INFORMAL CARE AND ELDERLY HEALTH

非正式护理和老年人健康

• 批准号: 2794034
• 负责人: EDWARD C. NORTON
• 金额: $ 7.02万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-30 至 2000-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2794034
• 关键词: aging; behavioral /social science research tag; health behavior; health care model; health care service utilization; health economics; health services research tag; home health care; hospital patient care; human data; human old age (65+); human population study; model design /development; nursing homes

DESCRIPTION: Informal care of the elderly by children is very common, serves as an important substitute to formal care, and is preferred by the elderly both to formal care and to institutionalization. Much work has been done to characterize informal care givers and analyze the effect of care-giving on employment or the reverse. However, there is a dearth of research on how informal care-giving affects health care utilization of the elderly, mainly due to data limitations. The potential for informal care-giving to delay entry into nursing homes, reduce home health care demand, or reduce acute hospital care, may not only improve elderly quality of live, but may have important ramifications for the cost of elderly care, both in the private and public sectors. Understanding the effect of informal care-giving on utilization is vital. With the first of the baby boomers nearing retirement in the next dozen years, the demand for informal care will be larger than ever before, however, with more and more women working then ever before, the supply of informal care-givers may simultaneously shrink. The investigators plan to use the most comprehensive national survey on care giving available, the 1993 and 1995 waves of the Asset and Health Dynamics Among the Oldest-Old (AHEAD) linked to the Medicare claims data. AHEAD has detailed information about health care utilization and expenditures, and most importantly, about informal care giving, including hours of care and types of care. The investigators will use two-part models to predict health care utilization of the elderly for nursing home care, home health care, and acute hospital care. The primary explanatory variable of interest, informal care giving, is endogenous. Identification will either be achieved using discrete factor analysis or using and instrumental variable approach due to potential correlation of the error terms between the decision to utilize health care services and the amount of health care services a person consumes.

描述：子女对老年人的非正式照顾非常普遍， 作为正式护理的重要替代品，受到 老年人获得正规护理和收容的机会。已经做了很多工作 旨在刻画非正式照顾者的特征并分析 在就业上给予关怀，或者相反。然而，目前还缺乏 非正式护理对老年人卫生服务利用影响的研究 老年人，主要是由于数据的限制。非正式会议的潜力 护理延迟进入养老院，减少家庭保健 需求，或减少急诊医院护理，可能不仅提高老年人的素质 生活，但可能会对老年人护理费用产生重要影响， 无论是在私营部门还是在公共部门。了解以下方面的影响 对使用率的非正式照顾至关重要。有了第一个孩子 未来十几年即将退休的婴儿潮一代，对非正式就业的需求 然而，随着越来越多的女性，护理力度将比以往任何时候都大 从未有过的工作，非正式照顾者的供应可能 同时收缩。 调查人员计划使用最全面的全国医疗保健调查 给出了1993年和1995年的资产和健康动态浪潮 在最老的人中-与联邦医疗保险索赔数据相关的旧(领先)。前面有 关于卫生保健利用和支出的详细信息，以及 最重要的是，关于非正式护理，包括护理时间和 护理类型。研究人员将使用两部分模型来预测健康状况 老年人对养老院护理、家庭保健和家庭保健的护理利用 急诊医院护理。感兴趣的主要解释变量，非正式 关爱，是内生的。身份识别将使用以下两种方式实现 离散因素分析或使用和工具变量方法由于 要利用的决策之间的误差项之间的潜在相关性 保健服务和一个人的保健服务量 消费。