語系:
繁體中文
English
說明(常見問題)
登入
回首頁
切換:
標籤
|
MARC模式
|
ISBD
Informal care and elderly health care use.
紀錄類型:
書目-語言資料,手稿 : Monograph/item
正題名/作者:
Informal care and elderly health care use./
作者:
Van Houtven, Courtney Harold.
面頁冊數:
1 online resource (149 pages)
附註:
Source: Dissertations Abstracts International, Volume: 62-10, Section: B.
Contained By:
Dissertations Abstracts International62-10B.
標題:
Health care management. -
電子資源:
click for full text (PQDT)
ISBN:
9780493017792
Informal care and elderly health care use.
Van Houtven, Courtney Harold.
Informal care and elderly health care use.
- 1 online resource (149 pages)
Source: Dissertations Abstracts International, Volume: 62-10, Section: B.
Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2000.
Includes bibliographical references
Background. Informal care of the elderly by their adult children is a common form of long-term care, is often preferred by the elderly to formal care, and can reduce medical expenditures if it substitutes for formal care. Much work has been done to characterize informal caregivers. However, there is a dearth of research quantifying informal care's effect on subsequent formal care use, beyond knowing that informal care can both replace and supplement formal care. Objective. This study helps to assess the merit of proposals to support informal caregivers, such as through tax breaks or respite care programs. I use two waves of the Asset and Health Dynamics Among the Oldest-Old survey to answer the following question: Does informal care of elderly parents by their children reduce formal care use? I examine home health care, nursing home care, hospital care, outpatient surgery, and doctor's visits. Methods. I use two-part models to predict the immediate and medium-term effects of informal care on formal care use of the single elderly. Because informal care can both precede and follow formal care, I use two-step instrumental variables estimation and lagged informal care to control for endogeneity. Results. Elderly who received informal care were 72 percent less likely to use home health care and 89 percent less likely to use nursing home care in the next three years than those who did not. Doctor's visits fell slightly in the short-term for informal care recipients (2 percent), while the risk of outpatient surgery fell dramatically (by 43 percent) two years later. Caregiving did not significantly affect hospital use. Specification tests show that simultaneity exists between informal and formal care. Conclusions. Controlling for endogeneity is essential to correctly inform the policy process that informal care drastically reduces home health care and nursing home use. If informal care is the type of care that elderly prefer, tax breaks, as well as caregiver training, respite care, and increased workplace flexibility could all be considered as policies to help the supply of informal care meet burgeoning demand. Such policies may be more cost-effective than funneling money into Medicare or Medicaid directly.
Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024
Mode of access: World Wide Web
ISBN: 9780493017792Subjects--Topical Terms:
1148454
Health care management.
Subjects--Index Terms:
ElderlyIndex Terms--Genre/Form:
554714
Electronic books.
Informal care and elderly health care use.
LDR
:03594ntm a22003977 4500
001
1145913
005
20240711091257.5
006
m o d
007
cr bn ---uuuuu
008
250605s2000 xx obm 000 0 eng d
020
$a
9780493017792
035
$a
(MiAaPQ)AAI9993391
035
$a
AAI9993391
040
$a
MiAaPQ
$b
eng
$c
MiAaPQ
$d
NTU
100
1
$a
Van Houtven, Courtney Harold.
$3
1471201
245
1 0
$a
Informal care and elderly health care use.
264
0
$c
2000
300
$a
1 online resource (149 pages)
336
$a
text
$b
txt
$2
rdacontent
337
$a
computer
$b
c
$2
rdamedia
338
$a
online resource
$b
cr
$2
rdacarrier
500
$a
Source: Dissertations Abstracts International, Volume: 62-10, Section: B.
500
$a
Publisher info.: Dissertation/Thesis.
500
$a
Advisor: Norton, Edward C.
502
$a
Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2000.
