The use of long term care (LTC) is changing rapidly. In the Netherlands, rates of institutional LTC use are falling, while homecare use is growing. Important questions are: are these changes attributable to declining disability rates, or has LTC use given disability changed? And have...

Explanations of growth in health expenditures have restricted attention to the mean. We explain change throughout the distribution of expenditures, providing insight into how growth and its explanation differ along the distribution. We analyse Dutch data on actual health expenditures linked to...

A better understanding of what drives long term care (LTC) expenditures is important for all countries with aging populations. We employ unique new data sources to analyze the determinants of LTC spending in the Netherlands. First, we use two-part models, to analyze institutional LTC and...

Gaining health may not be the main goal of healthcare services aimed at older people, which may (also) seek to improve wellbeing. This emphasizes the need of finding appropriate outcome measures for economic evaluation of such services, particularly in long-term care, capturing more than only...

To investigate the desirability and feasibility of a cyclic reimbursement process to address uncertainty accompanying initial decision making.