Do Spanish Informal Caregivers Come to the Rescue of Dependent People with Formal Care Unmet Needs?
AbstractThis paper analyses the effect of unmet formal care needs on informal caregiving hours in Spain using the two waves of the Informal Support Survey (1994, 2004). Testing for double sample selection from formal care receipt and the emergence of unmet needs provides evidence that the omission of either one of these two variables would causes underestimation of the number of informal caregiving hours. After controlling for these two factors the number of hours of care increases with both the degree of dependency and unmet needs. In the presence of unmet needs, the number of informal caregiving hours increases when some formal care is received. This result refutes the substitution model and supports complementarity or task specificity between both types of care. For the same combination of formal care and unmet needs, informal caregiving hours increased between 1994 and 2004. Finally, in the model for 2004, the selection term associated with the unmet needs equation is larger than that of the formal care equation, suggesting that using the number of formal care recipients as an indicator of the goodness of the long-term care system may be confounding, if we do not complete this information with other quality indicators.
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 InfoPaper provided by Barcelona Graduate School of Economics in its series Working Papers with number 693.
Date of creation: Apr 2013
Date of revision:
double sample selection; unmet need; informal care; caregiver; formal care;
Other versions of this item:
- Sergi Jiménez-Martín & Cristina Vilaplana Prieto, 2013. "Do Spanish informal caregivers come to the rescue of dependent people with formal care unmet needs?," Economics Working Papers, Department of Economics and Business, Universitat Pompeu Fabra 1366, Department of Economics and Business, Universitat Pompeu Fabra, revised Jul 2014.
- Sergi Jiménez-Martín & Cristina Vilaplana Prieto, 2013. "Do Spanish informal caregivers come to the rescue of dependent people with formal care unmet needs?," Working Papers 2013-21, FEDEA.
- H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
- I10 - Health, Education, and Welfare - - Health - - - General
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
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.:
- Reimers, Cordelia W, 1983. "Labor Market Discrimination against Hispanic and Black Men," The Review of Economics and Statistics, MIT Press, vol. 65(4), pages 570-79, November.
- Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, Elsevier, vol. 23(6), pages 1159-1180, November.
- David Byrne & Michelle S. Goeree & Bridget Hiedemann & Steven Stern, 2009. "Formal Home Health Care, Informal Care, And Family Decision Making," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 50(4), pages 1205-1242, November.
- Tennstedt, Sharon & McKinlay, John & Kasten, Linda, 1994. "Unmet need among disabled elders: A problem in access to community long term care?," Social Science & Medicine, Elsevier, Elsevier, vol. 38(7), pages 915-924, April.
- Susan L. Ettner, 1996. "The Opportunity Costs of Elder Care," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 189-205.
- Emmanouil Mentzakis & Paul McNamee & Mandy Ryan, 2009.
"Who cares and how much: exploring the determinants of co-residential informal care,"
Review of Economics of the Household, Springer,
Springer, vol. 7(3), pages 283-303, September.
- Emmanouil Mentzakis & Paul McNamee & Mandy Ryan, 2009. "Who cares and how much: exploring the determinants of co-residential informal care," Review of Economics of the Household, Springer, Springer, vol. 7(3), pages 305-305, September.
- K. Bolin & B. Lindgren & P. Lundborg, 2007.
"Informal and Formal Care among Single-living Elderly in Europe,"
Tinbergen Institute Discussion Papers, Tinbergen Institute
07-031/3, Tinbergen Institute.
- K. Bolin & B. Lindgren & P. Lundborg, 2008. "Informal and formal care among single-living elderly in Europe," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 17(3), pages 393-409.
- Eric Bonsang, 2008.
"Does Informal Care from Children to their Elderly Parents Substitute for Formal Care in Europe?,"
CREPP Working Papers
0801, Centre de Recherche en Economie Publique et de la Population (CREPP) (Research Center on Public and Population Economics) HEC-Management School, University of Liège.
- Bonsang, Eric, 2009. "Does informal care from children to their elderly parents substitute for formal care in Europe?," Journal of Health Economics, Elsevier, Elsevier, vol. 28(1), pages 143-154, January.
- Charles, Kerwin Kofi & Sevak, Purvi, 2005. "Can family caregiving substitute for nursing home care?," Journal of Health Economics, Elsevier, Elsevier, vol. 24(6), pages 1174-1190, November.
- Viitanen, Tarja, 2007.
"Informal and Formal Care in Europe,"
IZA Discussion Papers
2648, Institute for the Study of Labor (IZA).
- Tarja Viitanen, 2007. "Informal And Formal Care In Europe," Working Papers, The University of Sheffield, Department of Economics 2007010, The University of Sheffield, Department of Economics, revised Jun 2007.
- Peter C. Coyte & Mark Stabile, 2001.
"Household Responses to Public Home Care Programs,"
NBER Working Papers
8523, National Bureau of Economic Research, Inc.
- France Portrait & Maarten Lindeboom & Dorly Deeg, 2000. "The use of long-term care services by the Dutch elderly," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 9(6), pages 513-531.
- Nawata, Kazumitsu, 1994. "Estimation of sample selection bias models by the maximum likelihood estimator and Heckman's two-step estimator," Economics Letters, Elsevier, Elsevier, vol. 45(1), pages 33-40, May.
- Heckman, James J, 1979.
"Sample Selection Bias as a Specification Error,"
Econometrica, Econometric Society,
Econometric Society, vol. 47(1), pages 153-61, January.
- Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Publishing House "SINERGIA PRESS", Publishing House "SINERGIA PRESS", vol. 31(3), pages 129-137.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Bruno Guallar).
If references are entirely missing, you can add them using this form.