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Who cares? Evidence on informal and formal home care use in Estonia

Author

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  • Irina Mozhaeva

    (Faculty of Business, Management and Economics, University of Latvia, Riga, Latvia)

Abstract

Despite increasing attention to long-term care (LTC) and related challenges in the Estonian social policy agenda, the distributional fairness of LTC services in the country has received very limited attention. Using SHARE data, we address informal and formal home care services and identify the socio-economic factors that drive or hinder their use among the Estonian elderly. The relationship between informal and formal home care utilization is estimated applying the new approach to instrumental variable method proposed by Lewbel [2012. Using heteroscedasticity to identify and estimate mismeasured and endogenous regressor models. Journal of Business and Economic Statistics, 30(1), 67–80]. We find that it is important to distinguish among informal care provided by household members, other relatives and non-relatives because the same socio-economic factors might differentially affect the propensity to use these kinds of care. The estimation results indicate that informal care provided by non-relatives complements formal home care. LTC policy in Estonia ensures the absence of tangible financial, ethnic and urban/rural barriers to the use of formal home care.

Suggested Citation

  • Irina Mozhaeva, 2019. "Who cares? Evidence on informal and formal home care use in Estonia," Baltic Journal of Economics, Baltic International Centre for Economic Policy Studies, vol. 19(1), pages 136-154.
    • Handle: RePEc:bic:journl:v:19:y:2019:i:1:p:136-154
    DOI: 10.1080/1406099X.2019.1578478
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    Citations

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    Cited by:

    1. Mozhaeva, Irina, 2022. "Inequalities in utilization of institutional care among older people in Estonia," Health Policy, Elsevier, vol. 126(7), pages 704-714.
    2. Mozhaeva, Irina, 2021. "Informal caregiving and work: A high price to pay. The case of Baltic States," The Journal of the Economics of Ageing, Elsevier, vol. 19(C).
    3. Konda, Bruhan & González‐Sauri, Mario & Cowan, Robin & Yashodha, Yashodha & Chellattan Veettil, Prakashan, 2021. "Social networks and agricultural performance: A multiplex analysis of interactions among Indian rice farmers," MERIT Working Papers 2021-030, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).

    More about this item

    Keywords

    Estonia; formal home care; informal care; long-term care; SHARE;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
    • C26 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Instrumental Variables (IV) Estimation

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