Needs assessment

Needs assessment (WVG/Wmo/AWBZ/Zvw/Wlz)


Data files
LASA177
LASA178
LASA189
LASA610 / LASA611
LASA710 / LASA711
LASEs819
LASEt607 / LASEt707

Contact: Marjolein Broese van Groenou

Background
Services for long term care (e.g. residential care, home care) are, within the Dutch system of long term care, available for persons with a specific level of need. There are three types of facilities and services, for which an approved indication on medical grounds are required, but the legislation and allocation of these services has changed considerably during the LASA period. Until January 2007 there was one institute that assessed the needs for appliances, social services and care (RIO). Since January 2007 a distinction is made between facilities for disabled persons (WVG-voorzieningen: Wet Voorzieningen Gehandicapten), social services and household care (Wmo: Wet Maatschappelijke Ondersteuning, Social Support Act) and personal care (by professionals, AWBZ: Algemene Wet Bijzondere Ziektekosten, indication by CIZ). Since 2007 persons who have an indication for (AWBZ) professional care, can choose for a personal financial budget (PGB) from which they can hire a professional caregiver themselves. In 2015 the AWBZ was transformed into the Long Term Care Act (Wlz) covering residential care and executed by the CIZ; and the Care Insurance Act (Zwv), covering personal care and nursing care for community-dwelling persons, and executed by professional nurses and care insurance companies. The coverage of the Social Support Act was extended and since then covered transport, walking devices, household care and guidance. The Social Support Act is executed by local governments (community councils).

Measurement instruments in LASA            
Needs assessment is included in the LASA medical questionnaire starting from LASA-E. Due to changes in the eligibility rules of care and organization of the needs assessment, the wording of the questions at wave G,H, I and J differ somewhat from those in wave E and F. Information regarding the outcome of the assessment and the actual use are still comparable. In LASA-G and H more detailed questions about the personal financial budget were asked compared to the E, F, I and J-wave. In general, three series of questions were asked.

The first concerns the use of facilities for disabled persons, such as the use of a walking device, a taxi pass or meal service). In LASA-E, F, G, H and I, eleven types of facilities are asked about. In LASA-J this number was reduced to seven. A detailed overview of the variables can be found here (Table_177, pdf).

The second series of questions concerns the need for and the use of social services. Respondents were asked whether they had contacted the municipality or the Wmo-information desk of their community for any social facilities. If not, they were asked why not. If yes, the reason for the contact was asked. At LASA-J, it was also asked who decided to contact them. If relevant, respondents were asked if they spend the received indication through a personal budget (PGB) or through care. An overview can be found here (Table_178, pdf, for contact with community, and Table_189, pdf, for use of facilities and use of PGB).

The third series of questions includes questions regarding eligibility for and use of home, personal, nursing and residential care. It was asked whether respondents had had contact with the long-term care or 24-hour care facilities (RIO in earlier cohorts, CIZ in later cohorts), or other care facilities related to personal, residential and homecare. The long term care reform of 2015 made the distinction between 24 hour care in residence (allocated by the CIZ) and personal or nursing care at home (allocated by the GP and/or community nurses). Therefore we added another question to waves I and J, in which we asked whether respondents had contacted a GP or nursing team in order to receive personal or nursing care at home. If not, they were asked why not; if yes, they were asked for the reason. In the J-wave we also added the question who decided to contact them.

If relevant, respondents were asked if they spend the received indication through a personal budget (PGB) or through care. A detailed overview of all the variables can be found here (PDF178 for the contact with GP/nurses and CIZ; PDF 189 for the use of services and PGB).

