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Household Responses to Public Home Care Programs

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Author Info
Peter C. Coyte
Mark Stabile

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Abstract

A choice-theoretic model of household decision-making with respect to care-giving time allocations and the use of publicly and privately financed home care services is proposed. Predictions concerning the effect of increased availability of publicly financed home care services on home care utilization, informal care-giving, and health status are derived. These predictions are assessed through use of Canadian inter-provincial survey data on home care use and care-giving that are matched with data on home care funding for the period 1992 to 1998. Increased availability of publicly financed home care is associated with an increase in its utilization and a decline in informal care-giving, with this effect more pronounced among lower income Canadians. While self-reported health status was positively correlated with the increased availability of publicly financed home care, the perceived need for home care was invariant to this change.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 8523.

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Date of creation: Oct 2001
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Handle: RePEc:nbr:nberwo:8523

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Find related papers by JEL classification:
I1 - Health, Education, and Welfare - - Health
J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped

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References listed on IDEAS
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  1. 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. [Downloadable!] (restricted)
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  2. Ettner, Susan L, 1994. "The Effect of the Medicaid Home Care Benefit on Long-Term Care Choices of the Elderly," Economic Inquiry, Oxford University Press, vol. 32(1), pages 103-27, January.
  3. Alan M. Garber, 1989. "Long-Term Care, Wealth, and Health of the Disabled Elderly Living in the Community," NBER Chapters, in: The Economics of Aging, pages 255-278 National Bureau of Economic Research, Inc. [Downloadable!]
  4. David M. Cutler & Louise M. Sheiner, 1993. "Policy Options for Long-Term Care," NBER Working Papers 4302, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  1. Arntz, Melanie & Thomsen, Stephan L., 2008. "Reforming Home Care Provision in Germany: Evidence from a Social Experiment," ZEW Discussion Papers 08-114, ZEW - Zentrum für Europäische Wirtschaftsforschung / Center for European Economic Research. [Downloadable!]
  2. Marcén, Miriam & Molina, José Alberto, 2009. "Informal Caring-Time and Caregiver Satisfaction," MPRA Paper 17739, University Library of Munich, Germany. [Downloadable!]
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