Needs assessment

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


LASA177
LASA178
LASA189
LASA610 / LASA611
LASA710 / LASA711

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)  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 the Care Insurance Act (Zwv), covering personal care and nursing care for community-dwelling persons. The coverage of the Social Support Act was extended and since then covered transport, walking devices, household care and guidance.

Measurement instruments in LASA            
Needs assessment is included in the LASA medical questionnaire starting from LASA-E. Due to changes in the allocation of care and organization of the needs assessment, the wording of the questions at wave G and H 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 E and F. 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). Eleven types of facilities are asked about. The second concerns the need for and the use of social services, and the third includes questions regarding the use of personal and residential care.

Questionnaires
LASAE189 / LASAF189 (all questions, questionnaire in Dutch);
LASAG177 / LASAH177 / LASAI177 (use of facilities for disabled people, questionnaire in Dutch);
LASAG178 / LASAH178 / LASAI178 (need for social services, questionnaire in Dutch);
LASAG189 / LASAH189 / LASAI189 (need for professional care, questionnaire in Dutch);
LASAF610 (telephone interview with PROXY, in Dutch);
LASAG611 / LASAH611 / LASAI611 (telephone interview with PROXY, in Dutch);
LASAF710 / LASAI710 (telephone interview with RESP, in Dutch);
LASAG711 / LASAH711 / LASAI711 (telephone interview with RESP, in Dutch)

Variable information
LASAE189 / LASAF189 / LASAG189 / LASAH189 / LASAI189 (pdf);
LASAG177 / LASAH177 / LASAI177 (pdf);
LASAG178 / LASAH178 / LASAI178 (pdf);
LASAF610 (pdf);
LASAG611/ LASAH611 LASAI611 (pdf);
LASAF710 (pdf);
LASAG711 / LASAH711 / LASAI711(pdf)

Availability of information per wave1:

 

E

F

G

H


3B*

MB*

I*

Use of facilities for disabled persons

Me

Me
Tel_resp
Tel_prox

Me
Tel_resp
Tel_prox

Me
Tel_resp
Tel_prox

 

-

-

Me
Tel_resp
Tel_prox

 

Need for social services

Me

Me
Tel_resp
Tel_prox

Me

 

Me

-

-

Me

Need for professional care

Me

Me
Tel_resp
Tel_prox

Me 

Me 

-

-

Me 

More information is available on:                 
http://www.lasa-vu.nl/data/lasa/sampleLASAdatacollection.html

* 2B=baseline second cohort;
   3B=baseline third cohort;
   MB=migrants: baseline first cohort (Under Construction);
   I=Under Construction (UC)

Me=data collected in medical interview;               
Tel_resp=data collected in telephone interview with respondent;           
Tel_prox=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 Sports (available on www.lasa-vu.nl).

Reports for the Ministry of Health, Welfare and Sports

  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).