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The effect of older people's economic resources on care home entry under the United Kingdom's long-term care financing system
Author(s)Ruth Hancock, Antony Arthur, Carol Jagger
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 57B, no 5, September 2002
Pagespp S285-S293
KeywordsEconomic status [elderly] ; Admission [care homes] ; Long term ; Finance [care] ; Longitudinal surveys ; Melton Mowbray.
AnnotationIn 1988, income, home ownership, and health data were collected for 1,425 people aged 75+ in Melton Mowbray and surrounding area in Leicestershire. Participants received up to five subsequent health assessments before the study endpoint (1999), in which care home entry was also recorded. Using proportional hazards regression, the effect of home ownership and income on the risk of care home entry was estimated, controlling for predisposing, enabling and need factors, and health service use. Age, living alone, activities of daily living (ADLs) restriction, cognitive impairment, poor or fair self-perceived health, and contact with services increased the risk of care home entry. Home ownership decreased it. Gender was not a significant predictor of care home entry, once other factors were controlled for, and no significant effect was found for income. UK public authorities can require older home owners to use the value of their home to pay for institutional but not community-based care. However, home ownership is found to reduce the likelihood of care home entry, suggesting that other factors dominate the decision process. (RH).
Accession NumberCPA-021107214 A
ClassmarkF:W: KW:QKH: 4Q: QC: 3J: 8LEC

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