Proximity to death and participation in the long-term care market
dc.contributor.author | Weaver, France | en_US |
dc.contributor.author | Stearns, Sally C. | en_US |
dc.contributor.author | Norton, Edward C. | en_US |
dc.contributor.author | Spector, William | en_US |
dc.date.accessioned | 2009-08-12T15:34:21Z | |
dc.date.available | 2010-10-05T18:27:29Z | en_US |
dc.date.issued | 2009-08 | en_US |
dc.identifier.citation | Weaver, France; Stearns, Sally C.; Norton, Edward C.; Spector, William (2009). "Proximity to death and participation in the long-term care market." Health Economics 18(8): 867-883. <http://hdl.handle.net/2027.42/63535> | en_US |
dc.identifier.issn | 1057-9230 | en_US |
dc.identifier.issn | 1099-1050 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/63535 | |
dc.description.abstract | The extent to which increasing longevity increases per capita demand for long-term care depends on the degree to which utilization is concentrated at the end of life. We estimate the marginal effect of proximity to death, measured by being within 2 years of death, on the probabilities of nursing home and formal home care use, and we determine whether this effect differs by availability of informal care – i.e. marital status and co-residence with an adult child. The analysis uses a sample of elderly aged 70+from the 1993–2002 Health and Retirement Study. Simultaneous probit models address the joint decisions to use long-term care and co-reside with an adult child. Overall, proximity to death significantly increases the probability of nursing home use by 50.0% and of formal home care use by 12.4%. Availability of informal support significantly reduces the effect of proximity to death. Among married elderly, proximity to death has no effect on institutionalization. In conclusion, proximity to death is one of the main drivers of long-term care use, but changes in sources of informal support, such as an increase in the proportion of married elderly, may lessen its importance in shaping the demand for long-term care. Copyright © 2008 John Wiley & Sons, Ltd. | en_US |
dc.format.extent | 157907 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | John Wiley & Sons, Ltd. | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Epidemiology, Biostatistics and Public Health | en_US |
dc.title | Proximity to death and participation in the long-term care market | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Economics | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbsecondlevel | Statistics and Numeric Data | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Business | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.subject.hlbtoplevel | Science | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Health Management and Policy, University of Michigan, Ann Arbor, MI, USA ; Department of Economics, University of Michigan, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationother | Swiss Health Observatory, NeuchÂtel, Switzerland ; Swiss Health Observatory, Espace de l'Europe 10, 2010 NeuchÂtel, Switzerland | en_US |
dc.contributor.affiliationother | Department of Health Policy and Management, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA | en_US |
dc.contributor.affiliationother | Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Rockville, MD, USA | en_US |
dc.identifier.pmid | 18770873 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/63535/1/1409_ftp.pdf | |
dc.identifier.doi | 10.1002/hec.1409 | en_US |
dc.identifier.source | Health Economics | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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