Guided by decision-making in families theory, the current study investigated the role of spousal decision-making processes on purchasing long-term care insurance (LTCI) behavior using a sample of married women (N = 292) and men (N = 277) who were not married to each other. Spousal consensus regarding LTCI as a solution to the risk of long-term care (LTC) and spousal consensus regarding affordab...

The level of need and costs of obtaining long-term care (LTC) during retired life require that planning for it is an integral part of retirement planning. In this paper, we divide retirement planning into two phases, pre-retirement and post-retirement. On the basis of four interrelated models for health evolution, wealth evolution, LTC insurance premium and coverage, and LTC cost structure, a f...

Many households spend their wealth slowly during retirement, holding much of their wealth into old age. Determining why they do so is made difficult by a fundamental identification problem: retirees’ saving decisions reflect the combined strength of precautionary and bequest motives. Given the substantial medical spending and mortality risks that retirees face, savings are spent primarily on pr...

BACKGROUND Legislation demands the establishment of client councils in Dutch nursing homes and residential care facilities. The members of those councils are residents or their representatives. Client councils have the right to participate in the strategic management of long-term care facilities. More specifically, they need to be consulted regarding organisational issues and a right to consent...

OBJECTIVES To evaluate the impact of oseltamivir prophylaxis in the management and control of influenza outbreaks in long-term care facilities in Alberta, Canada. SETTING AND PARTICIPANTS Long-term care facilities where 127 influenza outbreaks were reported to public health authorities in Alberta, Canada, during two influenza seasons from 2013 to 2015. DESIGN AND OUTCOME MEASURES Using rout...

BACKGROUND Decision-making during pregnancy regarding different options of care can be difficult, particularly when risks of intervention versus no intervention for mother and baby are unclear. Unbiased information and support for decision making may be beneficial in these situations. The management of normal pregnancies at and beyond term is an example of such a situation. In order to determin...

AIMS To compare the perceptions of dentists in British Columbia regarding their decisions to provide treatment in long-term care facilities and to explore changes since 1985 in Vancouver dentists' attitudes to treating elderly patients in such facilities. MATERIALS AND METHODS Dentists were randomly selected from all of British Columbia in 2008 and surveyed with a similar questionnaire to tha...

In long-term care facilities, the participation of older people relates to individual care provision (individual level) and to policy decisions that affect all residents in a care organization (collective level). In the Netherlands, resident councils are set up in order to improve resident participation on a collective level. However, our research shows that managers and resident councils are f...

In this paper, we investigate the effect of the out-of-pocket premium on the decision to enroll in employer health insurance and other benefits plans including dental insurance, vision care, long-term care insurance, and wellness benefits. Previous estimates of the effects of premium on takeup of health insurance could be biased toward zero due to a correlation between premium and unobservable ...