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Changes in admission to long-term care institutions in the Netherlands: comparing two cohorts over the period 1996–1999 and 2006–2009

Content Provider	Springer Nature Link
Author	Alders, Peter Comijs, Hannie C. Deeg, Dorly J. H.
Copyright Year	2016
Abstract	Using data from two cohorts, we examine to what extent a decline in institutional care in the Netherlands is associated with changes in the need for care and/or societal factors. We compared older adults, aged 65–89, who were admitted to a long-term care (LTC) institution in the period 1996–1999 and 2006–2009. Using the Andersen model, we tested per block of predisposing, enabling and need factors, which factors were significant predictors of admission to institutional care. With a Blinder–Oaxaca decomposition regression, we decomposed the difference in admission to an LTC institution between the period 1996–1999 and 2006–2009 into a part that is due to differences in health needs and other factors such as effect of policy, social values, and technology. Between 1996 and 2006, the percentage of co-residing partners and income increased and the average level of loneliness decreased significantly. The prevalence of disability, chronic diseases, however, increased. Whereas the care by partners declined, the formal care by professionals increased. Although the observed decline in the admission rate to institutional care was relatively small across the 10 years (from 5.3 % in 1996–1999 to 4.5 % in 2006–2009, a 15 % decrease), the probability of admission in 2006–2009 was relatively much lower when accounting for changes in the health and social conditions of the participants: the probability was 1.7–2.1 % point lower for adults in the period 2006–2009 compared to 1996–1999, a 32–40 % decrease. Our results show that the decline in the admission rate to LTC institutions is not the result of changes in need. The decline is suggested to be the combined effect of changes in policy, technological advances and changes in social norms.
Starting Page	123
Ending Page	131
Page Count	9
File Format	PDF
ISSN	16139372
Journal	European Journal of Ageing
Volume Number	14
Issue Number	2
e-ISSN	16139380
Language	English
Publisher	Springer Netherlands
Publisher Date	2016-08-08
Publisher Place	Dordrecht
Access Restriction	Subscribed
Subject Keyword	Institutional care Older adults 10-year change Blinder–Oaxaca decomposition Aging Demography Geriatrics/Gerontology Public Health Psychology
Content Type	Text
Resource Type	Article
Subject	Health (social science) Geriatrics and Gerontology

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