+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Who will become my co-residents? The role of attractiveness of institutional care in the changing demand for long-term care institutions

Who will become my co-residents? The role of attractiveness of institutional care in the changing demand for long-term care institutions

Archives of Gerontology and Geriatrics 81: 91-97

In several OECD countries the percentage of people over 80 in LTC institutions has been declining for more than a decade, despite population ageing. The standard model to explain healthcare utilization, the Andersen model, cannot explain this trend. We extend the Andersen model by including proxies for the relative attractiveness of community living compared to institutional care. Using longitudinal data on long-term care use in the Netherlands from 1996 to 2012, we examine to what extent a decline in institutional care is associated with changes in perceived attractiveness of institutional LTC care compared to community living. With a Blinder-Oaxaca decomposition regression, we decomposed the difference in admission to LTC institutions between the period 1996-1999 and 2009-2012 into a part that accounts for differences in predictors of the Andersen model and an "unexplained" part, and investigate whether the perceived attractiveness of institutional care reduces the size of the unexplained part. We find that factors related to the perceived attractiveness of institutional care compared to community living explains 12.8% of the unexplained negative time trend in admission rates over the total period (1996-2012), and 19.1-19.2% over shorter time frames. Our results show that changes in the perceived attractiveness of institutional LTC may explain part of the decline in demand for institutional care. Our findings imply that policies to encourage community living may have a self-reinforcing effect.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 065989429

Download citation: RISBibTeXText

PMID: 30529804

DOI: 10.1016/j.archger.2018.11.014

Related references

Planning the restructuring of long-term care: the demand, need and provision of institutional long-term care beds in Newfoundland and Labrador. Healthcare Management Forum 21(2): 6, 2008

Nutritional Care Needs in Elderly Residents of Long-Term Care Institutions: Potential Implications for Policies. Journal of Nutrition, Health and Aging 19(9): 947-954, 2016

Supply and demand for long-term care services from the perspective of leaders of health care institutions. Reumatologia 53(5): 252-259, 2015

Demand for and access to institutional long-term care: the role of Medicaid in nursing home markets. Inquiry 33(1): 15-29, 1996

Changing the culture of long-term care through narrative care: Individual, interpersonal, and institutional dimensions. Journal of Aging Studies 40: 44-48, 2017

A longitudinal study of elderly residents of long-stay institutions: I. Early response to institutional care. Gerontologist 18(3): 281-292, 1978

Assessing time use in long-term institutional care: development, validity and inter-rater reliability of the Groningen Observational instrument for Long-Term Institutional Care (GO-LTIC). Bmc Nursing 15: 13, 2016

Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care. European Journal of Ageing 12(2): 95-104, 2014

Management of sexual relationships among elderly residents of long-term care facilities. What happens when a sexual relationship begins between two elderly residents in a long-term care facility? Why do few nurses in long-term care facilities deal effectively with this situation?. Geriatric Nursing 13(6): 308-311, 1992

Long-term care: changing demographics, changing residents. Consultant Pharmacist 21(1): 14-6, 21-4, 26-8, 2006

The health of elderly residents in long term care institutions in New Zealand. New Zealand Medical Journal 112(1099): 427-429, 2000

Use of antipsychotics among nonagenarian residents in long-term institutional care in Finland. Age and Ageing 35(5): 508-513, 2006

The prevalence of problem behaviour in elderly residents of long term care institutions. Canadian Journal of Public Health 80(4): 302-303, 1989

Assessment of the level of independence of elderly residents in long-term care institutions. Revista Da Escola de Enfermagem Da U S P 41(3): 378-385, 2007

Predictors of regular exercise among older residents of long-term care institutions. International Journal of Nursing Practice 22(3): 239-246, 2017