Determinants of received long-term care – Individual responses to regional nursing home provisions

Adam Pilny and Magdalena A. Stroka ()
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Magdalena A. Stroka: Rheinisch-Westfälisches Institut für Wirtschaftsforschung

Health Care Management Science, 2016, vol. 19, issue 4, No 3, 326-337

Abstract: Abstract Existing literature analyzing the choice of received long-term care by frail elderly (65+ years) predominantly focuses on physical and psychological conditions of elderly people as factors that influence the decision for a particular type of care. Until now, however, the regional in-patient long-term care supply has been neglected as influential factor in this decision-making process. In this study, we analyze the determinants of received long-term care in Germany by explicitly taking the regional supply of nursing homes into account. We estimate a multinomial probit model to illustrate this decision-making process. Therefore, within this discrete choice setting we distinguish between all available types of long-term care in Germany, i.e. four different types of formal and informal care provision. We find that the decision for long-term in-patient care is significantly correlated with the regional supply of nursing home beds, while controlling for physical and psychological conditions of the individual.

Keywords: Informal care; Formal care; Choice of care; Administrative data; Nursing home supply; Multinomial probit model (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (3)

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DOI: 10.1007/s10729-015-9333-3

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