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Dementia vs. somatic conditions in the German LTC-system: A longitudinal analysis

Author

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  • Ehing, Daniel
  • Hagist, Christian

Abstract

This paper analyzes prevalence and incidence rates as well as survival times for people above the age of 60 years with a dementia disorder and/or a long-term care status. Using claim data from a social sickness funds in Germany (AOK-Plus), we show that there exists a with age increasing gap between the prevalence of women and men for both fields of study. This discrepancy cannot be explained completely by our estimated incidence rates and is caused by different survival times in long-term care and dementia. In long-term care 50 percent of all women (men) are dead after 44 (25) months, whereas about 57 (49) percent of all women (men) with dementia are alive after the end of our 48 month long observation period. The lower mortality of people with dementia is mainly explained by a large share of people who are not eligible for the German long-term care system. Estimating several cox models shows that the hazard of dying in long-term care increases with age and care level. However younger people with a dementia disorder show lower mortality rates in long-term care than their respective peer group without dementia. Looking at the present value of all long-term care costs for people with and without a dementia diagnosis, we find total average costs of 68,600 (44,857) Euro for women (men) without dementia. Due to their extended stay in nursing home care, women (men) with dementia are more expensive (80,201 (49,793) Euro).

Suggested Citation

  • Ehing, Daniel & Hagist, Christian, 2015. "Dementia vs. somatic conditions in the German LTC-system: A longitudinal analysis," FZG Discussion Papers 56, University of Freiburg, Research Center for Generational Contracts (FZG).
    • Handle: RePEc:zbw:fzgdps:56
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    File URL: https://www.econstor.eu/bitstream/10419/108976/1/820808326.pdf
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    References listed on IDEAS

    as
    1. Neubauer, Sarah & Zeidler, Jan & Lange, Ansgar & Graf von der Schulenburg, J.-Matthias, 2014. "Grundlagen und Methoden von GKV-Routinedatenstudien," Hannover Economic Papers (HEP) dp-534, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    2. Christian Hagist & Daniel Ehing & Tobias Saal, 2014. "Pflegeverläufe im Spiegel von Routinedaten der GKV - Eine Analyse für die Jahre 2003 bis 2010," WHU Working Paper Series - Economics Group 14-01, WHU - Otto Beisheim School of Management.
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    Cited by:

    1. Ehing, Daniel, 2015. "Marktversagen auf dem geförderten Pflegezusatzversicherungsmarkt? Ergebnisse einer Simulationsanalyse auf Basis von Routinedaten der GKV," FZG Discussion Papers 58, University of Freiburg, Research Center for Generational Contracts (FZG).

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    More about this item

    Keywords

    dementia; long-term care; incidence rate; prevalence rate; survival analysis; costs of long-term care;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions

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