Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach
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 rega...
Ausführliche Beschreibung
Autor*in: |
Meijer, Claudine [verfasserIn] |
---|
Format: |
Artikel |
---|---|
Sprache: |
Englisch |
Erschienen: |
2015 |
---|
Rechteinformationen: |
Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. |
---|
Schlagwörter: |
---|
Übergeordnetes Werk: |
Enthalten in: Health economics - Chichester : Wiley-Blackwell, 1992, 24(2015), Seite 18-31 |
---|---|
Übergeordnetes Werk: |
volume:24 ; year:2015 ; pages:18-31 |
Links: |
---|
DOI / URN: |
10.1002/hec.3114 |
---|
Katalog-ID: |
OLC1959305514 |
---|
LEADER | 01000caa a2200265 4500 | ||
---|---|---|---|
001 | OLC1959305514 | ||
003 | DE-627 | ||
005 | 20230714151011.0 | ||
007 | tu | ||
008 | 160206s2015 xx ||||| 00| ||eng c | ||
024 | 7 | |a 10.1002/hec.3114 |2 doi | |
028 | 5 | 2 | |a PQ20160617 |
035 | |a (DE-627)OLC1959305514 | ||
035 | |a (DE-599)GBVOLC1959305514 | ||
035 | |a (PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863 | ||
035 | |a (KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
082 | 0 | 4 | |a 610 |q ZDB |
100 | 1 | |a Meijer, Claudine |e verfasserin |4 aut | |
245 | 1 | 0 | |a Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
264 | 1 | |c 2015 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
338 | |a Band |b nc |2 rdacarrier | ||
520 | |a 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. Copyright © 2015 John Wiley & Sons, Ltd. | ||
540 | |a Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. | ||
650 | 4 | |a disability | |
650 | 4 | |a long‐term care | |
650 | 4 | |a decomposition analysis | |
650 | 4 | |a Long-Term Care - utilization | |
650 | 4 | |a Nursing Homes - utilization | |
650 | 4 | |a Disabled Persons - statistics & numerical data | |
650 | 4 | |a Home Nursing - utilization | |
650 | 4 | |a Health care policy | |
650 | 4 | |a Health economics | |
650 | 4 | |a Long term health care | |
650 | 4 | |a Disabled people | |
650 | 4 | |a Effectiveness studies | |
650 | 4 | |a Home health care | |
650 | 4 | |a Health care expenditures | |
700 | 1 | |a Bakx, Pieter |4 oth | |
700 | 1 | |a Doorslaer, Eddy |4 oth | |
700 | 1 | |a Koopmanschap, Marc |4 oth | |
773 | 0 | 8 | |i Enthalten in |t Health economics |d Chichester : Wiley-Blackwell, 1992 |g 24(2015), Seite 18-31 |w (DE-627)170982289 |w (DE-600)1135838-5 |w (DE-576)052841952 |x 1057-9230 |7 nnns |
773 | 1 | 8 | |g volume:24 |g year:2015 |g pages:18-31 |
856 | 4 | 1 | |u http://dx.doi.org/10.1002/hec.3114 |3 Volltext |
856 | 4 | 2 | |u http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract |
856 | 4 | 2 | |u http://www.ncbi.nlm.nih.gov/pubmed/25760580 |
856 | 4 | 2 | |u http://search.proquest.com/docview/1664324654 |
912 | |a GBV_USEFLAG_A | ||
912 | |a SYSFLAG_A | ||
912 | |a GBV_OLC | ||
912 | |a SSG-OLC-WIW | ||
912 | |a SSG-OLC-PHA | ||
912 | |a SSG-OLC-DE-84 | ||
912 | |a GBV_ILN_26 | ||
912 | |a GBV_ILN_4012 | ||
912 | |a GBV_ILN_4126 | ||
912 | |a GBV_ILN_4219 | ||
951 | |a AR | ||
952 | |d 24 |j 2015 |h 18-31 |
author_variant |
c m cm |
---|---|
matchkey_str |
article:10579230:2015----::xliigelnnrtsfntttoalcsiteehrad |
hierarchy_sort_str |
2015 |
publishDate |
2015 |
allfields |
10.1002/hec.3114 doi PQ20160617 (DE-627)OLC1959305514 (DE-599)GBVOLC1959305514 (PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863 (KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe DE-627 ger DE-627 rakwb eng 610 ZDB Meijer, Claudine verfasserin aut Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier 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. Copyright © 2015 John Wiley & Sons, Ltd. Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. disability long‐term care decomposition analysis Long-Term Care - utilization Nursing Homes - utilization Disabled Persons - statistics & numerical data Home Nursing - utilization Health care policy Health economics Long term health care Disabled people Effectiveness studies Home health care Health care expenditures Bakx, Pieter oth Doorslaer, Eddy oth Koopmanschap, Marc oth Enthalten in Health economics Chichester : Wiley-Blackwell, 1992 24(2015), Seite 18-31 (DE-627)170982289 (DE-600)1135838-5 (DE-576)052841952 1057-9230 nnns volume:24 year:2015 pages:18-31 http://dx.doi.org/10.1002/hec.3114 Volltext http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract http://www.ncbi.nlm.nih.gov/pubmed/25760580 http://search.proquest.com/docview/1664324654 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 GBV_ILN_4012 GBV_ILN_4126 GBV_ILN_4219 AR 24 2015 18-31 |
spelling |
