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Determinants of received long-term care – Individual responses to regional nursing home provisions
Authors:Adam Pilny  Magdalena A Stroka
Institution:1.Rheinisch-Westf?lisches Institut für Wirtschaftsforschung,Essen,Germany;2.Ruhr Graduate School in Economics,Ruhr-University Bochum,Bochum,Germany;3.Ruhr-University Bochum,Bochum,Germany;4.WINEG - Scientific Institute of TK for Benefit and Efficiency in Health Care,Hamburg,Germany
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.
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