Simulating the impact of long-term care policy on family eldercare hours.

dc.contributor.author

Ansah, John P

dc.contributor.author

Matchar, David B

dc.contributor.author

Love, Sean R

dc.contributor.author

Malhotra, Rahul

dc.contributor.author

Do, Young Kyung

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Chan, Angelique

dc.contributor.author

Eberlein, Robert

dc.date.accessioned

2021-05-11T07:41:28Z

dc.date.available

2021-05-11T07:41:28Z

dc.date.issued

2013-04

dc.date.updated

2021-05-11T07:41:27Z

dc.description.abstract

Objective

To understand the effect of current and future long-term care (LTC) policies on family eldercare hours for older adults (60 years of age and older) in Singapore.

Data sources

The Social Isolation Health and Lifestyles Survey, the Survey on Informal Caregiving, and the Singapore Government's Ministry of Health and Department of Statistics.

Study design

An LTC Model was created using system dynamics methodology and parameterized using available reports and data as well as informal consultation with LTC experts.

Principal findings

In the absence of policy change, among the elderly living at home with limitations in their activities of daily living (ADLs), the proportion of those with greater ADL limitations will increase. In addition, by 2030, average family eldercare hours per week are projected to increase by 41 percent from 29 to 41 hours. All policy levers considered would moderate or significantly reduce family eldercare hours.

Conclusion

System dynamics modeling was useful in providing policy makers with an overview of the levers available to them and in demonstrating the interdependence of policies and system components.
dc.identifier.issn

0017-9124

dc.identifier.issn

1475-6773

dc.identifier.uri

https://hdl.handle.net/10161/22890

dc.language

eng

dc.publisher

Wiley

dc.relation.ispartof

Health services research

dc.relation.isversionof

10.1111/1475-6773.12030

dc.subject

Humans

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Long-Term Care

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Activities of Daily Living

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Time Factors

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Cost of Illness

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Health Policy

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Aged

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Aged, 80 and over

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Middle Aged

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Caregivers

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Home Health Aides

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Homemaker Services

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Singapore

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Female

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Male

dc.title

Simulating the impact of long-term care policy on family eldercare hours.

dc.type

Journal article

duke.contributor.orcid

Matchar, David B|0000-0003-3020-2108

pubs.begin-page

773

pubs.end-page

791

pubs.issue

2 Pt 2

pubs.organisational-group

School of Medicine

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Duke Clinical Research Institute

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Duke Global Health Institute

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Pathology

pubs.organisational-group

Medicine, General Internal Medicine

pubs.organisational-group

Duke

pubs.organisational-group

Institutes and Centers

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Clinical Science Departments

pubs.organisational-group

Medicine

pubs.publication-status

Published

pubs.volume

48

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