10.1002/hec.3114 doi PQ20160617 (DE-627)OLC1959305514 (DE-599)GBVOLC1959305514 (PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863 (KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe DE-627 ger DE-627 rakwb eng 610 ZDB Meijer, Claudine verfasserin aut Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier 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. Copyright © 2015 John Wiley & Sons, Ltd. Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. disability long‐term care decomposition analysis Long-Term Care - utilization Nursing Homes - utilization Disabled Persons - statistics & numerical data Home Nursing - utilization Health care policy Health economics Long term health care Disabled people Effectiveness studies Home health care Health care expenditures Bakx, Pieter oth Doorslaer, Eddy oth Koopmanschap, Marc oth Enthalten in Health economics Chichester : Wiley-Blackwell, 1992 24(2015), Seite 18-31 (DE-627)170982289 (DE-600)1135838-5 (DE-576)052841952 1057-9230 nnns volume:24 year:2015 pages:18-31 http://dx.doi.org/10.1002/hec.3114 Volltext http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract http://www.ncbi.nlm.nih.gov/pubmed/25760580 http://search.proquest.com/docview/1664324654 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 GBV_ILN_4012 GBV_ILN_4126 GBV_ILN_4219 AR 24 2015 18-31 |
allfields_unstemmed |
10.1002/hec.3114 doi PQ20160617 (DE-627)OLC1959305514 (DE-599)GBVOLC1959305514 (PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863 (KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe DE-627 ger DE-627 rakwb eng 610 ZDB Meijer, Claudine verfasserin aut Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier 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. Copyright © 2015 John Wiley & Sons, Ltd. Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. disability long‐term care decomposition analysis Long-Term Care - utilization Nursing Homes - utilization Disabled Persons - statistics & numerical data Home Nursing - utilization Health care policy Health economics Long term health care Disabled people Effectiveness studies Home health care Health care expenditures Bakx, Pieter oth Doorslaer, Eddy oth Koopmanschap, Marc oth Enthalten in Health economics Chichester : Wiley-Blackwell, 1992 24(2015), Seite 18-31 (DE-627)170982289 (DE-600)1135838-5 (DE-576)052841952 1057-9230 nnns volume:24 year:2015 pages:18-31 http://dx.doi.org/10.1002/hec.3114 Volltext http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract http://www.ncbi.nlm.nih.gov/pubmed/25760580 http://search.proquest.com/docview/1664324654 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 GBV_ILN_4012 GBV_ILN_4126 GBV_ILN_4219 AR 24 2015 18-31 |
allfieldsGer |
10.1002/hec.3114 doi PQ20160617 (DE-627)OLC1959305514 (DE-599)GBVOLC1959305514 (PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863 (KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe DE-627 ger DE-627 rakwb eng 610 ZDB Meijer, Claudine verfasserin aut Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier 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. Copyright © 2015 John Wiley & Sons, Ltd. Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. disability long‐term care decomposition analysis Long-Term Care - utilization Nursing Homes - utilization Disabled Persons - statistics & numerical data Home Nursing - utilization Health care policy Health economics Long term health care Disabled people Effectiveness studies Home health care Health care expenditures Bakx, Pieter oth Doorslaer, Eddy oth Koopmanschap, Marc oth Enthalten in Health economics Chichester : Wiley-Blackwell, 1992 24(2015), Seite 18-31 (DE-627)170982289 (DE-600)1135838-5 (DE-576)052841952 1057-9230 nnns volume:24 year:2015 pages:18-31 http://dx.doi.org/10.1002/hec.3114 Volltext http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract http://www.ncbi.nlm.nih.gov/pubmed/25760580 http://search.proquest.com/docview/1664324654 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 GBV_ILN_4012 GBV_ILN_4126 GBV_ILN_4219 AR 24 2015 18-31 |
allfieldsSound |
10.1002/hec.3114 doi PQ20160617 (DE-627)OLC1959305514 (DE-599)GBVOLC1959305514 (PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863 (KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe DE-627 ger DE-627 rakwb eng 610 ZDB Meijer, Claudine verfasserin aut Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier 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. Copyright © 2015 John Wiley & Sons, Ltd. Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. disability long‐term care decomposition analysis Long-Term Care - utilization Nursing Homes - utilization Disabled Persons - statistics & numerical data Home Nursing - utilization Health care policy Health economics Long term health care Disabled people Effectiveness studies Home health care Health care expenditures Bakx, Pieter oth Doorslaer, Eddy oth Koopmanschap, Marc oth Enthalten in Health economics Chichester : Wiley-Blackwell, 1992 24(2015), Seite 18-31 (DE-627)170982289 (DE-600)1135838-5 (DE-576)052841952 1057-9230 nnns volume:24 year:2015 pages:18-31 http://dx.doi.org/10.1002/hec.3114 Volltext http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract http://www.ncbi.nlm.nih.gov/pubmed/25760580 http://search.proquest.com/docview/1664324654 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 GBV_ILN_4012 GBV_ILN_4126 GBV_ILN_4219 AR 24 2015 18-31 |
