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The Living Arrangement Dynamics of Sick, Elderly Individuals

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Author Info
Benoit Dostie ()
Pierre Thomas Léger ()

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Abstract

In this paper, we address the dynamics associated with living-arrangement decisions of sick, elderly individuals. Using data from the Panel Study of Income Dynamics and its Parental Health Supplement, we construct the complete living-arrangement histories of elderly individuals in need of care. We use a simultaneous random-effects competing-risks model to analyze the impact of demographic characteristics, health and wealth on the living-arrangement decisions of sick elderly individuals while taking into account state and duration dependence as well as unobserved heterogeneity. We find that state and duration dependence serve as important predictors for the living arrangement choices of sick elderly individuals.

Dans cet article, nous étudions la dynamique des choix d'habitation des personnes âgées en manque d'autonomie. En utilisant les données provenant du Panel Study of Income Dyamics et de son Parental Health Supplement, nous sommes en mesure de reconstruire l'historique complet des choix d'habitation de ces individus. La méthodologie utilisée pour tenir compte de l'impact des caractéristiques démographiques, de l'état de la santé et de la situation financière des personnes âgées sur leur choix d'habitation consiste en une série de modèles de risques concurrents à effets aléatoires simultanés. Cette méthodologie permet aussi de tenir compte de la dépendance à la durée et à l'état ainsi que de l'hétérogénéité non-observée. Nous trouvons que ces derniers phénomènes sont très importants pour prédire le mode d'habitation choisi par ce segment de la population.

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Paper provided by CIRANO in its series CIRANO Working Papers with number 2004s-03.

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Date of creation: 01 Jan 2004
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Handle: RePEc:cir:cirwor:2004s-03

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Related research
Keywords: Living arrangement dynamics; competing risks; markov models; unobserved heterogeneity; aging; Dynamique des choix d'habitation; risques concurrents; modèle markovien; hétérogénéité non-observée; vieillissement des populations;

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Find related papers by JEL classification:
J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped
C41 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Duration Analysis
I10 - Health, Education, and Welfare - - Health - - - General

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References listed on IDEAS
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.:
  1. 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. [Downloadable!] (restricted)
    Other versions:
  2. 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. [Downloadable!]
    Other versions:
  3. 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. [Downloadable!] (restricted)
  4. Axel Borsch-Supan & Jagadeesh Gokhale & Laurence J. Kotlikoff & John N. Morris, 1992. "The Provision of Time to the Elderly by Their Children," NBER Chapters, in: Topics in the Economics of Aging, pages 109-134 National Bureau of Economic Research, Inc. [Downloadable!]
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  5. Axel Borsch-Supan & Laurence J. Kotlikoff & John N. Morris, 1988. "The Dynamics of Living Arrangements of the Elderly," NBER Working Papers 2787, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  6. Mealli, Fabrizia & Pudney, Stephen, 1996. "Occupational Pensions and Job Mobility in Britain: Estimation of a Random-Effects Competing Risks Model," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 11(3), pages 293-320, May-June. [Downloadable!] (restricted)
  7. Dolton, Peter & van der Klaauw, Wilbert, 1994. "The Turnover of UK Teachers: A Competing Risks Analysis," Working Papers 94-21, C.V. Starr Center for Applied Economics, New York University. [Downloadable!]
  8. Alan M. Garber & Thomas E. MaCurdy, 1990. "Predicting Nursing Home Utilization among the High-Risk Elderly," NBER Chapters, in: Issues in the Economics of Aging, pages 173-204 National Bureau of Economic Research, Inc. [Downloadable!]
  9. Laurence J. Kotlikoff & John Morris, 1988. "Why Don't the Elderly Live With Their Children? A New Look," NBER Working Papers 2734, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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Cited by:
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  1. Liliana E. Pezzin & Robert A. Pollak & Barbara S. Schone, 2007. "Efficiency in Family Bargaining: Living Arrangements and Caregiving Decisions of Adult Children and Disabled Elderly Parents," CESifo Working Paper Series CESifo Working Paper No. , CESifo Group Munich. [Downloadable!]
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