Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal
Abstract
:1. Introduction
2. Long-Term Care in Italy
3. Data and Methods
3.1. Study Population
3.2. Outcome Variables
3.3. Independent Variables
3.4. Statistical Model
4. Results
4.1. Descriptive Statistics
4.2. Trends in the Use of Social, Health and Private Services among Older Individuals in Italy
5. Discussion
- (1)
- The fragmentation of the LTC system needs to be harmonized and possibly integrated in order to overcome territorial inequalities in resource allocations.
- (2)
- Home health care, Home social care and Institutionalization should have integrated access points in order to offer older people and their relatives a real possibility of choosing the services that best fit their needs.
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Independent Variables | 2003 | 2016 |
---|---|---|
% | ||
N = 4014 | N = 3314 | |
Territorial sizes | 2003 | 2016 |
Metropolitan area | 26.15 | 27.15 |
>10,000 inh. | 40.62 | 43.03 |
<10,000 inh. | 33.23 | 29.82 |
Gender | ||
Women | 62.62 | 60.27 |
Educational attainment | ||
Middle-High | 9.94 | 17.06 |
Marital status | ||
Married | 43.19 | 47.16 |
Never married/Separated/Divorced | 8.21 | 9.23 |
Widow | 48.60 | 43.60 |
Macro-region | ||
Northeast | 25.48 | 28.24 |
Northwest | 21.46 | 19.82 |
Centre | 21.49 | 21.18 |
South | 21.59 | 20.59 |
Islands | 9.98 | 10.16 |
Chronic diseases | 36.03 | 54.56 |
Adequate economic resources | 60.65 | 66.11 |
Children | ||
No children | 16.06 | 14.02 |
Having a child living > 1 Km | 24.97 | 27.85 |
Having a child living < 1 Km | 58.97 | 58.12 |
Dependent Variables | % | |
Public Home Social Care | 2.93 | 2.14 |
Public Home Health Care | 7.67 | 9.73 |
Private care | 5.78 | 7.87 |
Social Care-Logit | Health Care-Logit | Private Care-Logit | ||||
---|---|---|---|---|---|---|
VARIABLES | 2003 | 2016 | 2003 | 2016 | 2003 | 2016 |
AMEs (S.E) | ||||||
>10,000 inh. (ref. Metropolitan area) | 0.01 | 0.02 *** | 0.00 | 0.03 ** | −0.01 | 0.02 |
(0.01) | (0.01) | (0.01) | (0.01) | (0.01) | (0.01) | |
<10,000 inh. (ref. Metropolitan area) | 0.01 * | 0.02 *** | 0.00 | 0.04 ** | −0.02 ** | −0.01 |
(0.01) | (0.01) | (0.01) | (0.01) | (0.01) | (0.01) | |
Women | −0.00 | −0.00 | 0.00 | −0.03 ** | 0.01 | −0.01 |
(0.01) | (0.01) | (0.01) | (0.01) | (0.01) | (0.01) | |
Middle-High educational attainment | −0.03 * | −0.01 | 0.01 | −0.05 *** | 0.04 *** | 0.01 |
(0.02) | (0.01) | (0.01) | (0.02) | (0.01) | (0.01) | |
Never married/Separated/Divorced (ref. Married) | 0.02 | −0.00 | 0.02 | −0.01 | 0.00 | 0.01 |
(0.01) | (0.01) | (0.02) | (0.02) | (0.01) | (0.01) | |
Widow (ref. Married) | −0.00 | 0.01 | −0.00 | 0.02 | 0.02 ** | 0.06 *** |
(0.01) | (0.01) | (0.01) | (0.01) | (0.01) | (0.01) | |
Northeast (ref. South) | −0.01 | 0.00 | 0.04 *** | 0.03 * | 0.01 | 0.01 |
(0.01) | (0.01) | (0.01) | (0.02) | (0.01) | (0.01) | |
Northwest (ref. South) | −0.00 | 0.03 *** | 0.03 *** | 0.04 *** | 0.00 | 0.00 |
(0.01) | (0.01) | (0.01) | (0.02) | (0.01) | (0.01) | |
Centre (ref. South) | −0.01 | −0.01 | 0.05 *** | 0.03 ** | 0.02 ** | 0.00 |
(0.01) | (0.01) | (0.01) | (0.02) | (0.01) | (0.01) | |
Islands (ref. South) | 0.02 * | 0.02 | 0.01 | 0.00 | 0.02 * | 0.03 * |
(0.01) | (0.01) | (0.01) | (0.02) | (0.01) | (0.02) | |
Chronic diseases | 0.04 *** | 0.02 *** | 0.11 *** | 0.10 *** | 0.11 *** | 0.08 *** |
(0.01) | (0.01) | (0.01) | (0.01) | (0.01) | (0.01) | |
Adequate economic resources | −0.00 | −0.01 | −0.01 | 0.00 | −0.00 | −0.01 |
(0.01) | (0.01) | (0.01) | (0.01) | (0.01) | (0.01) | |
Having a child living > 1 Km | −0.00 | −0.02 * | −0.02 | −0.02 | −0.01 | −0.05 ** |
(0.01) | (0.01) | (0.01) | (0.02) | (0.01) | (0.02) | |
Having a child living < 1 Km | −0.02 | −0.01 | −0.00 | −0.01 | −0.02 * | −0.08 *** |
(0.01) | (0.01) | (0.01) | (0.02) | (0.01) | (0.02) | |
Observations | 4014 | 2955 | 4014 | 2953 | 4014 | 2982 |
Standard errors in parentheses, *** p < 0.01, ** p < 0.05, * p < 0.1 |
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Lallo, C.; Pasqualini, M.; Tomassini, C. Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal. Int. J. Environ. Res. Public Health 2022, 19, 12796. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191912796
Lallo C, Pasqualini M, Tomassini C. Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal. International Journal of Environmental Research and Public Health. 2022; 19(19):12796. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191912796
Chicago/Turabian StyleLallo, Carlo, Marta Pasqualini, and Cecilia Tomassini. 2022. "Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal" International Journal of Environmental Research and Public Health 19, no. 19: 12796. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191912796