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Home vs. nursing care: Unpacking the impact on health and well-being

Author

Listed:
  • Elena Bassoli

    (ETH Zürich - Eidgenössische Technische Hochschule - Swiss Federal Institute of Technology [Zürich])

  • Mathieu Lefebvre

    (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)

  • Jérôme Schoenmaeckers

    (ULiège - Université de Liège = University of Liège = Universiteit van Luik = Universität Lüttich)

Abstract

In this paper, we present estimates of the effect of different care settings on health and well-being outcomes. We use data from the French CARE Survey, which interviews individuals aged 60 and above, to assess the differential effect of living at home or in a nursing home on mortality, morbidity and well-being indicators. In addition, we differentiate the effect between for-profit and non-profit nursing homes. To do so, we apply a propensity score matching approach that controls for selection on observables by matching people living at home with those living in nursing homes. Our results are threefold. First, we observe a positive effect of being in a nursing home on health outcomes but a negative effect on other well-being indicators such as happiness and nervousness. Second, the ownership status of the nursing home matters and the positive effect is stronger for non-profit and public nursing homes. Third, residents in for-profit nursing homes appear to to be worse off than those in nonprofit institutions. These findings raise important questions for the future organization and the funding of long-term care.

Suggested Citation

  • Elena Bassoli & Mathieu Lefebvre & Jérôme Schoenmaeckers, 2025. "Home vs. nursing care: Unpacking the impact on health and well-being," Post-Print hal-05460270, HAL.
    • Handle: RePEc:hal:journl:hal-05460270
    DOI: 10.1016/j.socscimed.2025.118533
    Note: View the original document on HAL open archive server: https://univoak.hal.science/hal-05460270v1
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