Determinants of received long-term care – Individual responses to regional nursing home provisions

Existing literature analyzing the choice of received long-term care by frail elderly (65+ years) predominantly focuses on physical and psychological conditions of elderly people as factors that influence the decision for a particular type of care. Until now, however, the regional in-patient long-ter...

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Bibliographic Details
Published in:Health care management science 2016-12, Vol.19 (4), p.326-337
Main Authors: Pilny, Adam, Stroka, Magdalena A.
Format: Article
Language:English
Subjects:
Activities of daily living
Age Factors
Aged
Aged, 80 and over
Business and Management
Choice Behavior
Decision Making
Econometrics
Expenditures
Families & family life
Female
Frailty
Germany
Health Administration
Health Informatics
Health insurance
Health Services - utilization
Health Services Research
Health Status
Homes for the Aged - statistics & numerical data
Humans
Long term care insurance
Long term health care
Long-Term Care - statistics & numerical data
Male
Management
Mental Health
Models, Econometric
Nursing homes
Nursing Homes - statistics & numerical data
Older people
Operations Research/Decision Theory
Sex Factors
Socioeconomic factors
Statistical data
Supply
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Summary:Existing literature analyzing the choice of received long-term care by frail elderly (65+ years) predominantly focuses on physical and psychological conditions of elderly people as factors that influence the decision for a particular type of care. Until now, however, the regional in-patient long-term care supply has been neglected as influential factor in this decision-making process. In this study, we analyze the determinants of received long-term care in Germany by explicitly taking the regional supply of nursing homes into account. We estimate a multinomial probit model to illustrate this decision-making process. Therefore, within this discrete choice setting we distinguish between all available types of long-term care in Germany, i.e. four different types of formal and informal care provision. We find that the decision for long-term in-patient care is significantly correlated with the regional supply of nursing home beds, while controlling for physical and psychological conditions of the individual.
ISSN:1386-9620
1572-9389
DOI:10.1007/s10729-015-9333-3