Telecare and Elderly Mortality: Evidence from Italian Municipalities
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Abstract
The growing ageing of the population in developed economies has necessitated the progressive use of advanced information and communication technologies (ICTs) for the home care of elderly individuals. The effect of these technologies on elderly health outcomes remains an open issue. In this study, we analyze the impact of telecare on the mortality rate of elderly people in Italy using data at the municipal level and a doubly robust difference-in-differences design. Our results show that telecare services significantly reduced the mortality rate of the elderly aged 65 and over by 1.7 individuals per 1,000 inhabitants. This effect was sizeable, since it was a 4% decrease in the elderly mortality rate relatively to the average elderly mortality rate in the treated municipalities. The reduction in the elderly mortality rate was greater in municipalities with a large proportion of childless elderly people, suggesting that telecare may be particularly useful for the elderly who find it more difficult to rely on strong family ties. Moreover, it was stronger in small municipalities, indicating that telecare may be more effective where there is a greater need to compensate for a lower level of traditional social and health care services.
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- Matteucci, Nicola & Picchio, Matteo & Santolini, Raffaella & Tchounkeu, Rostand Arland Yebetchou, 2026. "Telecare and elderly mortality: Evidence from Italian municipalities," Economics & Human Biology, Elsevier, vol. 60(C).
- Matteucci, Nicola & Picchio, Matteo & Santolini, Raffaella & Yebetchou Tchounkeu, Rostand Arland, 2025. "Telecare and Elderly Mortality: Evidence from Italian Municipalities," GLO Discussion Paper Series 1594, Global Labor Organization (GLO).
References listed on IDEAS
- Leonardo Becchetti & Alessandra Pelloni & Fiammetta Rossetti, 2008.
"Relational Goods, Sociability, and Happiness,"
Kyklos, Wiley Blackwell, vol. 61(3), pages 343-363, August.
- Leonardo Becchetti & Alessandra Pelloni & Fiammetta Rossetti, 2008. "Relational Goods, Sociability, and happiness," CEIS Research Paper 117, Tor Vergata University, CEIS, revised 14 Jul 2008.
- Leonardo Becchetti & Alessandra Pelloni & Fiammetta Rossetti, 2008. "Relational goods, sociability, and happiness," CIMEO Working Paper Series 39, Centre for Investigation and Modelling of Experimental Observations (CIMEO).
- James J. Heckman & Hidehiko Ichimura & Petra E. Todd, 1997. "Matching As An Econometric Evaluation Estimator: Evidence from Evaluating a Job Training Programme," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 64(4), pages 605-654.
- Milad Karimi & John Brazier, 2016. "Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?," PharmacoEconomics, Springer, vol. 34(7), pages 645-649, July.
- R. Veenhoven, 2008. "Healthy happiness: effects of happiness on physical health and the consequences for preventive health care," Journal of Happiness Studies, Springer, vol. 9(3), pages 449-469, September.
- Alberto Abadie, 2005. "Semiparametric Difference-in-Differences Estimators," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 1-19.
- Agar Brugiavini & Ludovico Carrino & Giacomo Pasini, 2023.
"Long-Term Care in Italy,"
NBER Chapters, in: Long-Term Care around the World, pages 177-211,
National Bureau of Economic Research, Inc.
- Agar Brugiavini & Ludovico Carrino & Giacomo Pasini, 2023. "Long-term Care in Italy," NBER Working Papers 31861, National Bureau of Economic Research, Inc.
- Rotondi, Valentina & Stanca, Luca & Tomasuolo, Miriam, 2017.
"Connecting alone: Smartphone use, quality of social interactions and well-being,"
Journal of Economic Psychology, Elsevier, vol. 63(C), pages 17-26.
- Valentina, Rotondi & Luca, Stanca & Miriam, Tomasuolo, 2016. "Connecting Alone: Smartphone Use, Quality of Social Interactions and Well-being," Working Papers 357, University of Milano-Bicocca, Department of Economics, revised 31 Dec 2016.
- Bruni, Luigino & Stanca, Luca, 2008.
"Watching alone: Relational goods, television and happiness,"
Journal of Economic Behavior & Organization, Elsevier, vol. 65(3-4), pages 506-528, March.
- Luigino Bruni & Luca Stanca, 2005. "Watching alone: Relational Goods, Television and Happiness," Working Papers 90, University of Milano-Bicocca, Department of Economics, revised Jun 2005.
