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How would informal caregivers react to an increase in formal home-care use by their elderly dependent relatives in France?

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  • Goltz, Andreas
  • Arnault, Louis
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    Abstract

    This paper focuses on the trade-o between formal and informal care for disabled elderly people living at home in France. Using the French 2008 household Disability - Healthcare data (Handicap Sant e M enages - HSM 2008), we aim to elucidate the e ect of an increase in formal home-care hours on the participation of informal caregivers. We expand on the previous literature, which almost exclusively focuses on the e ect of informal care on formal home care. We estimate a bivariate Tobit model to account for both the censor and the potential endogeneity of our formal home-care vari- able. Our results con rm that crowding out of informal caregivers arises when the elderly dependent receives more hours of formal home care. Nevertheless, the crowding out of informal caregivers that arises when only personal formal home care increases is much weaker. Such crowding out can be interpreted negatively as a renouncement of informal caregivers, but it may also allow some of these caregivers to work more or re-enter the labor market.

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    Bibliographic Info

    Paper provided by Paris Dauphine University in its series Economics Papers from University Paris Dauphine with number 123456789/11722.

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    Date of creation: Jun 2013
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    Handle: RePEc:dau:papers:123456789/11722

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    Related research

    Keywords: Long-term Care; Informal Care; Formal Care; Bivariate Tobit Model; Instrumental Variable;

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    1. Bonsang, Eric, 2009. "Does informal care from children to their elderly parents substitute for formal care in Europe?," Journal of Health Economics, Elsevier, vol. 28(1), pages 143-154, January.
    2. Delattre, Eric & Samson, Anne-Laure, 2013. "Stratégies de localisation des médecins généralistes français : mécanismes économiques ou hédonistes ?," Economics Papers from University Paris Dauphine 123456789/11295, Paris Dauphine University.
    3. Charles, Kerwin Kofi & Sevak, Purvi, 2005. "Can family caregiving substitute for nursing home care?," Journal of Health Economics, Elsevier, vol. 24(6), pages 1174-1190, November.
    4. Carole Bonnet & Emmanuelle Cambois & Chantal Cases & Jöelle Gaymu, 2011. "La dépendance : aujourd’hui l’affaire des femmes, demain davantage celle des hommes ?," Population et Sociétés 483, Institut National d'Études Démographiques (INED).
    5. K. Bolin & B. Lindgren & P. Lundborg, 2007. "Informal and Formal Care among Single-living Elderly in Europe," Tinbergen Institute Discussion Papers 07-031/3, Tinbergen Institute.
    6. 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.
    7. Amemiya, Takeshi, 1974. "Multivariate Regression and Simultaneous Equation Models when the Dependent Variables Are Truncated Normal," Econometrica, Econometric Society, vol. 42(6), pages 999-1012, November.
    8. Rapp, Thomas & Grand, Alain & Cantet, Christelle & Andrieu, Sandrine & Coley, Nicola & Portet, Florence & Vellas, Bruno, 2011. "Public financial support receipt and non-medical resource utilization in Alzheimer's disease results from the PLASA study," Social Science & Medicine, Elsevier, vol. 72(8), pages 1310-1316, April.
    9. Eric Delattre & Brigitte Dormont, 2003. "Fixed fees and physician-induced demand: A panel data study on French physicians," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 741-754.
    10. Stabile, Mark & Laporte, Audrey & Coyte, Peter C., 2006. "Household responses to public home care programs," Journal of Health Economics, Elsevier, vol. 25(4), pages 674-701, July.
    11. Duan, Naihua, et al, 1983. "A Comparison of Alternative Models for the Demand for Medical Care," Journal of Business & Economic Statistics, American Statistical Association, vol. 1(2), pages 115-26, April.
    12. Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
    13. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
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