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

Author

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  • Adam Pilny

    (Rheinisch-Westfälisches Institut für Wirtschaftsforschung
    Ruhr-University Bochum)

  • Magdalena A. Stroka

    (Rheinisch-Westfälisches Institut für Wirtschaftsforschung
    Ruhr-University Bochum
    WINEG - Scientific Institute of TK for Benefit and Efficiency in Health Care)

Abstract

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.

Suggested Citation

  • Adam Pilny & Magdalena A. Stroka, 2016. "Determinants of received long-term care – Individual responses to regional nursing home provisions," Health Care Management Science, Springer, vol. 19(4), pages 326-337, December.
    • Handle: RePEc:kap:hcarem:v:19:y:2016:i:4:d:10.1007_s10729-015-9333-3
    DOI: 10.1007/s10729-015-9333-3
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    References listed on IDEAS

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    Cited by:

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    2. Song, Shan & Wang, De & Zhu, Wei & Wang, Can, 2020. "Study on the spatial configuration of nursing homes for the elderly people in Shanghai: Based on their choice preference," Technological Forecasting and Social Change, Elsevier, vol. 152(C).
    3. Matthias Firgo & Klaus Nowotny & Alexander Braun, 2017. "Austria 2025 – Informal, Formal, or Both? Assessing the Drivers of Home Care Utilisation in Austria Using a Simultaneous Decision Framework," WIFO Studies, WIFO, number 59741.

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