Rhee Y; AcademyHealth. Meeting (2005 : Boston, Mass.).
Abstr AcademyHealth Meet. 2005; 22: abstract no. 4110.
Norfolk, VA 23513 Tel. 757-853-5230 Fax
RESEARCH OBJECTIVE: This study estimates informal care cost for the dying elderly in communities. STUDY DESIGN: The replacement cost for informal care was estimated using a two-part model owing to skewed data distribution. A probit model is used to estimate the probability of informal care use. For cases with positive hours, ordinary lease squares regression is used to estimate the natural logarithm of hours. The derivative of expected hours is estimated for each observation and, then averaged over full sample. The derivates of expected hours are summed to get the effect of the independent variables on total hours of care POPULATION STUDIED: This study uses data from the 1993 Asset and Health Dynamics Study, a nationally representative survey of people age 70 or older (N = 7,443). Proxy informants for people who died (n=727) before 1995 follow-up were interviewed PRINCIPAL FINDINGS: These adjusted hours are multiplied by 1998 national average home aide wage ($8.20 per hour). . Sensitivity tests are performed using the 10th percentile wage rate ($5.90) and 90th percentile wage rate ($10.80). All analyses are conducted using sample weights to generate estimates of the economic costs of informal caregiving before death at a national level. CONCLUSIONS: Family burden is still significant to take care of the dying elderly. The reasonable financial estimates should be prepared when this informal care is replaced with formal care givers. IMPLICATIONS FOR POLICY, DELIVERY OR PRACTICE: This study results could use this estimation in planning for individual or family, community for the end-of-life. These estimates should be compared with institutionalized care, nursing home and home care. It should take into consideration to provide federal funded programs or support for families who deal with the dying elderly at their homes.Substantial financial support should be designed for family caregivers in communities
Publication Types:
Keywords:
- Aged
- Caregivers
- Costs and Cost Analysis
- Family
- Fatal Outcome
- Health Surveys
- Home Care Services
- Humans
- Residence Characteristics
- Sex Distribution
- Weights and Measures
- economics
- methods
- hsrmtgs
UI: 103623573
From Meeting Abstracts