504
$a
Includes bibliographical references
520
$a
Background. Informal care of the elderly by their adult children is a common form of long-term care, is often preferred by the elderly to formal care, and can reduce medical expenditures if it substitutes for formal care. Much work has been done to characterize informal caregivers. However, there is a dearth of research quantifying informal care's effect on subsequent formal care use, beyond knowing that informal care can both replace and supplement formal care. Objective. This study helps to assess the merit of proposals to support informal caregivers, such as through tax breaks or respite care programs. I use two waves of the Asset and Health Dynamics Among the Oldest-Old survey to answer the following question: Does informal care of elderly parents by their children reduce formal care use? I examine home health care, nursing home care, hospital care, outpatient surgery, and doctor's visits. Methods. I use two-part models to predict the immediate and medium-term effects of informal care on formal care use of the single elderly. Because informal care can both precede and follow formal care, I use two-step instrumental variables estimation and lagged informal care to control for endogeneity. Results. Elderly who received informal care were 72 percent less likely to use home health care and 89 percent less likely to use nursing home care in the next three years than those who did not. Doctor's visits fell slightly in the short-term for informal care recipients (2 percent), while the risk of outpatient surgery fell dramatically (by 43 percent) two years later. Caregiving did not significantly affect hospital use. Specification tests show that simultaneity exists between informal and formal care. Conclusions. Controlling for endogeneity is essential to correctly inform the policy process that informal care drastically reduces home health care and nursing home use. If informal care is the type of care that elderly prefer, tax breaks, as well as caregiver training, respite care, and increased workplace flexibility could all be considered as policies to help the supply of informal care meet burgeoning demand. Such policies may be more cost-effective than funneling money into Medicare or Medicaid directly.
533
$a
Electronic reproduction.
$b
Ann Arbor, Mich. :
$c
ProQuest,
$d
2024
538
$a
Mode of access: World Wide Web
650
4
$a
Health care management.
$3
1148454
650
4
$a
Caregivers.
$3
812777
650
4
$a
Home health care.
$3
1471200
650
4
$a
Copyright.
$3
561990
650
4
$a
Medical research.
$2
bicssc
$3
809476
650
4
$a
Nursing care.
$3
963534
650
4
$a
Leisure.
$3
565763
650
4
$a
Hypotheses.
$3
1372657
650
4
$a
Frailty.
$3
1471205
650
4
$a
Long term health care.
$3
1471192
650
4
$a
Alzheimers disease.
$3
1413648
650
4
$a
Baby boomers.
$3
1471198
650
4
$a
Health care expenditures.
$3
1467300
650
4
$a
Families & family life.
$3
1372486
650
4
$a
Hospitals.
$3
810197
650
4
$a
Nursing homes.
$3
654307
650
4
$a
Gender.
$3
1214940
650
4
$a
Womens health.
$3
1437647
650
4
$a
Ambulatory care.
$3
1471204
650
4
$a
Parents & parenting.
$3
1372492
650
4
$a
Informal education.
$3
1471203
650
4
$a
Studies.
$3
1437762
650
4
$a
Elder care.
$3
1471202
650
4
$a
Older people.
$3
554842
650
4
$a
Gerontology.
$3
559846
650
4
$a
Health care.
$3
1413477
650
4
$a
Public health.
$3
560998
653
$a
Elderly
653
$a
Health care
653
$a
Informal care
655
7
$a
Electronic books.
$2
local
$3
554714
690
$a
0573
690
$a
0510
690
$a
0769
690
$a
0351
710
2
$a
The University of North Carolina at Chapel Hill.
$3
1468980
710
2
$a
ProQuest Information and Learning Co.
$3
1178819
773
0
$t
Dissertations Abstracts International
$g
62-10B.
856
4 0
$u
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9993391
$z
click for full text (PQDT)
筆 0 讀者評論
多媒體
評論
新增評論
分享你的心得
Export
取書館別
處理中
...
變更密碼[密碼必須為2種組合(英文和數字)及長度為10碼以上]
登入