Nursing homes and mortality in Europe: Uncertain causality

Article dans une revue: The current health crisis has particularly affected the elderly population. Nursing homes have unfortunately experienced a relatively large number of deaths. On the basis of this observation and working with European data (from SHARE), we want to check whether nursing homes were lending themselves to excess mortality even before the pandemic. Controlling for a number of important characteristics of the elderly population in and outside nursing homes, we conjecture that the difference in mortality between those two samples is to be attributed to the way nursing homes are designed and organized. Using matching methods, we observe excess mortality in Sweden, Belgium, Germany, Switzerland, Czech Republic and Estonia but not in the Netherlands, Denmark, Austria, France, Luxembourg, Italy and Spain. This raises the question of the organization and management of these nursing homes, but also of their design and financing.

Auteur(s)

Xavier Flawinne, Mathieu Lefebvre, Sergio Perelman, Pierre Pestieau, Jérôme Schoenmaeckers

Revue
  • Health Economics
Date de publication
  • 2023
Mots-clés JEL
C21 I10 J14
Mots-clés
  • Mortality
  • Nursing homes
  • Propensity score matching
  • SHARE
Pages
  • 134-154
Version
  • 1
Volume
  • 32