Questionnaires
LASAE189 / LASAF189 / LASAG189 / LASAH189 / LASAI189 / LASAJ189 (all questions, medical interview in Dutch);
LASAG177 / LASAH177/ LASAI177 / LASAJ177 (use of facilities for disabled people, medical interview in Dutch);
LASAG178 / LASAH178 / LASAI178 / LASAJ178 (need for social services, medical interview in Dutch);
LASAG189 / LASAH189 / LASAI189 / LASAJ189 (need for professional care, medical interview in Dutch);
LASAF610 / LASAJ610 (medical ind. and use of facilities, telephone interview with PROXY, in Dutch);
LASAF710 / LASAI710 / LASAJ710 (medical ind. and use of facilities, telephone interview with RESP, in Dutch);
LASAG611 / LASAH611 / LASAI611 / LASAJ611 (WVG facilities, telephone interview with PROXY, in Dutch);
LASAG711 / LASAH711 / LASAI711 / LASAJ711 (WVG facilities, telephone interview with RESP, in Dutch)
Interim measurement:
LASEs819 (all questions, compare with LASAF189, self-admin. questionnaire in Dutch)
LASEt607 (all questions, see LASEs819, telephone interview with PROXY, in Dutch)
LASEt707 (all questions, see LASEs819, telephone interview with RESP, in Dutch)

Variable information
LASAE189 / LASAF189 / LASAG189 / LASAH189 / LASAI189 / LASAJ189
(pdf);
LASAG177 / LASAH177 / LASAI177 / LASAJ177
(pdf);
LASAG178 / LASAH178 / LASAI178  / LASAJ178
(pdf);
LASAF610 / LASAJ610
(pdf);
LASAF710 / LASAI710 / LASAJ710
(pdf);
LASAG611 / LASAH611 / LASAI611 / LASAJ611
(pdf);
LASAG711 / LASAH711 / LASAI711 / LASAJ711
(pdf)
Interim measurement:
LASEs819
(pdf);
LASEt607
(pdf, on request);
LASEt707
(pdf, on request)

Availability of information per wave 1

 

E

IM*


2B*

F

G

H



3B*

MB*

I

J

Use of facilities for disabled persons

Me

Sa
Tr
Tp

-

Me
Tr
Tp

Me
Tr
Tp

Me
Tr
Tp

-

-

Me
Tr
Tp

Me
Tr
Tp

Need for social services

Me

Sa
Tr
Tp

-

Me
Tr
Tp

Me

 

Me

-

-

Me

Me

Need for professional care

Me

Sa
Tr
Tp

-

Me
Tr
Tp

Me 

Me 

-

-

Me 

Me

1 More information about the LASA data collection waves is available here.

* IM=interim measurement between E and F (first cohort only);
   2B=baseline second cohort;
   3B=baseline third cohort;
   MB=migrants: baseline first cohort

Me=data collected in medical interview;               
Sa=data collected in self-admin. questionnaire;
Tr=data collected in telephone interview with respondent;           
Tp=data collected in telephone interview with proxy

 

Previous use in LASA            
The use of specific devices and use of Wmo/AWBZ-indicated care has been described in several reports provided for the Ministry of Health, Welfare and Sport (available on:
http://www.lasa-vu.nl/nieuws/beleidsrapportages-vws.htm(in Dutch)).

Reports for the Ministry of Health, Welfare and Sport

  1. Campen, C. van, Broese van Groenou, M.I., Deeg, D.J.H. & Iedema, J. (2013). Met zorg ouder worden. Zorgtrajecten van ouderen in tien jaar. Den Haag: Sociaal Cultureel Planbureau.
  2. Plaisier, I., van Tilburg, T.G., Deeg, D.J.H. (2011). Mogelijkheden voor preventie van AWBZ-gebruik: netwerken van zelfstandig wonende ouderen (LASA-rapport 2010).
  3. Plaisier, I., Broese van Groenou, M.I., Deeg, D.J.H. (2012). Kwetsbare ouderen: Zorg of geen zorg? (LASA-rapport 2011).
  4. Vliet, M.J.G., van, Broese van Groenou, M.I., Deeg, D.J.H. (2010). Extramurale zorgpakketten. Verleende zorg aan thuiswonende ouderen in onderscheidende pakketten (LASA-rapport 2010).