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2014 Conference Presentation

Care models EnglandUnited Kingdom

3 September 2014

Care transitions in late old age: factors associated with changes in receipt of care in Newcastle at age 85+

Bo Hu, PSSRU, LSE, United Kingdom
Raphael Wittenberg, PSSRU, LSE, United Kingdom
Adelina Comas-Herrera, PSSRU, LSE, United Kingdom
Jose-Luis Fernandez, PSSRU, LSE, United Kingdom
Andrew Kingston, Newcastle University, United Kingdom
Carol Jagger, Newcastle University, United Kingdom


This paper investigates the patterns and the factors associated with the receipt of social care, using data on a cohort of 849 people aged 85 years old from Newcastle upon Tyne and North Tyneside, England. We conducted univariate and bivariate analyses and estimated logistic regression models with panel data.

The findings are threefold. First, people in late old age are likely to continue to receive the same type of social care (none, home-based or residential care) over time. Our analyses shows that once people moved to care homes, none of them moved back to the community in the following three years. Second, the most important factors associated with the receipt of social care are severity of disability and cognitive impairment. More severe disability and cognitive impairment results in a higher likelihood of using community care or care home services. Finally, gender, marital status and long-term illness also have an impact on likelihood of receipt of social care. However, the statistical significance of these factors varies considerably for different types of social care.

Funding: The work was funded by a grant from the Department of Health to the Policy Research Unit in the Economics of Health and Social Care Systems (Ref 103/0001).


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