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At Home versus in a Nursing Home: Long-term Care Settings and Marginal Utility

Author

Listed:
  • Philippe de Donder

    (TSE-R - Toulouse School of Economics - UT Capitole - Université Toulouse Capitole - Comue de Toulouse - Communauté d'universités et établissements de Toulouse - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, CNRS - Centre National de la Recherche Scientifique)

  • Bertrand Achou

    (University of Groningen [Groningen])

  • Franca Glenzer

    (HEC Montréal - HEC Montréal)

  • Minjoon Lee

    (University of Ottawa [Ottawa])

  • Marie-Louise Leroux

    (ESG-UQAM - École des Sciences de la Gestion [UQAM] - UQAM - Université du Québec à Montréal = University of Québec in Montréal)

Abstract

Marginal utility of financial resources when needing long-term care, and the related incentives for precautionary savings and insurance, may vary significantly by whether one receives care at home or in a nursing home. In this paper, we develop strategic survey questions to estimate those differences. All else equal, we find that the marginal utility is significantly higher when receiving care at home rather than in a nursing home. We then use these estimates within a quantitative life cycle model to evaluate the impact of the expected choice of care setting (home versus nursing home) on precautionary savings and insurance valuation. The estimated marginal utility differences imply a significant increase in the incentives to save when expecting to receive care at home. Larger incentives to self-insure also translate to a higher valuation of additional subsidies for home care than for nursing homes, shedding light on an efficient way to expand public long-term care subsidies. We also examine how the magnitude of our results quantitatively varies with the existing public long-term care subsidies

Suggested Citation

  • Philippe de Donder & Bertrand Achou & Franca Glenzer & Minjoon Lee & Marie-Louise Leroux, 2023. "At Home versus in a Nursing Home: Long-term Care Settings and Marginal Utility," Working Papers hal-04166735, HAL.
    • Handle: RePEc:hal:wpaper:hal-04166735
    Note: View the original document on HAL open archive server: https://hal.science/hal-04166735v1
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    Cited by:

    1. Connolly, Marie & Leroux, Marie-Louise & Konou, Akakpo Domefa, 2025. "Evaluating the relationship between income, survival and loss of autonomy among older Canadians," The Journal of the Economics of Ageing, Elsevier, vol. 31(C).
    2. Courbage, Christophe & Oros, Cornel, 2024. "On the effects of public subsidies for severe and mild dependency on long-term care insurance," Insurance: Mathematics and Economics, Elsevier, vol. 119(C), pages 106-118.
    3. Geyer, Johannes & Haan, Peter & Teschner, Mia, 2024. "The Impact of Macroeconomic Conditions on Long-Term Care: Evidence on Prices," IZA Discussion Papers 17197, Institute of Labor Economics (IZA).

    More about this item

    Keywords

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    JEL classification:

    • D14 - Microeconomics - - Household Behavior - - - Household Saving; Personal Finance
    • E21 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Consumption; Saving; Wealth
    • G51 - Financial Economics - - Household Finance - - - Household Savings, Borrowing, Debt, and Wealth
    • I10 - Health, Education, and Welfare - - Health - - - General

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