Assistenza a domicilio e assistenza residenziale: politiche di intervento e analisi empirica
AbstractAlthough in Italy most Long-Term Care is still provided in kind by unpaid informal caregivers, families are less and less likely to be in the condition to care for a disabled elderly. Given the social and financial implications associated with this trend, there is a growing interest in understanding the determinants of family decisions regarding living arrangements of the elderly, in order to implement effective policy measures aimed at containing costs and to enhance the quality of care. We estimate the effects of various household and individual characteristics on the choice of living care arrangement, considering a representative population sample of the Italian region Emilia Romagna. We exploit detailed information on the health conditions of the elderly person, on household socio-economic status and on family attitudes towards current welfare state services in order to identify the main determinants of the choice between institutionalisation and home care. Our results outline the predominance of disability indicators as opposed to family characteristics, economic variables and public services availability in determining the decision of the family. In an context in which social norms about filial responsibility still tend to consider the elderly institutionalisation with a consistent amount of social stigma, the institutionalisation is strictly influenced by the growing functional or cognitive impairments of the elderly and, to a lower extent, by economic status. Partly different from the international empirical literature, wealthier households have a larger probability to opt for the residential alternative
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by Società editrice il Mulino in its journal Rivista italiana degli economisti.
Volume (Year): (2006)
Issue (Month): 2 ()
Contact details of provider:
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Shleifer, Andrei & Summers, Lawrence H. & Bernheim, B. Douglas, 1986.
"The Strategic Bequest Motive,"
3721794, Harvard University Department of Economics.
- Bernheim, B Douglas & Shleifer, Andrei & Summers, Lawrence H, 1986. "The Strategic Bequest Motive," Journal of Labor Economics, University of Chicago Press, vol. 4(3), pages S151-82, July.
- Bernheim, B Douglas & Shleifer, Andrei & Summers, Lawrence H, 1985. "The Strategic Bequest Motive," Journal of Political Economy, University of Chicago Press, vol. 93(6), pages 1045-76, December.
- Liliana E. Pezzin & Barbara Steinberg Schone, 1999. "Intergenerational Household Formation, Female Labor Supply and Informal Caregiving: A Bargaining Approach," Journal of Human Resources, University of Wisconsin Press, vol. 34(3), pages 475-503.
- R. Brau & G. Fiorentini & M. Lippi Bruni & AM. Pinna, 2003.
"La disponibilità a pagare per la copertura del rischio di non autosufficienza: analisi econometrica e valutazioni di policy,"
Working Paper CRENoS
200305, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia.
- Brau Rinaldo & Fiorentini Gianluca & Lippi Bruni Matteo & Pinna Anna Maria, 2004. "La disponibilità a pagare per la copertura del rischio di non autosufficienza: analisi econometrica e valutazioni di "policy"," Politica economica, Società editrice il Mulino, issue 3, pages 357-388.
- Hiedemann, Bridget & Stern, Steven, 1999.
"Strategic play among family members when making long-term care decisions,"
Journal of Economic Behavior & Organization,
Elsevier, vol. 40(1), pages 29-57, September.
- Steven Stern & Bridget Hiedemann, 1999. "Strategic Play Among Family Members When Making Long-Term Care Decisions," Virginia Economics Online Papers 321, University of Virginia, Department of Economics.
- Benoit Dostie & Pierre Thomas Léger, 2004.
"The Living Arrangement Dynamics of Sick, Elderly Individuals,"
CIRANO Working Papers
- Benoit Dostie & Pierre Thomas Léger, 2005. "The Living Arrangement Dynamics of Sick, Elderly Individuals," Journal of Human Resources, University of Wisconsin Press, vol. 40(4), pages 989-1014.
- Benoit Dostie & Pierre Thomas Léger, 2003. "The Living Arrangement Dynamics of Sick, Elderly Individuals," Cahiers de recherche 03-07, HEC Montréal, Institut d'économie appliquée.
- Maxim Engers & Steven Stern, 2002.
"Long-Term Care and Family Bargaining,"
International Economic Review,
Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 43(1), pages 73-114, February.
- Ai, Chunrong & Norton, Edward C., 2003. "Interaction terms in logit and probit models," Economics Letters, Elsevier, vol. 80(1), pages 123-129, July.
- repec:ese:iserwp:2000-08 is not listed on IDEAS
- Florian Heiss & Michael Hurd & Axel Borsch-Supan, 2003. "Healthy, Wealthy, and Knowing Where to Live: Predicted Trajectories of Health, Wealth and Living Arrangements Among the Oldest Old," NBER Working Papers 9897, National Bureau of Economic Research, Inc.
- Gary S. Becker, 1981. "A Treatise on the Family," NBER Books, National Bureau of Economic Research, Inc, number beck81-1, June.
- Cristiano Gori, 2000. "Comparare i servizi sociosanitari per gli anziani: i costi economici e sociali delle diverse alternative," ECONOMIA PUBBLICA, FrancoAngeli Editore, vol. 2000(1).
- Liliana E. Pezzin & Peter Kemper & James Reschovsky, 1996. "Does Publicly Provided Home Care Substitute for Family Care? Experimental Evidence with Endogenous Living Arrangements," Journal of Human Resources, University of Wisconsin Press, vol. 31(3), pages 650-676.
- Edward C. Norton & Hua Wang & Chunrong Ai, 2004. "Computing interaction effects and standard errors in logit and probit models," Stata Journal, StataCorp LP, vol. 4(2), pages 154-167, June.
- Douglas Wolf & Beth Soldo, 1988. "Household composition choices of older unmarried women," Demography, Springer, vol. 25(3), pages 387-403, August.
- Hoerger, Thomas J. & Picone, Gabriel & Sloan, Frank, 1995.
"Public Subsidies, Private Provision of Care, and Living Arrangements of the Elderly,"
95-22, Duke University, Department of Economics.
- Hoerger, Thomas J & Picone, Gabriel A & Sloan, Frank A, 1996. "Public Subsidies, Private Provision of Care and Living Arrangements of the Elderly," The Review of Economics and Statistics, MIT Press, vol. 78(3), pages 428-40, August.
- Pezzin, Liliana E & Schone, Barbara Steinberg, 1997. "The Allocation of Resources in Intergenerational Households: Adult Children and Their Elderly Parents," American Economic Review, American Economic Association, vol. 87(2), pages 460-64, May.
- Steven Stern, 1995. "Estimating Family Long-Term Care Decisions in the Presence of Endogenous Child Characteristics," Journal of Human Resources, University of Wisconsin Press, vol. 30(3), pages 551-580.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.