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Appraisal of Provision Structures of Nursing Homes for Old Persons—Illustrated by Cross-Sectional Data for East Tyrol

Author

Listed:
  • Tatjana Fischer

    (Institute of Spatial Planning, Environmental Planning and Land Rearrangement, University of Natural Resources and Life Sciences Vienna, Peter-Jordan-Straße 82, 1190 Vienna, Austria)

  • Karl Moder

    (Institute of Statistics, University of Natural Resources and Life Sciences Vienna, Peter-Jordan-Straße 82, 1190 Vienna, Austria)

  • Markus Jobst

    (Research Group Cartography, Department for Geodesy and Geoinformation, Vienna University of Technology, Erzherzog-Johann-Platz 1/120-6, 1040 Vienna, Austria)

Abstract

(1) Background: In Austria, stationary long-term care facilities for old persons in need of care are increasingly at the centre of the discussion on sustainable long-term care for old persons. So far, there is a lack of research addressing problems of fit from a spatial planning perspective. This case study on East Tyrol aims to appraise provision structures of stationary long-term care for old persons focusing on nursing homes (LTC) with regard to any intra-regional disparities. (2) Methods: Catchments and Bradshaw’s taxonomy of social needs serve as the conceptual framework. Real-world data on residents and applicants up to a certain cut-off date in 2022 for four nursing homes are statistically analysed at different spatial reference levels. The GIS mapping of catchments focuses on the intra-regional level. The findings are discussed transdisciplinarily. (3) Results: Intra-regional disparities with regard to the level of provision are evident. There are: 1) LTC-specific differences related to catchments with regard to LTC residents and applicants and travel efforts for visitors; and 2) valley-related differences with regard to nursing home choice. Normatively determined catchments broadly match the actual catchments. (4) Conclusions: This study could serve as a starting point for discussing methodological limitations of waiting lists as a parameter for unmet demand. Shortcomings of provision in relation to (future) demand as well as the significance of longitudinal studies for assessing the stability of catchments and area-wide coverage become apparent.

Suggested Citation

  • Tatjana Fischer & Karl Moder & Markus Jobst, 2023. "Appraisal of Provision Structures of Nursing Homes for Old Persons—Illustrated by Cross-Sectional Data for East Tyrol," Sustainability, MDPI, vol. 15(19), pages 1-30, October.
    • Handle: RePEc:gam:jsusta:v:15:y:2023:i:19:p:14535-:d:1254628
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    References listed on IDEAS

    as
    1. Hendrik Schmitz & Magdalena A. Stroka‐Wetsch, 2020. "Determinants of nursing home choice: Does reported quality matter?," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 766-777, July.
    2. Ninglong You & Zhenjiang Shen & Tatsuya Nishino, 2017. "Assessing the Allocation of Special Elderly Nursing Homes in Tokyo, Japan," IJERPH, MDPI, vol. 14(10), pages 1-15, September.
    3. Gordon Mulligan & Mark Partridge & John Carruthers, 2012. "Central place theory and its reemergence in regional science," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 48(2), pages 405-431, April.
    4. Md. Mizanur Rahman & Megumi Rosenberg & Gabriela Flores & Nadia Parsell & Shamima Akter & Md Ashraful Alam & Md. Mahfuzur Rahman & Tessa Edejer, 2022. "A systematic review and meta-analysis of unmet needs for healthcare and long-term care among older people," Health Economics Review, Springer, vol. 12(1), pages 1-10, December.
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