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Los(T) In Long‐Term Care: Empirical Evidence From German Data 2000–2009

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  • Jasmin Häcker
  • Tobias Hackmann

Abstract

Using microdata, that is, representative samples of 114,403 German long‐term care dependants (LTCDs) observed from 2000 to 2009, we give a comprehensive insight into the length of stay (LOS) in long‐term care (LTC). Furthermore, this paper evaluates the effects of longevity on the LOS, thus revisiting the debate on the validity of the competing theories of compression or expansion of morbidity in LTC. The analysis finds significant effects on the LOS when AGE is controlled for, albeit do not confirm the time‐to‐death hypothesis. However, controlling for ASSESSMENT LEVEL suggests an improved health status of LTCDs over time, thus supporting the time‐to‐death hypothesis. An analysis of the mortality rates of LTCDs is to give insight into the opposing results. But the regression of mortality shows a divergence in the development of mortality rates for different disability levels. This is evidence to suggest that the ‘improved’ health status in LTC is not only due to actual changes in the health status, but also a consequence of political intervention. Copyright © 2011 John Wiley & Sons, Ltd.

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  • Jasmin Häcker & Tobias Hackmann, 2012. "Los(T) In Long‐Term Care: Empirical Evidence From German Data 2000–2009," Health Economics, John Wiley & Sons, Ltd., vol. 21(12), pages 1427-1443, December.
    • Handle: RePEc:wly:hlthec:v:21:y:2012:i:12:p:1427-1443
    DOI: 10.1002/hec.1805
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    1. Andreas Werblow & Stefan Felder & Peter Zweifel, 2007. "Population ageing and health care expenditure: a school of ‘red herrings’?," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1109-1126, October.
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    3. Andreas Werblow & Stefan Felder & Peter Zweifel, 2007. "Population ageing and health care expenditure: a school of 'red herrings'?," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1109-1126.
    4. Christian Salas & James P. Raftery, 2001. "Econometric issues in testing the age neutrality of health care expenditure," Health Economics, John Wiley & Sons, Ltd., vol. 10(7), pages 669-671, October.
    5. de Meijer C & Koopmanschap M & Bago d & Uva T & van Doorslaer E, 2009. "Time To Drop Time-To-Death? –Unravelling The Determinants of LTC Spending In The Netherlands," Health, Econometrics and Data Group (HEDG) Working Papers 09/33, HEDG, c/o Department of Economics, University of York.
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    1. Diederich, Freya & König, Hans-Helmut & Brettschneider, Christian, 2021. "A longitudinal perspective on inter vivos transfers between children and their parents in need of long-term care," The Journal of the Economics of Ageing, Elsevier, vol. 19(C).
    2. Sugawara, Shinya & Nakamura, Jiro, 2014. "Can formal elderly care stimulate female labor supply? The Japanese experience," Journal of the Japanese and International Economies, Elsevier, vol. 34(C), pages 98-115.

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