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

Meijer, Claudine de; Bakx, Pieter; Doorslaer, Eddy van; Koopmanschap, Marc

doi:10.1002/hec.3114

Cited by 40 publications

(25 citation statements)

References 29 publications

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“…Our results support the findings by de Meijer et al (2015), who conclude 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 health care system treats disability. Older adults with mild disability are more likely to be treated at home than before, whereas severely disabled individuals continue to receive institutional LTC.…”

Section: Discussionsupporting

confidence: 91%

Changes in admission to long-term care institutions in the Netherlands: comparing two cohorts over the period 1996–1999 and 2006–2009

2016

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Using data from two cohorts, we examine to what extent a decline in institutional care in the Netherlands is associated with changes in the need for care and/or societal factors. We compared older adults, aged 65–89, who were admitted to a long-term care (LTC) institution in the period 1996–1999 and 2006–2009. Using the Andersen model, we tested per block of predisposing, enabling and need factors, which factors were significant predictors of admission to institutional care. With a Blinder–Oaxaca decomposition regression, we decomposed the difference in admission to an LTC institution between the period 1996–1999 and 2006–2009 into a part that is due to differences in health needs and other factors such as effect of policy, social values, and technology. Between 1996 and 2006, the percentage of co-residing partners and income increased and the average level of loneliness decreased significantly. The prevalence of disability, chronic diseases, however, increased. Whereas the care by partners declined, the formal care by professionals increased. Although the observed decline in the admission rate to institutional care was relatively small across the 10 years (from 5.3 % in 1996–1999 to 4.5 % in 2006–2009, a 15 % decrease), the probability of admission in 2006–2009 was relatively much lower when accounting for changes in the health and social conditions of the participants: the probability was 1.7–2.1 % point lower for adults in the period 2006–2009 compared to 1996–1999, a 32–40 % decrease. Our results show that the decline in the admission rate to LTC institutions is not the result of changes in need. The decline is suggested to be the combined effect of changes in policy, technological advances and changes in social norms.

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Section: Discussionsupporting

confidence: 91%

Changes in admission to long-term care institutions in the Netherlands: comparing two cohorts over the period 1996–1999 and 2006–2009

2016

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“…The Dutch formal LTC system is comprehensive and has a longstanding tradition; a public LTC insurance (ABWZ 5 ) was introduced in 1968 already. In the period of study (1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008), it covers all LTC in institutions and at home, where care can consist of domestic help, 6 social assistance, personal care, and nursing care (Mot, 2010;De Meijer et al, 2015). Given the broad coverage of the public LTC insurance, private LTC is marginal and concentrated among the wealthy (Maarse and Jeurissen, 2016).…”

Section: Institutional Backgroundmentioning

confidence: 99%

The Kids are Alright - Labour Market Effects of Unexpected Parental Hospitalisations in the Netherlands

et al. 2018

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Unexpected negative health shocks of a parent may reduce adult children's labour supply via informal caregiving and stress-induced mental health problems. We link administrative data on labour market outcomes, hospitalisations and family relations for the full Dutch working age population for the years 1999-2008 to evaluate the effect of an unexpected parental hospitalisation on the probability of employment and on conditional earnings. Using an event study difference-indifferences model combined with coarsened exact matching and individual fixed effects, we find no effect of an unexpected parental hospitalisation on either employment or earnings for Dutch men and women, and neither for the full population nor for the subpopulations most likely to become caregivers. These findings suggest that the extensive public coverage of formal long-term care in the Netherlands combined with widespread acceptance of part-time work provides sufficient opportunities to deal with adverse health events of family members without having to compromise one's labour supply.

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“…, de Meijer et al . ). Accompanying this growth, a variety of health problems are occurring in home caregivers, such as LBP and aching shoulders (Tong et al .…”

Section: Introductionmentioning

confidence: 97%

Caregiving activities closely associated with the development of low‐back pain among female family caregivers

Suzuki

Koji

Sakakibara

2016

Journal of Clinical Nursing

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

Cited by 40 publications

References 29 publications

Changes in admission to long-term care institutions in the Netherlands: comparing two cohorts over the period 1996–1999 and 2006–2009

Changes in admission to long-term care institutions in the Netherlands: comparing two cohorts over the period 1996–1999 and 2006–2009

The Kids are Alright - Labour Market Effects of Unexpected Parental Hospitalisations in the Netherlands

Caregiving activities closely associated with the development of low‐back pain among female family caregivers

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