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The use of long‐term care services by the Dutch elderly

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  • France Portrait
  • Maarten Lindeboom
  • Dorly Deeg

Abstract

The main focus of this paper is the development of an appropriate framework to characterize the process of long‐term care utilization by the Dutch elderly. Three broad categories of care services are considered, namely, informal care, formal care at home, and institutional care. The use of these care alternatives is modelled jointly, and stochastic dependence is allowed between the various care options. Special attention is given to the concept of health status and to the potential endogeneity of this variable in the model. We apply a flexible non‐parametric method to summarize the multidimensional concept of health status into a limited set of interpretable indices. The model is applied on the Longitudinal Ageing Study Amsterdam (LASA). We find strong effects of health status, gender, socio‐economic variables, and prices on the utilization of long‐term care services. Copyright © 2000 John Wiley & Sons, Ltd.

Suggested Citation

  • France Portrait & Maarten Lindeboom & Dorly Deeg, 2000. "The use of long‐term care services by the Dutch elderly," Health Economics, John Wiley & Sons, Ltd., vol. 9(6), pages 513-531, September.
    • Handle: RePEc:wly:hlthec:v:9:y:2000:i:6:p:513-531
    DOI: 10.1002/1099-1050(200009)9:6<513::AID-HEC534>3.0.CO;2-R
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    1. Liliana E. Pezzin & Peter Kemper & James Reschovsky, 1996. "Does Publicly Provided Home Care Substitute for Family Care? Experimental Evidence with Endogenous Living Arrangements," Journal of Human Resources, University of Wisconsin Press, vol. 31(3), pages 650-676.
    2. Gary Chamberlain, 1980. "Analysis of Covariance with Qualitative Data," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 47(1), pages 225-238.
    3. France Portrait & Maarten Lindeboom & Dorly Deeg, 1999. "Health and mortality of the elderly: the grade of membership method, classification and determination," Health Economics, John Wiley & Sons, Ltd., vol. 8(5), pages 441-458, August.
    4. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
    5. Mundlak, Yair, 1978. "On the Pooling of Time Series and Cross Section Data," Econometrica, Econometric Society, vol. 46(1), pages 69-85, January.
    6. Norton, Edward C., 2000. "Long-term care," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 17, pages 955-994, Elsevier.
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    1. Jan Rouwendal, 2009. "Housing Wealth and Household Portfolios in an Ageing Society," De Economist, Springer, vol. 157(1), pages 1-48, March.
    2. Thomas Barnay & Sandrine Juin, 2014. "Does care to dependent elderly people living at home increase their mental health?," TEPP Working Paper 2014-06, TEPP.
    3. Schulz, Erika & Leidl, Reiner & Konig, Hans-Helmut, 2004. "The impact of ageing on hospital care and long-term care--the example of Germany," Health Policy, Elsevier, vol. 67(1), pages 57-74, January.
    4. David C. Grabowski & Edward C. Norton, 2012. "Nursing Home Quality of Care," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 29, Edward Elgar Publishing.
    5. Sergi Jiménez-Martín & Cristina Vilaplana Prieto, 2015. "Do Spanish Informal Caregivers Come to the Rescue of Dependent People with Formal Care Unmet Needs?," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 37(2), pages 243-259.
    6. Herbert J A Rolden & David van Bodegom & Rudi G J Westendorp, 2014. "Changes in Health Care Expenditure after the Loss of a Spouse: Data on 6,487 Older Widows and Widowers in the Netherlands," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-17, December.
    7. Alain Paraponaris & Bérengère Davin & Pierre Verger, 2012. "Formal and informal care for disabled elderly living in the community: an appraisal of French care composition and costs," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 327-336, June.
    8. Barnay, Thomas & Juin, Sandrine, 2016. "Does home care for dependent elderly people improve their mental health?," Journal of Health Economics, Elsevier, vol. 45(C), pages 149-160.
    9. Portrait, France & Krabbe-Alkemade, Yvonne & Budding, Tjerk & Canoy, Marcel, 2023. "Passing on the hot potato. Dutch municipalities under financial pressure have incentives to shift the costs of social care for older people to the central government," Health Policy, Elsevier, vol. 137(C).
    10. Govert E Bijwaard & Rob Alessie & Viola Angelini & L H Lumey, 2021. "Physical and psychological health at adolescence and home care use later in life," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-15, December.
    11. Heger, Dörte & Korfhage, Thorben, 2016. "Care choices in Europe: To each according to his needs?," Ruhr Economic Papers 649, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    12. Brenda Gannon & Bérengère Davin, 2010. "Use of formal and informal care services among older people in Ireland and France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(5), pages 499-511, October.
    13. Marangos, Anna Maria & Waverijn, Geeke & de Klerk, Mirjam & Iedema, Jurjen & Groenewegen, Peter P., 2018. "Influence of municipal policy and individual characteristics on the use of informal and formal domestic help in the Netherlands," Health Policy, Elsevier, vol. 122(7), pages 791-796.
    14. Maaike Diepstraten & Rudy Douven & Bram Wouterse, 2019. "Can your house keep you out of a nursing home?," CPB Discussion Paper 397, CPB Netherlands Bureau for Economic Policy Analysis.
    15. Peña-Longobardo, L.M. & Rodríguez-Sánchez, B. & Oliva-Moreno, J., 2021. "The impact of widowhood on wellbeing, health, and care use: A longitudinal analysis across Europe," Economics & Human Biology, Elsevier, vol. 43(C).
    16. Wouterse, Bram & Huisman, Martijn & Meijboom, Bert R. & Deeg, Dorly J.H. & Polder, Johan J., 2013. "Modeling the relationship between health and health care expenditures using a latent Markov model," Journal of Health Economics, Elsevier, vol. 32(2), pages 423-439.
    17. Maaike Diepstraten & Rudy Douven & Bram Wouterse, 2019. "Can your house keep you out of a nursing home?," CPB Discussion Paper 397.rdf, CPB Netherlands Bureau for Economic Policy Analysis.
    18. Paul McNamee, 2004. "A comparison of the grade of membership measure with alternative health indicators in explaining costs for older people," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 379-395, April.

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