老年护理住院时间：基于人群的队列研究的模式和决定因素

IF 2.2 2区经济学 Q2 ECONOMICS

Insurance Mathematics & Economics Pub Date : 2025-03-24 DOI:10.1016/j.insmatheco.2025.03.006

Mengyi Xu , Gaoyun Yan

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引用次数: 0

摘要

永久住宿护理的停留时间是评估机构护理利用和为可持续老年护理政策提供信息的关键指标。了解这一指标在澳大利亚尤为重要，因为在澳大利亚，必须在入院后不久就决定如何支付养老院的大量住宿费用，这在很大程度上受到预期住院时间的影响。我们通过分析2008年首次入住永久住宿护理的澳大利亚老年人队列来调查长期机构护理的停留时间。通过采用捕获时变协变量的生存分析，我们发现，除了年龄和性别等人口统计学因素外，养老院的组织类型及其服务规模显著影响住院时间。未能考虑到养老院之间转移的潜在变化可能导致对组织类型和服务规模的影响的严重低估。

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Length of stay in residential aged care: Patterns and determinants from a population-based cohort study

The length of stay in permanent residential care is a crucial metric for evaluating the utilization of institutional care and informing sustainable aged care policies. Understanding this metric is especially relevant in Australia, where the decision on how to pay the substantial nursing home accommodation costs must be made shortly after admission and is heavily influenced by the expected duration of stay. We investigate the length of stay in long-term institutional care by analyzing a cohort of older Australians first admitted to permanent residential care in 2008. By employing survival analysis that captures time-varying covariates, we find that, in addition to demographic factors like age and gender, the organization type of nursing homes and their service size significantly influence the length of stay. Failing to account for potential changes due to transfers between nursing homes can lead to a significant underestimation of the impact of organization type and service size.

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来源期刊

Insurance Mathematics & Economics 管理科学-数学跨学科应用

CiteScore

3.40

自引率

15.80%

发文量

审稿时长

17.3 weeks

期刊介绍： Insurance: Mathematics and Economics publishes leading research spanning all fields of actuarial science research. It appears six times per year and is the largest journal in actuarial science research around the world. Insurance: Mathematics and Economics is an international academic journal that aims to strengthen the communication between individuals and groups who develop and apply research results in actuarial science. The journal feels a particular obligation to facilitate closer cooperation between those who conduct research in insurance mathematics and quantitative insurance economics, and practicing actuaries who are interested in the implementation of the results. To this purpose, Insurance: Mathematics and Economics publishes high-quality articles of broad international interest, concerned with either the theory of insurance mathematics and quantitative insurance economics or the inventive application of it, including empirical or experimental results. Articles that combine several of these aspects are particularly considered.