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

摘要: In view of population aging, better understanding what drives long-term care expenditure (LTCE) is warranted. Time-to-death (TTD) has commonly been used to project LTCE because it was a predictor than age. We reconsider the roles age and TTD by controlling for disability co-residence illustrate their relevance projecting LTCE. We analyze spending on institutional homecare entire Dutch 55+ population, conditioning age, sex, TTD, cause-of-death co-residence. further examined expenditures sample non-institutionalized additionally disability. Those living alone or deceased from diabetes, mental illness, stroke, respiratory digestive disease have higher LTCE, while cancer death associated with lower expenditures. no longer determines when controlled for. This suggests that largely approximates disability. Nonetheless, standardization measurement required before could replace in projections models.