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Impact du reste à charge sur le volume d'heures d'aide à domicile utilisé par les bénéficiaires de l'APA




In France, since 2001, home care for disabled elderly can be partially subsidized by a public allowance (allocation personnalisée d'autonomie - APA). For eligible elderly people, the amount to be paid for one hour of formal home care depends on their income, according to a national rule, but also on the rate charged by the chosen provider, and the type of provider, according to parameters fixed by local authorities. This specific institutional frame allows us to estimate the price- and income elasticity of the demand for formal home care by disabled elderly, using administrative data, collected in a local district in October 2010, on 11 040 APA beneficiaries and 13 providers. Our estimation results show that, in this district and for regulated long-term care providers, the price-elasticity of demand is slightly negative. An increase of the price charged by the provider by 10% induces a reduction of the number of care hours by 5.5%

Suggested Citation

  • Cécile Bourreau-Dubois & Agnès Gramain & Helen Lim & Jingyue Xing, 2014. "Impact du reste à charge sur le volume d'heures d'aide à domicile utilisé par les bénéficiaires de l'APA," Documents de travail du Centre d'Economie de la Sorbonne 14024, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne.
  • Handle: RePEc:mse:cesdoc:14024

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    Cited by:

    1. Roquebert, Q. & Tenand, M., 2016. "Pay less, consume more? Estimating the price elasticity of demand for home care services of the disabled elderly," Health, Econometrics and Data Group (HEDG) Working Papers 16/16, HEDG, c/o Department of Economics, University of York.

    More about this item


    Price-elasticity; income-elasticity; long-term care;

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
    • H71 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Taxation, Subsidies, and Revenue

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