IDEAS home Printed from https://ideas.repec.org/a/spr/eujoag/v22y2025i1d10.1007_s10433-025-00840-6.html
   My bibliography  Save this article

Trajectories of long-term care entitlements in severely disabled older adults using nationwide Dutch data

Author

Listed:
  • France Portrait

    (Vrije Universiteit Amsterdam)

  • Yvonne Krabbe-Alkemade

    (Vrije Universiteit Amsterdam)

  • Trynke Hoekstra

    (Vrije Universiteit Amsterdam)

  • Kristina Thompson

    (Wageningen University & Research)

  • Hanna Rusticus

    (Vrije Universiteit Amsterdam)

Abstract

Long-term care trajectories typically vary in care types, transitions and durations. Understanding these patterns can help optimize care provision. This study aimed at (1) identifying formal long-term care trajectories of severely disabled older individuals, and (2) assessing the relationships between individual characteristics and these trajectories. Nationwide administrative data from the Centre for Care Needs Assessment were used. The sample included all 140,973 individuals older than 65 and with institutional care entitlements for somatic or psychogeriatric problems on July 1, 2015. The study period was from January 2010 to June 2019. Latent class growth analysis was performed to derive distinct care trajectories. Multinomial logistic regression analysis was used to examine the relationships between individual characteristics and these trajectories. Five trajectories were identified, varying in complexity and duration of needs in long-term care. Two were characterized by mostly mild (somatic) institutional care and three by (psychogeriatric) institutional care with increasing duration and intensity. Men and younger individuals were more likely to require intensive (psychogeriatric) institutional care. This study highlighted clear divergences among formal long-term care trajectories of severely disabled older individuals. Though less generous entitlement criteria may result in relatively lower expenditures in formal (institutional) care, they also imply increased use of alternatives, such as informal and community care. These insights can be used to tailor the provision of long-term care services in the future, and inform policy related to the financial sustainability of long-term care systems.

Suggested Citation

  • France Portrait & Yvonne Krabbe-Alkemade & Trynke Hoekstra & Kristina Thompson & Hanna Rusticus, 2025. "Trajectories of long-term care entitlements in severely disabled older adults using nationwide Dutch data," European Journal of Ageing, Springer, vol. 22(1), pages 1-15, December.
    • Handle: RePEc:spr:eujoag:v:22:y:2025:i:1:d:10.1007_s10433-025-00840-6
    DOI: 10.1007/s10433-025-00840-6
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10433-025-00840-6
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10433-025-00840-6?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:eujoag:v:22:y:2025:i:1:d:10.1007_s10433-025-00840-6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.