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In the last twenty years, seniors have lived at home longer and longer. Often because they would like to do it themselves, but also because access to intramural care for the elderly is made more difficult. Home care or care in a retirement home or retirement home: for many seniors it does not matter. They no longer live at home and have about the same high costs of health care. This is shown in a study by the National Institute of Public Health and the Environment (RIVM), the CPB and the Erasmus University. The results of this study were published in the journal Economic Statistical Reports (pdf 2 pages).
In the past 20 years, seniors have been living at home longer and longer. This is not only because the preferences of older people are changing, but also because the policy is aimed at that. The study shows that for a large number of older people, mortality and health care costs are not significant, whether they receive home care or hospital care or not. This is evidenced by an analysis of indications for intramural care that was established between 2009 and 2013. Approximately 50,000 people over 65 years of age who sought such an indication for the first time, examined mortality, the costs of health care and the use of hospitals.
(Photo Amstelveenweb.com – 2014)
Seniors practicing in the fitness garden at the Aalsmeer Health Center on June 3, 2014
Probability of death. The study shows that the probability of death for the group of people with a home care indication is about the same as for the group of people with an indication of hospital care. Access to intramural care reduces the chances of admission to the hospital. Hospital care can be partially supported by the health facility. In addition, the total cost of care for hospitalized patients is not higher than for older people with indication of home care: more than 12,000 euros for hospital care over the two years after treatment. indication are offset by lower costs for home and hospital care.
The researchers point out that this study was limited to elderly people who were seeking hospital care and that they could not make any statement about the group of older people asking for an indication of home care. The latter group is generally in better health than the group of older people who seek hospital care. The researchers also claim that further research is needed on other costs and benefits, such as the effects on the quality of life of the elderly and on the well-being of the family and others. informal carers.
According to researchers, elderly nursing home as quickly as comparable seniors with an indication for home care, but go to the hospital less often. The research covers the years 2009-2013. After that, a number of major reforms in health care took place. The 2013-2015 reforms aimed to reduce the use of hospital care and to move the organization and funding of home care from municipalities to municipalities
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