language |
English |
source |
Enthalten in Health economics 24(2015), Seite 18-31 volume:24 year:2015 pages:18-31 |
sourceStr |
Enthalten in Health economics 24(2015), Seite 18-31 volume:24 year:2015 pages:18-31 |
format_phy_str_mv |
Article |
institution |
findex.gbv.de |
topic_facet |
disability long‐term care decomposition analysis Long-Term Care - utilization Nursing Homes - utilization Disabled Persons - statistics & numerical data Home Nursing - utilization Health care policy Health economics Long term health care Disabled people Effectiveness studies Home health care Health care expenditures |
dewey-raw |
610 |
isfreeaccess_bool |
false |
container_title |
Health economics |
authorswithroles_txt_mv |
Meijer, Claudine @@aut@@ Bakx, Pieter @@oth@@ Doorslaer, Eddy @@oth@@ Koopmanschap, Marc @@oth@@ |
publishDateDaySort_date |
2015-01-01T00:00:00Z |
hierarchy_top_id |
170982289 |
dewey-sort |
3610 |
id |
OLC1959305514 |
language_de |
englisch |
fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a2200265 4500</leader><controlfield tag="001">OLC1959305514</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230714151011.0</controlfield><controlfield tag="007">tu</controlfield><controlfield tag="008">160206s2015 xx ||||| 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1002/hec.3114</subfield><subfield code="2">doi</subfield></datafield><datafield tag="028" ind1="5" ind2="2"><subfield code="a">PQ20160617</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)OLC1959305514</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)GBVOLC1959305514</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ZDB</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Meijer, Claudine</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2015</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">ohne Hilfsmittel zu benutzen</subfield><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Band</subfield><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">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. Copyright © 2015 John Wiley & Sons, Ltd.</subfield></datafield><datafield tag="540" ind1=" " ind2=" "><subfield code="a">Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">disability</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">long‐term care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">decomposition analysis</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Long-Term Care - utilization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nursing Homes - utilization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Disabled Persons - statistics & numerical data</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Home Nursing - utilization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health care policy</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health economics</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Long term health care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Disabled people</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Effectiveness studies</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Home health care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health care expenditures</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bakx, Pieter</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Doorslaer, Eddy</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Koopmanschap, Marc</subfield><subfield code="4">oth</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Health economics</subfield><subfield code="d">Chichester : Wiley-Blackwell, 1992</subfield><subfield code="g">24(2015), Seite 18-31</subfield><subfield code="w">(DE-627)170982289</subfield><subfield code="w">(DE-600)1135838-5</subfield><subfield code="w">(DE-576)052841952</subfield><subfield code="x">1057-9230</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:24</subfield><subfield code="g">year:2015</subfield><subfield code="g">pages:18-31</subfield></datafield><datafield tag="856" ind1="4" ind2="1"><subfield code="u">http://dx.doi.org/10.1002/hec.3114</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">http://www.ncbi.nlm.nih.gov/pubmed/25760580</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">http://search.proquest.com/docview/1664324654</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_OLC</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-WIW</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-DE-84</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_26</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4219</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">24</subfield><subfield code="j">2015</subfield><subfield code="h">18-31</subfield></datafield></record></collection>
