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Informal and formal care for disabled elderly individuals. Substitutes or complements?

Author

Listed:
  • Perelman, Sergio

    (Université de Liège)

  • Pestieau, Pierre

    (Université catholique de Louvain, LIDAM/CORE, Belgium)

Abstract

The relationship between informal and formal care for disabled elderly individuals -whether they function as substitutes or complements- represents a fundamental question for optimizing public resource allocation in aging societies. We develop a theoretical framework demonstrating that long-term care (LTC) policy design hinges critically on this relationship. Using data from the Survey of Health, Ageing and Retirement in Europe (SHARE), we provide empirical evidence to address this pivotal question.

Suggested Citation

  • Perelman, Sergio & Pestieau, Pierre, 2025. "Informal and formal care for disabled elderly individuals. Substitutes or complements?," LIDAM Discussion Papers CORE 2025016, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  • Handle: RePEc:cor:louvco:2025016
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    References listed on IDEAS

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    1. Grosskopf, S. & Margaritis, D. & Valdmanis, V., 1995. "Estimating output substitutability of hospital services: A distance function approach," European Journal of Operational Research, Elsevier, vol. 80(3), pages 575-587, February.
    2. 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.
    3. K. Bolin & B. Lindgren & P. Lundborg, 2008. "Informal and formal care among single‐living elderly in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 393-409, March.
    4. Justina Klimaviciute & Sergio Perelman & Pierre Pestieau & Jerome Schoenmaeckers, 2017. "Caring for dependent parents: Altruism, exchange or family norm?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(3), pages 835-873, July.
    5. 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.
    6. Steven Stern, 2023. "Where Have All My Siblings Gone?," Journal of Human Resources, University of Wisconsin Press, vol. 58(3), pages 852-892.
    7. Coelli, Tim & Perelman, Sergio, 1999. "A comparison of parametric and non-parametric distance functions: With application to European railways," European Journal of Operational Research, Elsevier, vol. 117(2), pages 326-339, September.
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    Cited by:

    1. Pestieau, Pierre, 2026. "The economics of long-term care," LIDAM Discussion Papers CORE 2026001, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).

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    JEL classification:

    • H - Public Economics
    • I - Health, Education, and Welfare

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