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Les impacts financiers d’un virage vers le soutien à domicile au Québec

Author

Listed:
  • Nicholas-James Clavet
  • Réjean Hébert
  • Pierre-Carl Michaud
  • Julien Navaux

Abstract

Following the publication of a first report by our group on the evaluation of future needs and costs related to the support of the autonomy of elderly people in Quebec (Clavet et al., 2021), this report aims to consider possible reform scenarios and to evaluate their impacts. They all have in common that they involve a major shift towards home care and services for people with moderate to major needs, and they all involve an adjustment of the resident's contribution to housing. According to our calculations, substantial savings are generated by the proposed reforms, compared to the status quo scenario. This makes it possible to improve home support through the creation of an autonomy account. With this account, the number of hours of publicly funded services is modulated according to the individual's support needs, thus ensuring horizontal equity in the system. Finally, we discuss the possibility of modulating public funding according to the person's financial resources, both in housing and home support, in order to improve vertical equity. Suite a? la publication d’un premier rapport de notre groupe sur l’e?valuation des besoins et des cou?ts futurs lie?s au soutien a? l’autonomie des personnes a?ge?es au Que?bec (Clavet et al., 2021), ce rapport vise a? conside?rer des sce?narios de re?formes possibles et d’en e?valuer les impacts. Ils ont tous en commun d’impliquer un virage important vers les soins et services a? domicile pour les personnes ayant des besoins mode?re?s a? importants, et ils impliquent tous un ajustement de la contribution du re?sident en he?bergement. Selon nos calculs, des e?conomies substantielles sont de?gage?es gra?ce aux re?formes propose?es, en comparaison avec le sce?nario de statu quo. Cela permet de bonifier le soutien a? domicile par le biais de la cre?ation d’un compte autonomie. Avec ce compte, le nombre d’heures de services finance? par le secteur public est module? selon les besoins de soutien de la personne, ce qui permet d’assurer l’e?quite? horizontale du syste?me. Finalement, nous discutons de la possibilite? de moduler le financement public selon les ressources financie?res de la personne, tant en he?bergement qu’en soutien a? domicile, afin d’ame?liorer l’e?quite? verticale.

Suggested Citation

  • Nicholas-James Clavet & Réjean Hébert & Pierre-Carl Michaud & Julien Navaux, 2021. "Les impacts financiers d’un virage vers le soutien à domicile au Québec," CIRANO Working Papers 2021s-20, CIRANO.
    • Handle: RePEc:cir:cirwor:2021s-20
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    File URL: https://cirano.qc.ca/files/publications/2021s-20.pdf
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    More about this item

    Keywords

    public finance; aging population; loss of autonomy; home support; Quebec.; finances publiques; vieillissement de la population; perte d’autonomie; soutien à domicile; Québec;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H68 - Public Economics - - National Budget, Deficit, and Debt - - - Forecasts of Budgets, Deficits, and Debt
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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