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Simulating the Impact of Long‐Term Care Policy on Family Eldercare Hours
Author(s) -
Ansah John P.,
Matchar David B.,
Love Sean R.,
Malhotra Rahul,
Do Young Kyung,
Chan Angelique,
Eberlein Robert
Publication year - 2013
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12030
Subject(s) - long term care , christian ministry , activities of daily living , gerontology , government (linguistics) , aging in place , medicine , business , psychology , nursing , political science , linguistics , philosophy , psychiatry , law
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 S ocial I solation H ealth and L ifestyles S urvey, the S urvey on I nformal C aregiving, and the S ingapore G overnment's M inistry of H ealth and D epartment of S tatistics. 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.