Costs and benefits of home care for the elderly versus residential care: a comparison using propensity scores

A comparison of the costs of residential care and home care shows that the former is more expensive for society. However, elderly people seem to be happier in residential care. All stakeholders, except the state (and thus the taxpayer), benefit if elderly people enter residential care. This reveals...

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Bibliographic Details
Published in:The European journal of health economics 2015-03, Vol.16 (2), p.119-131
Main Authors: Kok, Lucy, Berden, Caroline, Sadiraj, Klarita
Format: Article
Language:English
Subjects:
Activities of Daily Living
Age Factors
Aged
Aged, 80 and over
Caregivers
Cost benefit analysis
Costs
Dementia
Economic Policy
Educational Status
Expenditures
Female
Fractures
Happiness
Health Care Management
Health Economics
Health Status
Hip joint
Home Care Services - economics
Home health care
Home ownership
Homes for the Aged - economics
Humans
Institutionalization - economics
Literature reviews
Long term health care
Male
Medicine
Medicine & Public Health
Middle Aged
Mobility Limitation
Needs analysis
Netherlands
Nursing homes
Nursing Homes - economics
Older people
Original Paper
Patient Acceptance of Health Care
Pharmacoeconomics and Health Outcomes
Polls & surveys
Propensity Score
Public Finance
Public Health
Quality of Life
Sex Factors
Statistical analysis
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Summary:A comparison of the costs of residential care and home care shows that the former is more expensive for society. However, elderly people seem to be happier in residential care. All stakeholders, except the state (and thus the taxpayer), benefit if elderly people enter residential care. This reveals that payment systems in the Netherlands contain adverse incentives stimulating entry into residential care. The research is based on surveys of older people in the Netherlands living at home and those living in residential care homes in the period 2007-2009. Propensity score matching is used to match people living at home with those living in residential care. All costs of living and health care are compared for these two groups.
ISSN:1618-7598
1618-7601
DOI:10.1007/s10198-013-0557-1