A Country for Old Men? Long‐term Home Care Utilization in Europe

Balia, Silvia; Brau, Rinaldo

doi:10.1002/hec.2977

Cited by 57 publications

(82 citation statements)

References 53 publications

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“…For a similar set of countries Balia and Brau (2014) confirm age and disability levels as important predictors for the choice in LTC but augment the set of main drivers by proximity to death, which is found to significantly affect the use of paid domestic help and IC. For the case of Spain Jiménez-Martín and Prieto (2012) find that the choice of the LTC type crucially depends on age, gender, and the marital status of the care dependent person but also on the availability of FC services.…”

mentioning

confidence: 71%

“…In addition, Gannon and Davin (2010) find rather substitutive than comple-2 Balia and Brau (2014) and Bruni and Ugolini (2016) States also in more recent contributions (Li and Jensen, 2011;Guo et al, 2015).…”

Section: Related Literaturementioning

confidence: 97%

“…that only one of the two dependent variables is endogenous. Following Balia and Brau (2014) we assume that IC is endogenous and affects FC, but that FC has no effect on IC:…”

Section: Econometric Modelmentioning

confidence: 99%

“…To the best of our knowledge, however, only Jiménez-Martín and Prieto (2012) have explicitly modeled the determinants for the combined use of formal and informal home care (FIC) in addition to the exclusive use of formal care (FC) or informal care (FC) in an econometric framework that addresses the simultaneous nature of care decisions as well as any interdependencies between IC and FC. Given the growing number of recent papers finding a (task specific) complementarity of IC and FC (Bonsang, 2009;Jiménez-Martín and Prieto, 2012;Balia and Brau, 2014;De Meijer et al, 2015), proper econometric modeling for the determinants of FIC in comparison to FC and IC clearly is of high relevance for policy makers. …”

Section: Introductionmentioning

confidence: 99%

“…Recent studies on European countries-with a study on Germany (Pilny and Stroka, 2016) Balia and Brau (2014) who at the same time emphasize the small scale of the effects.…”

mentioning

confidence: 99%

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Informal, Formal, or Both? Assessing the Drivers of Home Care Utilization in Austria Using a Simultaneous Decision Framework

2017

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Understanding the relation between different types of long-term care and the determinants of individual choice of long-term care types is fundamental for efficient policy making in times of ageing societies. However, empirical research on this issue has revealed both national and methodological factors as crucial for the policy conclusions drawn. Thus, the purpose of the present paper is twofold: First, at least to our knowledge, it is the first comprehensive assessment of this kind for Austria. Second, it extends the scarce literature explicitly focusing on the combined use of informal and formal care in addition to the exclusive use of these services based on an econometric framework accounting for the simultaneity and interdependencies in these types of long-term care. Our results provide strong evidence for a taskspecific and complementary relation of formal and informal home care in Austria, with the health status and functional limitations as the main determinants of individual choice. AbstractUnderstanding the relation between different types of long-term care (LTC) and the determinants of individual choice of LTC types is fundamental for efficient policy making in times of aging societies. However, empirical research on this issue has revealed both national and methodological factors as crucial for the policy conclusions drawn. Thus, the purpose of the present paper is twofold: First, at least to our knowledge, it is the first comprehensive assessment of this kind for Austria. Second, it extends the scarce literature explicitly focusing on the combined use of informal and formal care in addition to the exclusive use of these services based on an econometric framework accounting for the simultaneity and interdependencies in these types of LTC. Our results provide strong evidence for a task-specific and complementary relation of formal and informal home care in Austria, with the health status and functional limitations as the main determinants of individual choice.

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mentioning

confidence: 71%

Section: Related Literaturementioning

confidence: 97%

“…that only one of the two dependent variables is endogenous. Following Balia and Brau (2014) we assume that IC is endogenous and affects FC, but that FC has no effect on IC:…”

Section: Econometric Modelmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Recent studies on European countries-with a study on Germany (Pilny and Stroka, 2016) Balia and Brau (2014) who at the same time emphasize the small scale of the effects.…”

mentioning

confidence: 99%

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Informal, Formal, or Both? Assessing the Drivers of Home Care Utilization in Austria Using a Simultaneous Decision Framework

2017

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Resource use and its association to cognitive impairment, ADL functions, and behavior in residents of Swedish nursing homes: Results from the U‐Age program (SWENIS study)

Sköldunger

Wimo

Sjögren

et al. 2018

Int J Geriat Psychiatry

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Objectives We aimed to investigate resource use and its association to cognitive impairment, activities of daily living, and neuropsychiatric symptoms in residents of Swedish nursing homes. Methods Data were collected in 2014 from a Swedish national sample of nursing home residents (n = 4831) and were collected by staff in the facility. The sample consists of all nursing homes in 35 of 60 randomly selected Swedish municipalities. Demographic data and data on resource use, cognitive and physical function as well as neuropsychiatric symptoms were collected through proxies. Descriptive statistics and regression modeling were used to investigate this association. Results We found that cognitive impairment, activities of daily living, and neuropsychiatric symptoms were associated with 23 hours per week increase in total resource use versus cognitively intact persons. This was also the case for being dependent in activities of daily living. Being totally dependent increased the amount of resource use by 25 hours per week. The sex of a resident did not influence the resource use. Annual costs of resource use with no functional dependency were 359 685 SEK, and in severely cognitive impaired resident, the cost was 825 081 SEK. Conclusion Being cognitively impaired as well as functionally dependent increases the resource use significantly in nursing homes. This has implications for differentiation of costs in institutional settings in health economic evaluations.

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Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach

et al. 2015

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The use of long-term care (LTC) is changing rapidly. In the Netherlands, rates of institutional LTC use are falling, whereas homecare use is growing. Are these changes attributable to declining disability rates, or has LTC use given disability changed? And have institutionalization rates fallen regardless of disability level, or has LTC use become better tailored to needs? We answer these questions by explaining trends in LTC use for the Dutch 65+ population in the period 2000-2008 using a nonlinear variant of the Oaxaca-Blinder decomposition. We find that changes in LTC use are not due to shifts in the disability distribution but can almost entirely be traced back to changes in the way the system treats disability. Elderly with mild disability are more likely to be treated at home than before, whereas severely disabled individuals continue to receive institutional LTC. As a result, LTC use has become better tailored to the needs for such care. This finding suggests that policies that promote LTC in the community rather than in institutions can effectively mitigate the consequences of population aging on LTC spending.

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A Country for Old Men? Long‐term Home Care Utilization in Europe

Cited by 57 publications

References 53 publications

Informal, Formal, or Both? Assessing the Drivers of Home Care Utilization in Austria Using a Simultaneous Decision Framework

Informal, Formal, or Both? Assessing the Drivers of Home Care Utilization in Austria Using a Simultaneous Decision Framework

Resource use and its association to cognitive impairment, ADL functions, and behavior in residents of Swedish nursing homes: Results from the U‐Age program (SWENIS study)

Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach

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