Need of Long-Term Care
title_sort transition probabilities of disablement for malaysian population in need of long term care
topic long term care; disability; transition rates; multiple state model
url https://doi.org/10.32802/asmscj.2020.553
work_keys_str_mv AT syazreennizashair transitionprobabilitiesofdisablementformalaysianpopulationinneedoflongtermcare