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
Gespeichert in:
| Autor*in: |
Meijer, Claudine [verfasserIn] |
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| Format: |
Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Rechteinformationen: |
Nutzungsrecht: Copyright © 2015 John Wiley & Sons, Ltd. |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Health economics - Chichester : Wiley-Blackwell, 1992, 24(2015), Seite 18-31 |
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| Übergeordnetes Werk: |
volume:24 ; year:2015 ; pages:18-31 |
| Links: |
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| DOI / URN: |
10.1002/hec.3114 |
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| 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. | ||
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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 |
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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 |
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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 |
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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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Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
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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. Copyright © 2015 John Wiley & Sons, Ltd. |
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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. Copyright © 2015 John Wiley & Sons, Ltd. |
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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. Copyright © 2015 John Wiley & Sons, Ltd. |
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Explaining Declining Rates of Institutional LTC Use in the Netherlands: A Decomposition Approach |
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