Practice variation in long‐term care access and use: The role of the ability to pay
| العنوان: | Practice variation in long‐term care access and use: The role of the ability to pay |
|---|---|
| المؤلفون: | Daisy Duell, Maarten Lindeboom, Xander Koolman |
| المساهمون: | Health Economics and Health Technology Assessment, Economics, Tinbergen Institute, APH - Quality of Care |
| المصدر: | Health Economics Duell, D, Lindeboom, M, Koolman, X & Portrait, F 2019, ' Practice variation in long-term care access and use : The role of the ability to pay ', Health Economics, vol. 28, no. 11, pp. 1277-1292 . https://doi.org/10.1002/hec.3940 Health Economics, 28(11), 1277-1292. John Wiley and Sons Ltd |
| بيانات النشر: | John Wiley and Sons Inc., 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, inequality, Inequality, Adolescent, media_common.quotation_subject, health care financing, Health Care Sector, Gross domestic product, Ability to pay, Health Services Accessibility, 03 medical and health sciences, Young Adult, 0502 economics and business, Health care, Humans, 050207 economics, Cost Sharing, Child, Research Articles, media_common, Aged, Netherlands, Aged, 80 and over, Models, Statistical, Public economics, business.industry, 030503 health policy & services, Health Policy, 05 social sciences, Age Factors, Infant, Newborn, regional consumer behaviour, Infant, Middle Aged, Patient Acceptance of Health Care, Payment, health care, Long-Term Care, Long-term care, Variation (linguistics), Child, Preschool, Dutch Population, Female, Health Expenditures, 0305 other medical science, business, Research Article |
| الوصف: | Practice variation in publicly financed long‐term care (LTC) may be inefficient and inequitable, similarly to practice variation in the health care sector. Although most OECD countries spend an increasing share of their gross domestic product on LTC, it has received comparatively little attention to date compared with the health care sector. This paper contributes to the literature by assessing and comparing regional practice variation in both access to and use of institutional LTC and investigating its relation with income and out‐of‐pocket payment. For this, we have access to unique individual‐level data covering the entire Dutch population. Even though we found practice variation in the use of LTC once access was granted, the variation between regions was still relatively small compared with international standards. In addition, we showed how a co‐payment measure could be used to reduce practice variation across care office regions and income classes making the LTC system not only more efficient but also more equitable. |
| اللغة: | English |
| تدمد: | 1099-1050 1057-9230 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a8c31d875bff05ed124d30aa29247a4 http://europepmc.org/articles/PMC6852405 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....1a8c31d875bff05ed124d30aa29247a4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10991050 10579230 |
|---|