Determinants of long-term care spending: Age, time to death or disability?

Journal of Health Economics

Volumn 30, Issue 2, 2011, Pages 425-438

  De Meijer, Claudine ^a,b   Koopmanschap, Marc ^a,b   d' Uva, Teresa Bago ^c,d   van Doorslaer, Eddy ^a,c,d  

^a Erasmus University Rotterdam   (Netherlands)

^b ERASMUS UNIVERSITY ROTTERDAM   (Netherlands)

^c ERASMUS UNIVERSITY ROTTERDAM   (Netherlands)

^d TINBERGEN INSTITUTE   (Netherlands)

Author keywords

Aging; Expenditures; Homecare; Institutional care; Long term care; Time to death

Indexed keywords

AGING POPULATION; DISABILITY; EXPENDITURE; HEALTH CARE; INSTITUTIONAL FRAMEWORK; MENTAL HEALTH; MODELING; PUBLIC SPENDING;

ADULT; AGE DISTRIBUTION; AGED; AGING; ARTICLE; CANCER MORTALITY; CAUSE OF DEATH; CONTROLLED STUDY; COST BENEFIT ANALYSIS; DIABETES MELLITUS; DISABILITY; ELDERLY CARE; FEMALE; GASTROINTESTINAL DISEASE; HEALTH CARE COST; HOME CARE; HUMAN; INSTITUTIONAL CARE; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; NETHERLANDS; RESPIRATORY TRACT DISEASE; SEX DIFFERENCE; STANDARDIZATION; STROKE; TIME; TIME TO DEATH;

AGE FACTORS; AGED; AGED, 80 AND OVER; AGING; CROSS-SECTIONAL STUDIES; DISABLED PERSONS; FEMALE; HEALTH EXPENDITURES; HEALTH SERVICES FOR THE AGED; HEALTH SURVEYS; HOME CARE SERVICES; HUMANS; INSTITUTIONALIZATION; LONG-TERM CARE; MALE; MIDDLE AGED; MODELS, ECONOMIC; NETHERLANDS; TIME FACTORS;

NETHERLANDS;

EID: 79954581197     PISSN: 01676296     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhealeco.2010.12.010     Document Type: Article

References (44)

