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Nursing Homes and Mortality in Europe: Uncertain Causality

Xavier Flawinne, Mathieu Lefebvre, Sergio Perelman, Pierre Pestieau and Jerome Schoenmaeckers

No 9572, CESifo Working Paper Series from CESifo

Abstract: The current health crisis has particularly affected the elderly population. Nursing homes have unfortunately experienced a relatively large number of deaths. On the basis of this observation and working with European data (from SHARE), we want to check whether nursing homes were lending themselves to excess mortality even before the pandemic. Controlling for a number of important characteristics of the elderly population in and outside nursing homes, we conjecture that the difference in mortality between those two samples is to be attributed to the way nursing homes are designed and organised. Using matching methods, we observe excess mortality in Belgium, France, Germany Luxembourg, Switzerland, Estonia and Czech Republic but no statistically significant excess mortality in Sweden, the Netherlands, Denmark, Austria, Italy or Spain. This raises the question of the organisation and management of these nursing homes, but also of their design and financing.

Keywords: nursing homes; mortality; propensity score matching; SHARE (search for similar items in EconPapers)
JEL-codes: C21 I10 J14 (search for similar items in EconPapers)
Date: 2022
New Economics Papers: this item is included in nep-age and nep-hea
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https://www.cesifo.org/DocDL/cesifo1_wp9572.pdf (application/pdf)

Related works:
Journal Article: Nursing homes and mortality in Europe: Uncertain causality (2023) Downloads
Working Paper: Nursing homes and mortality in Europe: Uncertain causality (2023) Downloads
Working Paper: Nursing homes and mortality in Europe: Uncertain causality (2023) Downloads
Working Paper: Nursing Homes and Mortality in Europe: Uncertain Causality (2022) Downloads
Working Paper: Nursing homes and mortality in Europe: Uncertain causality (2022)
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