Template-Type: ReDIF-Paper 1.0
Series: Tinbergen Institute Discussion Papers
Creation-Date: 2018-07-06
Number: 18-060/V
Author-Name: Pieter Bakx
Author-Email: bakx@eshpm.eur.nl
Author-Workplace-Name: Erasmus University Rotterdam
Author-Name: Bram Wouterse
Author-Email: b.wouterse@cpb.nl
Author-Workplace-Name: CPB 
Author-Name: Eddy (E.K.A.) van Doorslaer
Author-Email: vandoorslaer@ese.eur.nl
Author-Workplace-Name: Erasmus School of Economics Rotterdam
Author-Name: Albert Wong
Author-Email: albert.wong@rivm.nl
Author-Workplace-Name: RIVM 
Title: Better off at home? Effects of a nursing home admission on costs, hospitalizations and survival
Abstract: Aging-in-place policies substitute home care for nursing home admissions (NHA). They appear to be a win-win by keeping public spending in check and being in line with personal preferences, but have hitherto not been evaluated. We study the impact of NHA eligibility using Dutch administrative data and exploiting variation between randomly assigned assessors in their tendency to grant admission. The impact on mortality is zero, but with considerable effect heterogeneity. Moreover, aging-in-place policies come at the cost of increased curative care, especially hospital admissions, and do not reduce total healthcare spending, suggesting they may not be a win-win after all.
Classification-JEL: C26; I10
Keywords: long-term care; policy evaluation; instrumental variables
File-URL: https://papers.tinbergen.nl/18060.pdf
File-Format: application/pdf
File-Size: 424821 bytes
Handle: RePEc:tin:wpaper:20180060