Hetzel Christian, Bühne David, Michel Wolfgang, Holzer Michael, Froböse Ingo
Institut für Qualitätssicherung in Prävention und Rehabilitation iqpr GmbH, Deutsche Sporthochschule Köln, Eupener Str. 70, 50933, Köln, Deutschland.
Sozialversicherung für Landwirtschaft, Forsten und Gartenbau, Weißensteinstraße 70-72, 34131, Kassel, Deutschland.
Z Gerontol Geriatr. 2023 Oct;56(6):477-483. doi: 10.1007/s00391-022-02086-8. Epub 2022 Jul 19.
The intervention is a multiday health program of the Social Insurance for Agriculture, Forestry and Horticulture (SVLFG) for informal caregivers.
Does the intervention increase the use of outside help to gain free time for self-care?
Using a quasi-experimental within-design, we analyze annual benefit data from the SVLFG long-term care insurance for the cluster sample Bavaria from 2017 to 2020 with intervention in 2018/2019. Using fixed effects panel regressions, we determine the effect heterogeneity for care relationship, duration of care and degree of care, adjusting for period effects (intervention and comparison group: 88 and 6045 persons with 207 and 16,091 observations, respectively).
After the intervention, the use of services for outside help tends to be higher than before. The effect is significantly more pronounced with increasing care level, care within the partnership and shorter care duration. With care within the partnership, start of care before 1 year and care level 4/5, more outside help is used afterwards for 1160 € (p < 0.001) than before.
Design and statistical method would allow a causal conclusion; however, in view of the limitations, in particular the small number of cases in the intervention group and the only limited characteristics available to control for time-dynamic heterogeneity, caution is advisable.
该干预措施是一项针对非专业护理人员的多日农业、林业和园艺社会保险（SVLFG）健康计划。
该干预措施是否会增加外部帮助的使用，以便为自我护理腾出空闲时间？
我们采用准实验性组内设计，分析了2017年至2020年巴伐利亚集群样本的SVLFG长期护理保险年度受益数据，干预时间为2018/2019年。通过固定效应面板回归，我们确定了护理关系、护理持续时间和护理程度的效应异质性，并对时期效应进行了调整（干预组和对照组分别有88人和6045人，观测值分别为207个和16091个）。
干预后，外部帮助服务的使用往往高于干预前。随着护理水平的提高、伴侣关系中的护理以及较短的护理持续时间，这种效应更为显著。在伴侣关系中的护理、护理开始时间在1年之前且护理水平为4/5的情况下，干预后使用的外部帮助比干预前多1160欧元（p< 0.001）。
设计和统计方法可以得出因果结论；然而，鉴于存在局限性，特别是干预组的病例数量较少以及用于控制时间动态异质性的可用特征有限，因此建议谨慎对待。
