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Identifying elderly individuals suitable for homecare is crucial for reducing institutional care. Approximately 11-20% of institutionalized elderly could transition to homecare, particularly those with fewer disabilities and higher socioeconomic status.

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Area of Science:

  • Gerontology
  • Public Health Policy
  • Healthcare Management

Background:

  • Government initiatives aim to shift elderly care from institutional settings to home-based services.
  • Identifying suitable candidates for homecare is essential for effective resource allocation and improved quality of life for the elderly.
  • Current institutional care models may not be optimal for all elderly individuals with disabilities.

Purpose of the Study:

  • To identify characteristics of elderly individuals in institutional care who are realistic candidates for homecare.
  • To provide a data-driven approach for policymakers and healthcare providers to facilitate the transition to homecare.
  • To inform strategies for decreasing the number of elderly with disabilities in institutional care.

Main Methods:

  • Utilized data from two Dutch surveys: Amenities and Services Utilization Survey (AVO'07) and Elderly in Institutions (OII'08).
  • Employed a regression model to analyze care utilization based on individual characteristics.
  • Predicted the probability of using specific care types for elderly individuals.

Main Results:

  • Between one-ninth and one-fifth of elderly individuals in institutional care share characteristics with homecare users.
  • These potential homecare candidates are typically younger, more educated, have higher incomes, and fewer disabilities compared to other institutionalized elderly.
  • The prevalence of dementia is notably lower in this subgroup, suggesting suitability for non-institutionalized care settings.

Conclusions:

  • A significant portion of elderly individuals in institutional care could potentially be managed with homecare services, such as domestic help, personal care, and nursing.
  • Policy and practice should focus on identifying and supporting this group for a transition to homecare.
  • Institutional care must remain a viable and necessary option for elderly individuals with complex needs or those for whom institutional settings are more appropriate and efficient.