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Related Experiment Videos

Expectations among the elderly about nursing home entry.

R C Lindrooth1, T J Hoerger, E C Norton

  • 1Institute for Health Services Research and Policy Studies, Northwestern University, Evanston, IL 60208-4170, USA.

Health Services Research
|December 29, 2000
PubMed
Summary

Individuals

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Area of Science:

  • Gerontology
  • Health Economics
  • Sociology

Background:

  • Understanding factors influencing nursing home entry is crucial for healthcare planning and policy.
  • Accurate expectations of nursing home entry are vital for individuals planning for long-term care needs.

Purpose of the Study:

  • To determine if the factors predicting expectations of nursing home entry align with the characteristics of actual nursing home entrants.
  • To investigate whether individuals accurately perceive their risk of entering a nursing home.

Main Methods:

  • Utilized data from Waves 1 and 2 of the Assets and Health Dynamics Among the Oldest Old (AHEAD) survey.
  • Employed an instrumental variables and generalized least squares (IV-GLS) method to model expectations of nursing home entry.
  • Included variables such as bequest expectations, longevity, health status, and other observed characteristics in the model.

Main Results:

  • Expectations regarding nursing home entry closely mirrored the actual probabilities of entry.
  • Key variables influencing actual nursing home entry also significantly impacted expectations.
  • Medicaid subsidies appeared to have minimal impact on expectations of nursing home entry across different asset quartiles.

Conclusions:

  • Expectations of future nursing home entry are consistent with the profiles of individuals who actually enter nursing homes.
  • The study does not support the hypothesis that underestimating nursing home entry risk contributes to low uptake of long-term care insurance.

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