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LOS(T) in long-term care: Empirical evidence from German data 2000-2009

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  • Häcker, Jasmin
  • Hackmann, Tobias

Abstract

Using microdata, i.e. 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 thus rejecting 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 meddling.

Suggested Citation

  • Häcker, Jasmin & Hackmann, Tobias, 2010. "LOS(T) in long-term care: Empirical evidence from German data 2000-2009," FZG Discussion Papers 43, University of Freiburg, Research Center for Generational Contracts (FZG).
    • Handle: RePEc:zbw:fzgdps:43
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    References listed on IDEAS

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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.
    2. France Weaver & Sally C. Stearns & Edward C. Norton & William Spector, 2009. "Proximity to death and participation in the long‐term care market," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 867-883, August.
    3. Office of Health Economics, 2007. "The Economics of Health Care," For School 001490, Office of Health Economics.
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    More about this item

    Keywords

    ageing; proximity to death; long-term care; length of stay;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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