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

Détails

Ressource 1Télécharger: risks-07-00092.pdf (460.31 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_401041877EE9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Drivers of Old-Age Dependence and Long-Term Care Usage in Switzerland: a Structural Equation Model Approach
Périodique
Risks
Auteur(s)
Rudnytskyi I., Wagner J.
ISSN
2227-9091
ISSN-L
2227-9091
Statut éditorial
Publié
Date de publication
26/08/2019
Volume
7
Numéro
3
Pages
92
Langue
anglais
Résumé
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.
Mots-clé
old-age dependence, long-term care, structural equation model, pathology
Open Access
Oui
Création de la notice
19/08/2019 11:36
Dernière modification de la notice
28/08/2019 7:08
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