scholarly journals Age, costs of acute and long-term care and proximity to death: evidence for 1987-88 and 1994-95 in British Columbia

2000 ◽  
Vol 29 (3) ◽  
pp. 249-253 ◽  
Author(s):  
K McGrail
2008 ◽  
Vol 3 (2) ◽  
pp. 165-195 ◽  
Author(s):  
UNTO HÄKKINEN ◽  
PEKKA MARTIKAINEN ◽  
ANJA NORO ◽  
ELINA NIHTILÄ ◽  
MIKKO PELTOLA

AbstractThis study revisits the debate on the ‘red herring’, i.e. the claim that population aging will not have a significant impact on health care expenditure (HCE), using a Finnish data set. We decompose HCE into several components and include both survivors and deceased individuals into the analyses. We also compare the predictions of health expenditure based on a model that takes into account the proximity to death with the predictions of a naïve model, which includes only age and gender and their interactions. We extend our analysis to include income as an explanatory variable. According to our results, total expenditure on health care and care of elderly people increases with age but the relationship is not as clear as is usually assumed when a naïve model is used in health expenditure projections. Among individuals not in long-term care, we found a clear positive relationship between expenditure and age only for health centre and psychiatric inpatient care. In somatic care and prescribed drugs, the expenditure clearly decreased with age among deceased individuals. Our results emphasize that even in the future, health care expenditure might be driven more by changes in the propensity to move into long-term care and medical technology than age and gender alone, as often claimed in public discussion. We do not find any strong positive associations between income and expenditure for most non-LTC categories of health care utilization. Income was positively related to expenditure on prescribed medicines, in which cost-sharing between the state and the individual is relatively high. Overall, our results indicate that the future expenditure is more likely to be determined by health policy actions than inevitable trends in the demographic composition of the population.


2009 ◽  
Vol 18 (8) ◽  
pp. 867-883 ◽  
Author(s):  
France Weaver ◽  
Sally C. Stearns ◽  
Edward C. Norton ◽  
William Spector

2014 ◽  
Vol 71 (Suppl 1) ◽  
pp. A54.2-A54 ◽  
Author(s):  
George Astrakianakis ◽  
Yat Chow ◽  
Murray Hodgson ◽  
Maureen Haddock ◽  
Pamela Ratner

2020 ◽  
Vol 192 (47) ◽  
pp. E1540-E1546 ◽  
Author(s):  
Michael Liu ◽  
Colleen J. Maxwell ◽  
Pat Armstrong ◽  
Michael Schwandt ◽  
Andrea Moser ◽  
...  

Author(s):  
Mary Jean Hande ◽  
Deanne Taylor ◽  
Janice Keefe

Abstract Research has shown that long-term care (LTC) volunteers play important roles in enhancing the quality of life (QoL) of older LTC residents, often through providing unique forms of relational care. Guided by Kane’s QoL domains, we used a modified objective hermeneutics method to analyze how unique volunteer roles are represented and supported in provincial policies in Alberta, British Columbia, Ontario, and Nova Scotia. We found that policies define volunteer roles narrowly, which may limit residents’ QoL. This happens through (1) omitting volunteers from most regulatory policy, (2) likening volunteers to supplementary staff rather than to caregivers with unique roles, and (3) overemphasizing residents’ safety, security, and order. We offer insights into promising provincial policy directions for LTC volunteers, yet we argue that further regulating volunteers may be an inadequate or ill-suited approach to addressing the cultural, social, and structural changes required for volunteers to enhance LTC residents’ QoL effectively.


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