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Does the amount of formal care affect informal care ? Evidence among over‑60s in France

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  • Elsa Perdrix

    (Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, Max-Planck Institute for Social Law and Social Policy)

  • Quitterie Roquebert

    (PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, BETA - Bureau d'Économie Théorique et Appliquée - AgroParisTech - UNISTRA - Université de Strasbourg - Université de Haute-Alsace (UHA) - Université de Haute-Alsace (UHA) Mulhouse - Colmar - UL - Université de Lorraine - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

Abstract

This paper investigates the causal effect of the amount of formal care used on the informal care received by formal careusers. We use an original instrument for formal care volume based on local disparities (NUTS 3 level, 96 units) in the priceof formal care. Using the French CARE survey, we use a two-part model to assess the effect of formal care on the extensiveand the intensive margin of informal care. An increase in the amount of formal care is found to be associated with a smalldecrease in the probability of using informal care. Heterogeneity tests show that this negative effect is mainly driven by helpfor daily activities provided by women. At the intensive margin, informal care is not significantly affected by the amountof formal care. Reforms increasing subsidies for formal care can thus be suspected to have a limited effect on informal carearrangements.

Suggested Citation

  • Elsa Perdrix & Quitterie Roquebert, 2021. "Does the amount of formal care affect informal care ? Evidence among over‑60s in France," Post-Print hal-03389540, HAL.
  • Handle: RePEc:hal:journl:hal-03389540
    DOI: 10.1007/s10198-021-01370-5
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    Cited by:

    1. is not listed on IDEAS
    2. Rapp, Thomas & Jena, Anupam B. & Costa-Font, Joan & Grabowski, David C., 2023. "Caregiving across generations: Do older adults with more grandchildren get another bite at the “sandwich” generation?," Social Science & Medicine, Elsevier, vol. 334(C).
    3. Ofek-Shanny, Yuval & Strulov-Shlain, Avner & Zeltzer, Dan, 2025. "Impacts of home-care subsidies: Evidence from quasi-random assignment," Journal of Public Economics, Elsevier, vol. 248(C).
    4. Leonarda G. M. Bremmers & Leona Hakkaart-van Roijen & Eleonora S. Gräler & Carin A. Uyl-de Groot & Isabelle N. Fabbricotti, 2022. "How Do Shifts in Patients with Mental Health Problems’ Formal and Informal Care Utilization Affect Informal Caregivers?: A COVID-19 Case Study," IJERPH, MDPI, vol. 19(24), pages 1-16, December.

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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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