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Dementia, home care and institutionalisation from hospitals in older people

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  • Feifei Bu

    (University of Stirling)

  • Alasdair Rutherford

    (University of Stirling)

Abstract

This study examines the relationship between dementia and institutionalisation directly after hospital discharges in older people and explores potential mediators of the association. Our analyses are based on linked Scottish administrative health and social care data, including 79,983 hospital stays for 43,753 patients aged 65 or over. Our results show that dementia patients are more likely to be discharged to care institutions compared with non-dementia patients (odds ratio = 17). Further analyses reveal that this can be partially explained by the fact that dementia patients are more likely to have injury-related admissions and long hospital stays. This indirect effect accounts for around 6% of the total effect. We also investigate the effect of receiving home care, finding no evidence that it influences the likelihood of institutionalisation from hospitals in older people.

Suggested Citation

  • Feifei Bu & Alasdair Rutherford, 2019. "Dementia, home care and institutionalisation from hospitals in older people," European Journal of Ageing, Springer, vol. 16(3), pages 283-291, September.
    • Handle: RePEc:spr:eujoag:v:16:y:2019:i:3:d:10.1007_s10433-018-0493-0
    DOI: 10.1007/s10433-018-0493-0
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    References listed on IDEAS

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    1. Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
    2. Charles, Kerwin Kofi & Sevak, Purvi, 2005. "Can family caregiving substitute for nursing home care?," Journal of Health Economics, Elsevier, vol. 24(6), pages 1174-1190, November.
    3. Ulrich Kohler & Kristian Bernt Karlson & Anders Holm, 2011. "Comparing coefficients of nested nonlinear probability models," Stata Journal, StataCorp LP, vol. 11(3), pages 420-438, September.
    4. Bonsang, Eric, 2009. "Does informal care from children to their elderly parents substitute for formal care in Europe?," Journal of Health Economics, Elsevier, vol. 28(1), pages 143-154, January.
    5. Wolfgang Lutz & Warren Sanderson & Sergei Scherbov, 2008. "The coming acceleration of global population ageing," Nature, Nature, vol. 451(7179), pages 716-719, February.
    6. David P. Mackinnon & James H. Dwyer, 1993. "Estimating Mediated Effects in Prevention Studies," Evaluation Review, , vol. 17(2), pages 144-158, April.
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