Monthly on the 3rd Thursday
8am US Pacific Time, 11am US Eastern Time, 5pm Central European Time

The Gateway to Global Aging, in partnership with the Center to Accelerate Population Research in Alzheimer’s (capra.med.umich.edu), is organizing a monthly virtual seminar series on long-term care, services, and policy. The seminar series is led by Julien Bergeot and Giacomo Pasini from Ca' Foscari University of Venice. The goal of the seminar series is to promote international interactions among scholars in this growing field of research. Presentations will typically be on in-progress work and discussions are strongly encouraged.

Participants must register to receive upcoming seminar announcements and virtual meeting room links. To register please submit a form with your email here. Emails will be kept limited to seminar announcements and you can unsubscribe from this list at any time.

Here are our upcoming presentations:

• December 14, 2023 (special date)
  Anne Penneau, Institute for Research and Information in Health Economics
  "The Impact of Nursing Homes on Quality of Drug Prescription in France"
  When living in a nursing home, drugs are generally prescribed by self-employed primary care physicians in community and hospital physicians. Nonetheless, the quality of drug prescribing may be influenced by various factors of the facility, such as the composition of the staff as well as the level of coordination with physicians. This study aims to isolate the impact of nursing homes on quality of drug prescribing by comparing drugs prescription quality of residents before and after entering a nursing home. We observe an increase in polypharmacy and inappropriate prescriptions in the first quarter after entry into a nursing home, maybe linked to the health shock that occurred before admission. However, the initiation of new inappropriate prescriptions is less significant after entry. The nursing homes do not seem to be the cause of poor prescription quality but could play a more significant role in improving this quality, especially upon entry into the facility.
• January 18, 2024
  TBD
• February 15, 2024
  Helena M. Hernandez-Pizarro, Pompeu Fabra University
  "Unravelling Hidden Inequities in a Universal Public Long-Term Care System"
  Long-term care public subsidy policies are designed on a need basis instead of the universal approach traditionally used in other policies targeting the elderly. Whether these interventions succeed in allocating public resources irrespective of the socioeconomic status of the beneficiary is still largely unknown. We measure the level of horizontal inequity in access to subsidised long-term care, using administrative data from the universe of applicants for public long-term care in Catalonia. Our findings suggest that the system is inequitable. In particular, cash subsidies provided to compensate informal care costs are distributed among the financially better-off, while the use of nursing homes, home care, and day care centres is concentrated among the worse-off. Additionally, we identify inequity in the form of provision: while in-kind provision is concentrated among the worse-off, the better-off are more likely to receive a voucher to partly subsidise long-term care expenses from their preferred provider. We test if this duality of providers implies inequity in the time to access and find that the poor wait longer to access telecare, home care and day care after controlling for need, but not a nursing home. Last, we investigate the time spent in different parts of the administrative process to access long-term care benefits. Our results are consistent with existing evidence suggesting that more financially advantaged families are better able to navigate the application system to access public benefits.
• March 21, 2024 (special time: 9am PT/12pm ET/5pm CET)
  Sung Ah Bakh, American University
• April 18, 2024
  Meghan Skira, University of Georgia
• May 16, 2024
  Wenhan Zhang, Duke University
  "Comparing Quality-of-Life Indicators for Older Adults with Cognitive Impairment Across Different Living Arrangements Over Time"

Thank you to those who have already presented this year:

• January 19, 2023
  Julien Bergeot of the Department of Economics, Ca’ Foscari University of Venice (joint work with Louis Arnault)
  "Informal Care & Mental Health: A Story of Unobserved Heterogeneity"
• February 16, 2023
  Marlies Bär of the Erasmus School of Health Policy & Management, Erasmus University Rotterdam (joint work with Pieter Bakx, Nigel Rice, Rita Santos, Luigi Siciliani, and Bram Wouterse)
  "Spillovers of Delayed Nursing Home Admissions to the Hospital Sector"
• March 16, 2023
  Edward Norton, University of Michigan
  "Did Avoiding Post-Acute SNF Care During COVID Save Lives?"
• April 20, 2023
  Ingo Kolodziej of RWI Essen (joint work with Norma B. Coe of the University of Pennsylvania and Courtney H. Van Houtven of Duke University)
  "Intensive Informal Care and Impairments in Work Productivity and Activity"
• May 18, 2023
  Joan Costa-i-Font, London School of Economics
  "Are Long term care subsidies and supports productive? Effects on health and wellbeing"
• September 21, 2023
  Elsa Perdrix, Paris Dauphine University
  "Horizontal Inequity in Long-term Care Use in France"
• October 19, 2023
  Bertrand Achou, University of Groningen
  "At Home versus in a Nursing Home: Long-term Care Settings and Marginal Utility"
• November 16, 2023
  R. Tamara Konetzka, University of Chicago
  "The Role of Medicaid Home- and Community-Based Services in Use of Medicare Post-Acute Care"