|
author |
Meijer, Claudine |
spellingShingle |
Meijer, Claudine ddc 610 misc disability misc long‐term care misc decomposition analysis misc Long-Term Care - utilization misc Nursing Homes - utilization misc Disabled Persons - statistics & numerical data misc Home Nursing - utilization misc Health care policy misc Health economics misc Long term health care misc Disabled people misc Effectiveness studies misc Home health care misc Health care expenditures Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
authorStr |
Meijer, Claudine |
ppnlink_with_tag_str_mv |
@@773@@(DE-627)170982289 |
format |
Article |
dewey-ones |
610 - Medicine & health |
delete_txt_mv |
keep |
author_role |
aut |
collection |
OLC |
remote_str |
false |
illustrated |
Not Illustrated |
issn |
1057-9230 |
topic_title |
610 ZDB Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach disability long‐term care decomposition analysis Long-Term Care - utilization Nursing Homes - utilization Disabled Persons - statistics & numerical data Home Nursing - utilization Health care policy Health economics Long term health care Disabled people Effectiveness studies Home health care Health care expenditures |
topic |
ddc 610 misc disability misc long‐term care misc decomposition analysis misc Long-Term Care - utilization misc Nursing Homes - utilization misc Disabled Persons - statistics & numerical data misc Home Nursing - utilization misc Health care policy misc Health economics misc Long term health care misc Disabled people misc Effectiveness studies misc Home health care misc Health care expenditures |
topic_unstemmed |
ddc 610 misc disability misc long‐term care misc decomposition analysis misc Long-Term Care - utilization misc Nursing Homes - utilization misc Disabled Persons - statistics & numerical data misc Home Nursing - utilization misc Health care policy misc Health economics misc Long term health care misc Disabled people misc Effectiveness studies misc Home health care misc Health care expenditures |
topic_browse |
ddc 610 misc disability misc long‐term care misc decomposition analysis misc Long-Term Care - utilization misc Nursing Homes - utilization misc Disabled Persons - statistics & numerical data misc Home Nursing - utilization misc Health care policy misc Health economics misc Long term health care misc Disabled people misc Effectiveness studies misc Home health care misc Health care expenditures |
format_facet |
Aufsätze Gedruckte Aufsätze |
format_main_str_mv |
Text Zeitschrift/Artikel |
carriertype_str_mv |
nc |
author2_variant |
p b pb e d ed m k mk |
hierarchy_parent_title |
Health economics |
hierarchy_parent_id |
170982289 |
dewey-tens |
610 - Medicine & health |
hierarchy_top_title |
Health economics |
isfreeaccess_txt |
false |
familylinks_str_mv |
(DE-627)170982289 (DE-600)1135838-5 (DE-576)052841952 |
title |
Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
ctrlnum |
(DE-627)OLC1959305514 (DE-599)GBVOLC1959305514 (PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863 (KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe |
title_full |
Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
author_sort |
Meijer, Claudine |
journal |
Health economics |
journalStr |
Health economics |
lang_code |
eng |
isOA_bool |
false |
dewey-hundreds |
600 - Technology |
recordtype |
marc |
publishDateSort |
2015 |
contenttype_str_mv |
txt |
container_start_page |
18 |
author_browse |
Meijer, Claudine |
container_volume |
24 |
class |
610 ZDB |
format_se |
Aufsätze |
author-letter |
Meijer, Claudine |
doi_str_mv |
10.1002/hec.3114 |
dewey-full |
610 |
title_sort |
explaining declining rates of institutional ltc use in the netherlands: a decomposition approach |
title_auth |
Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
abstract |
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. Copyright © 2015 John Wiley & Sons, Ltd. |
abstractGer |
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. Copyright © 2015 John Wiley & Sons, Ltd. |
abstract_unstemmed |
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. Copyright © 2015 John Wiley & Sons, Ltd. |
collection_details |
GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 GBV_ILN_4012 GBV_ILN_4126 GBV_ILN_4219 |
title_short |
Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
url |
