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Transitions Between Care Provisions Demanded by Dutch Elderly

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Abstract

We follow people who are considered eligible for an elderly care provision. Through the estimation of a duration model we determine when they can be expected to express demand for another care provision. Data are drawn from the registrations of needs assessment agencies in the Netherlands. Main findings: Age positively effects the probability of a reassessment if initially care at home was assessed. Living alone, access to informal care, and applications initiated by professionals increase transition probabilities. Also initial applications for care at home due to dementia are more likely to be followed by a quick reassessment. The results can aid assessment agencies to set validity terms of assessments, and in planning future supply of services.

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References

  1. J. Abbring and G.J. van den Berg, The unobserved heterogeneity distribution in duration analysis, mimeo, Free University, Amsterdam, (2001).

    Google Scholar 

  2. E.J. Bauer, Transitions from home to nursing home in a capitated long-term care program: The role of individual support systems, Health Services Research 31 (1996) 309–326 .

    ISI  Google Scholar 

  3. J. Bradshaw, The concept of social need, in: Planning for Social Welfare, Issues, Models and Tasks, eds. Neil Gilbert and Harry Specht (Prentice Hall, Englewood Cliffs, 1977) 290–296.

  4. A. De Boer, Josette Hessing-Wagner, Mirjam de Klerk and Sjoerd Kooiker, Take-up of services and care provisions, in: Report on the Elderly in the Netherlands, eds. Mirjam de Klerk (Sociaal en Cultureel Planbureau, The Hague, 2001) 167–211.

  5. S. Diwan, C. Berger, and E.K. Manns, Composition of the home care service package: predictors of type, volume, and mix of services provided to poor and frail older people, The Gerontologist 37 (1997) 169–181.

    Google Scholar 

  6. B.E. Fries, L. Shugarman, J.N. Morris, S.E. Simon and M. James, A screening system for Michigan's home and community based long-term care programs, The Gerontologist 42 (2002) 462–474.

    Google Scholar 

  7. V.L. Greene, Mary E. Lovely and J.I. Ondrich, Do community-based, long-term-care services reduce nursing home use? A transition probability analysis, Journal of Human Resources 28 (1992) 297–317.

    ISI  Google Scholar 

  8. Michael Grossman, On the concept of health capital and the demand for health, Journal of Political Economy 80 (1972) 223–255.

    ISI  Google Scholar 

  9. J. Heckman and B. Singer, A method for minimizing the impact of distributional assumptions in econometric models for duration data, Econometrica 52 (1984) 271–320.

    ISI  Google Scholar 

  10. Richard A. Hirth, Jane C. Banaszak-Holl, and John F. McCarthy, Nursing home-to-nursing home transfers. prevalence, time pattern, and resident correlates, Medical Care 38 (2001) 660–669.

    ISI  Google Scholar 

  11. Frederike Jörg, Objectivity in individual needs assessment for access to long-term care, PhD-dissertation Utrecht University (Fac. of Medicine) (2003).

  12. T. Lancaster, The Econometric Analysis of Transition Data (Cambridge University Press, Cambridge, 1990).

    Google Scholar 

  13. Maarten Lindeboom, Empirical duration models for the labour market, PhD-dissertation Tinbergen Instituut/Rijksuniversiteit Leiden (Tinbergen Institute Research Series no. 30) (1992).

  14. Maarten Lindeboom and Marcel Kerkhofs, Multistate models for clustered duration data. An application to workplace effects on individual sickness absenteeism, Review of Economics and Statistics 82 (2000) 668–684.

    Google Scholar 

  15. E.A. Miller, and W.G. Weissert, Predicting elderly people's risk for nursing home placement, hospitalization, functional impairment, and mortality: A synthesis, Medical Care Research and Review 57 (2000) 259–297.

    ISI  Google Scholar 

  16. Ministry of Health, Analyse Landelijke inventarisatie Wachtlijstgegevens verpleging en verzorging 1 maart 2001, The Hague: Ministry of Health, Taskforce Wachtlijsten (2001).

  17. Shirley A. Morris, Sylvia Sherwood, and John N. Morris, A dynamic model for explaining changes in use of IADL/ADL care in the community, Journal of Health and Social Behavior 37 (1996) 91–103.

    ISI  Google Scholar 

  18. E.C. Norton, Long-term care, in: Handbook of Health Economics, eds. A.J. Culyer and J.P. Newhouse, vol. 1, (Elsevier Science BV, 2000).

  19. France R.M. Portrait, Long-term care services for the Dutch elderly. An investigation into the process of utilization, PhD-dissertation Tinbergen Instituut/Vrije Universiteit Amsterdam (Tinbergen Institute Research Series no. 237) (2000).

  20. Helena Temkin-Greener and Mark R. Meiners, Transitions in long-term care, The Gerontologist 35 (1995) 196–206.

    Google Scholar 

  21. Crétien Van Campen and Edwin van Gameren, Vragen om hulp. Vraagmodel verpleging en verzorging, Research report nr. 2003/6, The Hague: Sociaal en Cultureel Planbureau. [in Dutch; Demand for elderly care services] (2003).

  22. Crétien Van Campen and Edwin van Gameren, Eligibility for long-term care in the Netherlands: Development of a decision support system, Health and Social Care in the Community 13 (2005) 287–296.

    Article  Google Scholar 

  23. Crétien Van Campen and Isolde Woittiez, Client demands and the allocation of home care in the Netherlands. A multinomial logit model of client types, Health Policy 64 (2003) 229–241.

    ISI  Google Scholar 

  24. Gerard J. Van den Berg (2001), Duration models: Specification, identification, and multiple durations in: Handbook of Econometrics (eds.) J.J. Heckman and E. Leamer vol. V, 3381–3460.

  25. Edwin Van Gameren, Isolde Woittiez and Ingrid Ooms, Verslaglegging van de modellering van de ouderenzorg ten behoeve van het ramingsmodel zorg, SCP-Werkdocument no. 78, The Hague: Sociaal en Cultureel Planbureau. [in Dutch; Reporting of the modeling of the elderly care services, as a contribution to the Macro Projections Model of the Dutch Health Sector] (2001).

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Van Gameren, E., Woittiez, I. Transitions Between Care Provisions Demanded by Dutch Elderly. Health Care Manage Sci 8, 299–313 (2005). https://doi.org/10.1007/s10729-005-4140-x

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  • DOI: https://doi.org/10.1007/s10729-005-4140-x

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