Long Term Care System: Is There Proximity between Supply and Demand in France?
Amélie Carrère, Université Paris Dauphine
Method: I used CARE survey (n=15000 individuals aged 60 and over living either in the community or in specialised institution). I classified the supply into ten categories: home care services, nursing-homes, “residences-autonomies” (dwellings for old people close to nursing-home but providing no medical assistance), temporary dwellings, general practitioners, nurses, dentists, physiotherapists, ophthalmologists and pharmacists. For the first four categories, I calculated distances between the person’s place of residence (or previous place of residence if living in nursing home) and the closest facility. For the other facilities, I used the Local Potential Accessibility (LPA) which is a local indicator of accessibility to health care at a city level. I conducted multi-level logistic regressions to identify the role of healthcare provision on the risk of having disability and of living in a specialised institution.
First results: Some counties have specialised their supply in nurses and their risk of disability is larger, in the community population. Others have specialised their supply in nursing-home and their risk of disability is lower in the community population.
Presented in Poster Session 2