- Lloyd Brandts & Theo G van Tilburg & Hans Bosma & Martijn Huisman & Piet A van den Brandt & Deborah S Carr, 2021. "Loneliness in Later Life and Reaching Longevity: Findings From the Longitudinal Aging Study Amsterdam," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(2), pages 415-424.
- Bruno S. Frey, 2018.
"Economics of Happiness,"
SpringerBriefs in Economics,
Springer, number 978-3-319-75807-7, December.
- Bruno S. Frey & Alois Stutzer, 2002. "The Economics of Happiness," World Economics, World Economics, 1 Ivory Square, Plantation Wharf, London, United Kingdom, SW11 3UE, vol. 3(1), pages 25-41, January.
- Jiajia Chen & Angela K. Dills, 2024. "Does telemedicine save lives? Evidence on the effect of telemedicine parity laws on mortality rates," Southern Economic Journal, John Wiley & Sons, vol. 91(1), pages 12-37, July.
- Sant’Anna, Pedro H.C. & Zhao, Jun, 2020.
"Doubly robust difference-in-differences estimators,"
Journal of Econometrics, Elsevier, vol. 219(1), pages 101-122.
- Pedro H. C. Sant'Anna & Jun B. Zhao, 2018. "Doubly Robust Difference-in-Differences Estimators," Papers 1812.01723, arXiv.org, revised May 2020.
- Nkiruka D Eze & Céu Mateus & Tiago Cravo Oliveira Hashiguchi, 2020. "Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-24, August.
- Maria Gabriella Melchiorre & Marco Socci & Sabrina Quattrini & Giovanni Lamura & Barbara D’Amen, 2022. "Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner," IJERPH, MDPI, vol. 19(15), pages 1-26, July.
- Bryan S. Graham & Cristine Campos De Xavier Pinto & Daniel Egel, 2012.
"Inverse Probability Tilting for Moment Condition Models with Missing Data,"
The Review of Economic Studies, Review of Economic Studies Ltd, vol. 79(3), pages 1053-1079.
- Bryan S. Graham & Cristine Campos de Xavier Pinto & Daniel Egel, 2008. "Inverse Probability Tilting for Moment Condition Models with Missing Data," NBER Working Papers 13981, National Bureau of Economic Research, Inc.
- Roth, Jonathan & Sant’Anna, Pedro H.C. & Bilinski, Alyssa & Poe, John, 2023.
"What’s trending in difference-in-differences? A synthesis of the recent econometrics literature,"
Journal of Econometrics, Elsevier, vol. 235(2), pages 2218-2244.
- Jonathan Roth & Pedro H. C. Sant'Anna & Alyssa Bilinski & John Poe, 2022. "What's Trending in Difference-in-Differences? A Synthesis of the Recent Econometrics Literature," Papers 2201.01194, arXiv.org, revised Jan 2023.
- Nilufer Korkmaz Yaylagul & Hande Kirisik & Joana Bernardo & Carina Dantas & Willeke van Staalduinen & Maddalena Illario & Vincenzo De Luca & João Apóstolo & Rosa Silva, 2022. "Trends in Telecare Use among Community-Dwelling Older Adults: A Scoping Review," IJERPH, MDPI, vol. 19(24), pages 1-20, December.
- Milligan, Christine & Roberts, Celia & Mort, Maggie, 2011. "Telecare and older people: Who cares where?," Social Science & Medicine, Elsevier, vol. 72(3), pages 347-354, February.
- Marenzi, Anna & Rizzi, Dino & Zanette, Michele & Zantomio, Francesca, 2023.
"Regional institutional quality and territorial equity in LTC provision,"
The Journal of the Economics of Ageing, Elsevier, vol. 26(C).
- Anna Marenzi & Dino Rizzi & Michele Zanette & Francesca Zantomio, 2022. "Regional Institutional Quality and Territorial Equity in LTC Provision," Working Papers 2022:15, Department of Economics, University of Venice "Ca' Foscari".
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Keywords
; ; ; ; ;JEL classification:
- I10 - Health, Education, and Welfare - - Health - - - General
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
NEP fields
This paper has been announced in the following NEP Reports:- NEP-AGE-2025-05-05 (Economics of Ageing)
- NEP-HEA-2025-05-05 (Health Economics)
- NEP-ICT-2025-05-05 (Information and Communication Technologies)
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