Drivers of Old-Age Dependence and Long-Term Care Usage in Switzerland: a Structural Equation Model Approach

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_401041877EE9
Type
Article: article from journal or magazin.
Collection
Publications
Title
Drivers of Old-Age Dependence and Long-Term Care Usage in Switzerland: a Structural Equation Model Approach
Journal
Risks
Author(s)
Rudnytskyi I., Wagner J.
ISSN
2227-9091
ISSN-L
2227-9091
Publication state
Published
Issued date
26/08/2019
Volume
7
Number
3
Pages
92
Language
english
Abstract
Long-term care (LTC) encompasses a set of services provided to impaired and dependent elderly. To assess the level of the dependence several scales are used, including activities of daily living (ADL), instrumental ADL (IADL) and functional limitations. Once an elderly fails to perform these activities independently, he or she requires special assistance. Help can be provided as informal care by relatives and as formal care by professionals. The aim of this research is to study individual characteristics that relate to the demand of LTC and to analyze the relation between formal and informal care. We base our study on data from the Swiss Health Survey focusing on respondents aged over 65 years. Using the structural equation modeling technique, we develop a statistical model that considers the dependence concept as a latent variable. This hidden dependence variable combines three indices linked to the limitations in ADL, in IADL and functional limitations. Accounting for causality links between covariates enables us to include the indirect effect of pathologies on the receipt of LTC mediated via dependence. In our model we do not assume a causal relationship between formal and informal care. From our results, we observe a significant impact of pathologies as well as of the socio-demographic factors on the demand for LTC. The relationship between formal and informal care is found to be both of complementary and substitutional nature.
Keywords
old-age dependence, long-term care, structural equation model, pathology
Open Access
Yes
Create date
19/08/2019 11:36
Last modification date
28/08/2019 7:08
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