Claims data-based analysis of the influence of individual and regional characteristics on the utilisation of long-term care by people with dementia in Baden-Wurttemberg, Germany

Table 4 Multilevel analysis of the utilisation of nursing home care, informal care and respite care

	Nursing home			Informal care			Respite care
	OR^a	p^a	95% CI^a	OR	p	95% CI	OR	p	95% CI
Age	1.005	0.02	[1.001;1.009]	0.984	0.00	[0.981;0.988]	0.962	0.00	[0.956;0.969]
Sex (reference: male)	1.404	0.00	[1.315;1.499]	0.850	0.00	[0.804;0.899]	1.080	0.12	[0.978;1.193]
LoCD (reference: LoCD 0/ LoCD 1^b)
LoCD 1	–	–	–	0.384	0.00	[0.339;0.436]	–	–	–
LoCD 2	2.601	0.00	[2.442;2.770]	0.368	0.00	[0.324;0.418]	1.622	0.00	[1.475;1.782]
LoCD 3	3.607	0.00	[3.345;3.889]	0.307	0.00	[0.268;0.352]	0.807	0.00	[0.702;0.929]
Hardship case	5.723	0.00	[3.359;9.751]	0.144	0.00	[0.072;0.287]	0.206	0.12	[0.207;1.569]
CCI categories (reference: no comorbidity)
Mild	1.049	0.20	[0.975;1.129]	1.058	0.09	[0.990;1.130]	1.081	0.18	[0.963;1.212]
Moderate	1.061	0.14	[0.979;1.148]	1.134	0.00	[1.056;1.218]	0.945	0.38	[0.831;1.074]
Severe	1.104	0.01	[1.017;1.200]	1.261	0.00	[1.171;1.357]	0.880	0.06	[0.770;1.005]
Area (reference: City district)
Urban districts	1.335	0.24	[0.817;2.181]	1.360	0.05	[0.992;1.864]	1.566	0.00	[1.116;2.196]
Rural districts	1.515	0.12	[0.892;2.573]	1.713	0.00	[1.220;2.406]	2.036	0.00	[1.417;2.926]
Mean household income	1.000	0.71	[1.000;1.001]	1.000	0.86	[1.000;1.000]	1.000	0.45	[1.000;1.001]
Nursing home care supply	1.003	0.76	[0.982;1.025]	0.992	0.27	[0.979;1.006]	0.986	0.06	[0.972;1.001]
Respite care supply	0.924	0.25	[0.808; 1.057]	0.954	0.28	[0.876;1.040]	1.173	0.00	[1.075;1.280]
Respite care capacity utilisation rate	0.995	0.06	[0.990;1.000]	0.997	0.09	[0.994;1.001]	0.998	0.19	[0.994;1.001]
ICC^a	0.062	0.00		0.020	0.00		0.112	0.00
n	54,547			62,699			41,200

^aICC Intra Class Correlation, OR Odds Ratio, p Alpha-Level 0.05, CI confidence interval
^bfor nursing home care and respite care the LoCD 1 was chosen as a reference, as people with dementia were not eligible for those care types in the LoCD 0 in 2013

ISSN: 1471-2318