title: Determinants of received long-term care - Individual responses to regional nursing home provisions.
abstract: Existing literature analyzing the choice of received long-term care by frail elderly (65+ years) predominantly focuses on physical and psychological conditions of elderly people as factors that influence the decision for a particular type of care. Until now, however, the regional in-patient long-term care supply has been neglected as influential factor in this decision-making process. In this study, we analyze the determinants of received long-term care in Germany by explicitly taking the regional supply of nursing homes into account. We estimate a multinomial probit model to illustrate this decision-making process. Therefore, within this discrete choice setting we distinguish between all available types of long-term care in Germany, i.e. four different types of formal and informal care provision. We find that the decision for long-term in-patient care is significantly correlated with the regional supply of nursing home beds, while controlling for physical and psychological conditions of the individual.
authors.affiliation: Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Hohenzollernstr. 1-3, 45128, Essen, Germany. adam.pilny@rwi-essen.de.|Ruhr Graduate School in Economics, Ruhr-University Bochum, Bochum, Germany. adam.pilny@rwi-essen.de.
authors.forename: Adam
authors.initials: A
authors.lastname: Pilny
authors.affiliation: Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Hohenzollernstr. 1-3, 45128, Essen, Germany.|Ruhr-University Bochum, Bochum, Germany.|WINEG - Scientific Institute of TK for Benefit and Efficiency in Health Care, Bramfelder Str. 140, 22305, Hamburg, Germany.
authors.forename: Magdalena A
authors.initials: MA
authors.lastname: Stroka
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002755:Choice Behavior; D003657:Decision Making; D005260:Female; D005858:Germany; D006296:Health Services / Q000706:statistics & numerical data; D006302:Health Services Research; D006304:Health Status; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008134:Long-Term Care / Q000706:statistics & numerical data*; D008297:Male; D008603:Mental Health; D017059:Models, Econometric; D009735:Nursing Homes / Q000706:statistics & numerical data*; D012737:Sex Factors
keywords: Administrative data; Choice of care; Formal care; Informal care; Multinomial probit model; Nursing home supply