http://dx.doi.org/10.1002/hec.3114 http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract http://www.ncbi.nlm.nih.gov/pubmed/25760580 http://search.proquest.com/docview/1664324654 |
remote_bool |
false |
author2 |
Bakx, Pieter Doorslaer, Eddy Koopmanschap, Marc |
author2Str |
Bakx, Pieter Doorslaer, Eddy Koopmanschap, Marc |
ppnlink |
170982289 |
mediatype_str_mv |
n |
isOA_txt |
false |
hochschulschrift_bool |
false |
author2_role |
oth oth oth |
doi_str |
10.1002/hec.3114 |
up_date |
2024-07-03T16:41:44.853Z |
_version_ |
1803576834634285056 |
fullrecord_marcxml |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a2200265 4500</leader><controlfield tag="001">OLC1959305514</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230714151011.0</controlfield><controlfield tag="007">tu</controlfield><controlfield tag="008">160206s2015 xx ||||| 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1002/hec.3114</subfield><subfield code="2">doi</subfield></datafield><datafield tag="028" ind1="5" ind2="2"><subfield code="a">PQ20160617</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)OLC1959305514</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)GBVOLC1959305514</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(PRQ)p2014-1e6f3f79959053fd2ea229d5e52d1daf26f04ee20f4af3b1c53053f46ecb87863</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(KEY)0214778520150000024000000018explainingdecliningratesofinstitutionalltcuseinthe</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ZDB</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Meijer, Claudine</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2015</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">ohne Hilfsmittel zu benutzen</subfield><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Band</subfield><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">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. Copyright © 2015 John Wiley & Sons, Ltd.</subfield></datafield><datafield tag="540" ind1=" " ind2=" "><subfield code="a">Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">disability</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">long‐term care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">decomposition analysis</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Long-Term Care - utilization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nursing Homes - utilization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Disabled Persons - statistics & numerical data</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Home Nursing - utilization</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health care policy</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health economics</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Long term health care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Disabled people</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Effectiveness studies</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Home health care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health care expenditures</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bakx, Pieter</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Doorslaer, Eddy</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Koopmanschap, Marc</subfield><subfield code="4">oth</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Health economics</subfield><subfield code="d">Chichester : Wiley-Blackwell, 1992</subfield><subfield code="g">24(2015), Seite 18-31</subfield><subfield code="w">(DE-627)170982289</subfield><subfield code="w">(DE-600)1135838-5</subfield><subfield code="w">(DE-576)052841952</subfield><subfield code="x">1057-9230</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:24</subfield><subfield code="g">year:2015</subfield><subfield code="g">pages:18-31</subfield></datafield><datafield tag="856" ind1="4" ind2="1"><subfield code="u">http://dx.doi.org/10.1002/hec.3114</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">http://onlinelibrary.wiley.com/doi/10.1002/hec.3114/abstract</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">http://www.ncbi.nlm.nih.gov/pubmed/25760580</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">http://search.proquest.com/docview/1664324654</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_OLC</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-WIW</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-DE-84</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_26</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4219</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">24</subfield><subfield code="j">2015</subfield><subfield code="h">18-31</subfield></datafield></record></collection>
|
score |
7.4009037 |