On the characteristics of reporting ADL limitations and formal LTC usage across Europe.
On the characteristics of reporting ADL limitations and formal LTC usage across Europe.
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DOI：
10.1007/s13385-020-00242-1
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发表时间：
2020
影响因子：
1.2
通讯作者：
Wagner J
中科院分区：
文献类型：
--
作者：
Fuino M;Rudnytskyi I;Wagner J
在大多数工业化国家，老年人比例的增加引发了与日常生活活动（ADL）限制相关的长期护理（LTC）的更高需求。本研究的目的是得出影响日常生活中报告限制的概率和要求正式LTC的概率的驱动因素，例如个人护理和家务服务。通过使用最近一波对50岁以上个体的欧洲跨国调查（SHARE，第6波），我们开发了计量经济模型，以确定人口、社会和医学因素对ADL限制和正式LTC的影响，并沿着五个猜想。一方面，我们分析了功能限制，发现年龄、性别、财富状况和教育水平等特征影响了报告限制的概率。此外，虽然我们发现疾病显著增加了依赖的可能性，但癌症的影响较低。另一方面，我们再次发现人口和社会因素对使用正式LTC的概率的影响。我们强调，由于伴侣在家庭中的存在，特别是在家务任务中，可能性会降低。而与个人护理相关的帮助就不那么重要了。此外，我们注意到，癌症等病理对报告正式LTC的概率没有影响，而精神和帕金森病等其他疾病则会大大增加LTC。我们发现，与其他国家相比，生活在LTC家庭护理计划国家的老年人报告的正式护理较少。这表明了LTC策略的重要性。最后，我们通过将模型应用于早期调查的数据来验证结果的稳健性。我们的研究结果为未来LTC保险产品中使用的承保标准以及整个欧洲LTC政策环境的设计提供了见解。
The increase in the proportion of elderly people in most industrialized countries triggers higher demand for long-term care (LTC) associated with limitations in activities of daily living (ADL). The aim of this research is to derive the drivers affecting the probability of reporting limitations in ADL and the probability of demanding formal LTC, e.g., personal care and services in domestic tasks. By using the most recent wave of a cross-national European survey on individuals aged over 50 years (SHARE, wave 6), we develop econometric models for identifying the effect of demographic, social and medical factors on ADL limitations and formal LTC along five conjectures. On the one hand, we analyze functional limitations and we find that characteristics such as the age, the gender, the wealth status and the education level influence the probability to report limitations. Further, while we find that pathologies significantly increase the probability to become dependent in general, the effect of cancer is lower. On the other hand, we find again an influence of the demographic and social factors on the probability to use formal LTC. We emphasize on the decrease in the probability due to the presence of the partner in the household, in particular for housekeeping tasks. This is less the case for help related with personal care. In addition, we note that pathologies such as cancer have no influence on the probability to report formal LTC while others like mental and Parkinson diseases highly increase it. We find that elderly living in countries with LTC family care schemes report less formal care than in others. This indicates the importance of LTC policies. Finally, we validate the robustness of our results by applying the models to data from earlier waves of the survey. Our findings give insights for the underwriting standards to be used in future LTC insurance products and for the design of LTC policy environments across Europe.
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影响因子：
6.8
作者：
Costa-Font, Joan
通讯作者：
Costa-Font, Joan
影响因子：
3
作者：
Aguilova, L.;Sauzeon, H.;N'Kaoua, B.
通讯作者：
N'Kaoua, B.
影响因子：
2.5
作者：
Comas-Herrera, A;Wittenberg, R;Rothgang, H
通讯作者：
Rothgang, H
影响因子：
3
作者：
Bettio, Francesca;Simonazzi, Annamaria;Villa, Paola
通讯作者：
Villa, Paola
影响因子：
5.7
作者：
CHOI, NG
通讯作者：
CHOI, NG