不正式的护理是否会推迟老人院的入住? 来自荷兰相关调查和行政数据的证据
Julien Bergeot1, Marianne Tenand2
1Department of Economics, Ca'Foscari University of Venice, Italy.
Journal of health economics
|November 1, 2023
概括
非正式的护理可以增加严重限制的人的养老院入院,但可能会降低轻度限制的成本. 这种护理还可以减少医院使用,而不会增加死亡率,提供健康益处.
科学领域:
- 老年学是指老年学的学科.
- 卫生经济学 卫生经济学
- 卫生社会学 卫生社会学
背景情况:
- 养老院过渡是老年护理的一个关键方面.
- 现有的关于非正式护理影响的研究是有限的,通常以美国为中心.
- 了解非正式护理在制度化和成本方面的作用对于医疗保健政策至关重要.
研究的目的:
- 调查非正式照顾对养老院过渡的影响.
- 分析非正式护理对医疗保健成本和利用的影响.
- 检查非正式护理与死亡率之间的关联.
主要方法:
- 利用了来自荷兰的相关调查和行政数据.
- 使用儿童的性别组合作为收到非正式照顾的工具变量.
- 分析了不同程度的功能限制个体的数据.
主要成果:
- 非正式的护理增加了严重功能限制的个人的养老院入院概率.
- 对于那些有轻度限制的人来说,非正式的护理降低了总的护理成本.
- 非正式护理导致急性后和医院护理使用减少,死亡率没有增加.
结论:
- 非正式的护理并没有系统地降低制度化率或整体成本.
- 然而,非正式的护理可以为接受者提供显著的健康益处.
- 政策影响表明,促进非正式护理的细微方法.
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