IDEAS home Printed from https://ideas.repec.org/p/zbw/fzgdps/56.html
   My bibliography  Save this paper

Dementia vs. somatic conditions in the German LTC-system: A longitudinal analysis

Author

Listed:
  • Ehing, Daniel
  • Hagist, Christian

Abstract

This paper analyzes prevalence and incidence rates as well as survival times for people above the age of 60 years with a dementia disorder and/or a long-term care status. Using claim data from a social sickness funds in Germany (AOK-Plus), we show that there exists a with age increasing gap between the prevalence of women and men for both fields of study. This discrepancy cannot be explained completely by our estimated incidence rates and is caused by different survival times in long-term care and dementia. In long-term care 50 percent of all women (men) are dead after 44 (25) months, whereas about 57 (49) percent of all women (men) with dementia are alive after the end of our 48 month long observation period. The lower mortality of people with dementia is mainly explained by a large share of people who are not eligible for the German long-term care system. Estimating several cox models shows that the hazard of dying in long-term care increases with age and care level. However younger people with a dementia disorder show lower mortality rates in long-term care than their respective peer group without dementia. Looking at the present value of all long-term care costs for people with and without a dementia diagnosis, we find total average costs of 68,600 (44,857) Euro for women (men) without dementia. Due to their extended stay in nursing home care, women (men) with dementia are more expensive (80,201 (49,793) Euro).

Suggested Citation

  • Ehing, Daniel & Hagist, Christian, 2015. "Dementia vs. somatic conditions in the German LTC-system: A longitudinal analysis," FZG Discussion Papers 56, University of Freiburg, Research Center for Generational Contracts (FZG).
  • Handle: RePEc:zbw:fzgdps:56
    as

    Download full text from publisher

    File URL: https://www.econstor.eu/bitstream/10419/108976/1/820808326.pdf
    Download Restriction: no

    References listed on IDEAS

    as
    1. Neubauer, Sarah & Zeidler, Jan & Lange, Ansgar & Graf von der Schulenburg, J.-Matthias, 2014. "Grundlagen und Methoden von GKV-Routinedatenstudien," Hannover Economic Papers (HEP) dp-534, Leibniz Universit├Ąt Hannover, Wirtschaftswissenschaftliche Fakult├Ąt.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    dementia; long-term care; incidence rate; prevalence rate; survival analysis; costs of long-term care;

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:zbw:fzgdps:56. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (ZBW - German National Library of Economics). General contact details of provider: http://edirc.repec.org/data/iffrede.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.