OBJECTIVES To determine the effect of long-term care (LTC) insurance on nursing home use. DESIGN Longitudinal analysis, 1998 to 2006 waves of the Health Retirement Study. SETTING Community-dwelling nationally representative sample. PARTICIPANTS Nineteen thousand one hundred seventy adults aged 50 and older, 1998 wave. METHODS Two groups of respondents were created at baseline: those wit...

The leading edge of the baby boom generation is nearing retirement and facing uncertainty about its need for long-term care (LTC). Using a microsimulation model, this analysis projected that people currently turning age 65 will need LTC for three years on average. An important share of needed care will be covered by public programs and some private insurance, but much of the care will be an uni...

Due to the aging process, the provision of long-term care (LTC) to the dependent elderly has become a major challenge of our epoch. But our societies are also characterized, since the 1970s, by a postponement of births, which, by raising the intergenerational age gap, can affect the provision of LTC by children. In order to examine the impact of those demographic trends on the optimal policy, w...

This study provides an in-depth examination of the fiscal and governance decentralisation long-term care (LTC) across OECD countries, offering projections future burdens LTC spending levels government. With rapid population ageing a decrease in supply informal care, has increased significantly. The paper introduces novel methodology to estimate expenditures different government levels, includin...

A scarcity of empirical information to specify appropriate provisions and base rates for coverage has hindered the development of long-term-care (LTC) insurance. Data from three nationally representative surveys on the prevalence of morbidity and functional limitations among the elderly population suggest that health status among older Americans is highly dynamic, especially at higher disabilit...

Urinary tract infection (UTI) is common in long-term care (LTC) residents; however, most infections are asymptomatic and do not require treatment. Differentiating asymptomatic from symptomatic UTI is challenging, because LTC residents typically have chronic genitourinary complaints, multiple comorbid illnesses, and communication barriers. Although consensus guidelines have been proposed to impr...

BACKGROUND Home care is integral to enabling older adults to delay or avoid long-term care (LTC) admission. To date, there is little population-based data about gender differences in home care users and their subsequent outcomes. Our objectives were to quantify differences between women and men who used home care in Ontario, Canada and to determine if there were subsequent differences in LTC ad...

In health care the assessment of patients’ needs is typically entrusted to providers. By contrast, in publicly financed long-term (LTC) often delegated an independent assessor. One rationale offered for LTC limit scope moral hazard and supplier-induced demand, which may be particularly strong case public insurance. We study whether restricts use at intensive margin (i.e. after people are being ...

Background: In planning for the country’s long-term care provision, the Taiwanese government launched the long-term care policy since 2007. There is a need to observe the follow-up health outcomes of care recipients and provide feedback to policy and practice. Purpose: This study explored the health outcomes of LTC recipients in the home and community-based service by following the changes in o...