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The role of culture in long-term care arrangement decisions

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Listed:
  • Gentili, Elena
  • Masiero, Giuliano
  • Mazzonna, Fabrizio

Abstract

In this paper, we show how and to what extent cultural factors may influence the LTC market and elderly living arrangements. Using a spatial regression discontinuity design, we exploit the within-state variation in language groups in Switzerland to provide evidence about cultural differences in LTC use. We show that elderly people residing in regions speaking a Latin language (French, Italian and Romansh) enter nursing homes in worse health conditions and rely more on home-based care compared to elderly people residing in the neighboring German regions. Differences in the strength of family ties across linguistic groups represent the most reasonable explanation for such differences.

Suggested Citation

  • Gentili, Elena & Masiero, Giuliano & Mazzonna, Fabrizio, 2017. "The role of culture in long-term care arrangement decisions," Journal of Economic Behavior & Organization, Elsevier, vol. 143(C), pages 186-200.
  • Handle: RePEc:eee:jeborg:v:143:y:2017:i:c:p:186-200
    DOI: 10.1016/j.jebo.2017.09.007
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    References listed on IDEAS

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    More about this item

    Keywords

    Long-term care; Culture; Spatial RDD;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C26 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Instrumental Variables (IV) Estimation

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