1. Ai C., Norton E.C. Interaction terms in logit and probit models. Economic Letters 2003, 80:123-129.
2. Andersen R., Newman J.F. Societal and individual determinants of medical care utilization in the United States. Milbank Quarterly 2005, 83:1-28.
3. Basu A., Rathouz P.J. Estimating marginal and incremental effects on health outcomes using flexible link and variance function models. Biostatistics 2005, 6:93-109.
4. Becker G.S., Philipson T.J., Soares R.S. The quantity and quality of life and the evolution of world health inequality. American Economic Review 2005, 95:277-291.
5. Bonsang E. Does informal care from children to their elderly parents substitute for formal care in Europe?. Journal of Health Economics 2009, 28:143-154.
6. Breyer F., Felder S. Life expectancy and health care expenditures: a new calculation for Germany using the costs of dying. Health Policy 2006, 75:178-186.
7. Comas-Herrera A., Wittenberg R., Pickard L., Knapp M. Cognitive impairment in older people: future demand for long-term care services and the associated costs. International Journal of Geriatric Psychiatry 2007, 22:1037-1045.
8. Cutler D. The reduction in disability among the elderly. Proceedings of the National Academy of Sciences of the United States of America 2001, 98:6546-6547.
9. De Meijer C.A.M., Koopmanschap M.A., Koolman X.H.E., Van Doorslaer E.K.A. The role of disability in explaining long-term care utilization. Medical Care 2009, 47:1156-1163.
10. Efron B., Tibshirani R.J. An introduction to the Bootstrap. Monographs on Statistics and Applied Probability 1993, Chapman & Hall/CRC, 57.
11. Felder S., Werblow A., Zweifel P. Do red herrings swim in circles? Controlling for the endogeneity of time to death. Journal of Health Economics 2010, 29:205-212.
12. Fries J.F. Aging, natural death, and the compression of morbidity. The New England Journal of Medicine 1980, 303:130-135.
13. Getzen T.E. Aging and health care expenditures: a comment on Zweifel, Felder and Meiers. Health Economics 2001, 10:175-177.
14. Hall R.E., Jones C.I. The Value of Life and the Rise in Health Spending. The Quarterly Journal of Economics 2007, 122:39-72.
15. Horvitz D.G., Thompson D.J. A generalization of sampling without replacement from a finite universe. Journal of the American Statistical Association 1952, 47:663-685.
16. Jones A.M. Health econometrics. Handbook of Health Economics 2000, vol. 1A:265-336. Elsevier Science BV, Amsterdam.
17. Jonker J.J., Sadiraj K., Woittiez I., Ras M., Morren M. Explanatory Model for Nursing and Care 2007 2007, The Netherlands Institute of Social Research (SCP), The Hague, [in Dutch].
18. Katz S., Ford A.B., Moskowitz R.W., Jackson B.A., Jaffe M.W. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. Journal of the American Medical Association 1963, 185:914-919.
19. Lafortune, G., Balestat, G., 2007. Disability study expert group members. Trends in severe disability among elderly people: assessing the evidence in 12 OECD countries and the future implications. OECD Health Working Papers No. 26.
20. Manning W.G., Mullahy J. Estimating log models: to transform or not to transform?. Journal of Health Economics. 2001, 20:461-494.
21. Manton K.G., Gu X., Lamb V.L. Change in chronic disability from 1982 to 2004/2005 as measured by long-term changes in function and health in the U.S. elderly population. Proceedings of the National Academy of Sciences of the United States of America 2006, 103:18374-18379.
22. Manton K.G Recent declines in chronic disability in the elderly U.S. population: risk factors and future dynamics. Annual Review of Public Health 2008, 29:91-113.
23. Ministry of Health Welfare and Sports, 2006. Fact sheet Personal Budget AWBZ (Exceptional Medical Expenses Act). Available from: [1 October 2009]. http://www.minvws.nl/en/folders/zzoude_directies/dvvo/2005/fact-sheet-personal-budget-awbz.asp.
24. Oostenbrink J.B., Bouwmans C.A.M., Koopmanschap M.A., Rutten F.F.H. Manual for Cost Research Version 2004 2004, iMTA, Erasmus Medical Centre, Rotterdam, [in Dutch].
25. O'Neill C., Groom L., Avery A.J., Boot D., Thornhill K. Age and proximity to death as predictors of GP care costs: results from a study of nursing home patients. Health Economics 2000, 9:733-738.
26. Organisation for Economic Co-operation and Development (OECD), 2006. Health and long-term care expenditures: what are the main drivers? Economics Department Working Papers No. 477.
27. Organisation for Economic Co-operation and Development (OECD), 2005. Long-term care for older people. OECD, Paris..
28. Payne G., Laporte A., Deber R., Coyte P.C. Counting backward to health care's future: using time-to-death modeling to identify changes in end-of-life morbidity and the impact of aging on health care expenditures. Milbank Quarterly 2007, 85:213-257.
29. Peeters, J.M., Francke, A.L., 2007. The extent of the demand and use of nursing and care, and do they increase or decrease? In: Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid. RIVM, Bilthoven [in Dutch].
30. Perenboom R.J., Van Herten L.M., Boshuizen H.C., Van Den Bos G.A. Trends in disability-free life expectancy. Disability and Rehabilitation 2004, 26:377-386.
31. Pezzin L.E., Kemper P., Reschovsky J. Does publicly provided home care substitute for family care? Experimental evidence with endogenous living arrangements. Journal of Human Resources 1996, 31:650-676.
32. Seshamani M., Gray A.M. A longitudinal study of the effects of age and time to death on hospital costs. Journal of Health Economics 2004, 23(2):217-235.
33. Statistics Netherlands, 2009. Forecasts of Future life expectancies. Available from: [15 September 2009]. http://statline.cbs.nl/StatWeb/publication/%3FDM=SLNL%26PA=71874NED%26D1=0-1%26D2=0%26D3=a%26VW=T.
34. Stearns S.C., Norton E.C. Time to include time to death? The future of health care expenditure predictions. Health Economics 2004, 13:315-327.
35. Sundström G. Care by families: an overview of trends. OECD Caring for Frail Elderly People - New Directions in Care, vol. 14 1994, OECD Social Policy Studies, pp. 15-55.
36. Van Gameren E., Woittiez I. Transitions between care provisions demanded by Dutch elderly. Health Care Management Science 2005, 8:299-313.
37. Van Houtven C.H., Norton E.C. Informal care and health care use of older adults. Journal of Health Economics 2004, 23:1159-1180.
38. Weaver F., Stearns S.C., Norton E.C., Spector W. Proximity to death and participation in the long-term care market. Health Economics 2009, 18:867-883.
39. Werblow A., Felder S., Zweifel P. Population ageing and health care expenditure: a school of 'Red Herrings'?. Health Economics 2007, 16(10):1109-1126.
40. Wooldridge J. Econometric Analysis of Cross Section and Panel Data 2002, MIT Press, Cambridge.
41. World Health Organization (WHO) International Classification of Functioning, Disability and Health: ICF Short Version 2001, World Health Organization, Geneva.
42. Yang Z., Norton E.C., Stearns S.C. Longevity and health care expenditures the real reasons older people spend more. Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2003, 58:2-10.
43. Zweifel P., Felder S., Meiers M. Ageing of population and health care expenditure: a red herring?. Health Economics 1999, 8:485-496.
44. Zweifel P., Felder S., Werblow A. Population ageing and health care expenditure: new evidence on the 'Red Herring'. Geneva Papers on Risk and Insurance 2004, 29:652-666.