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La solvabilisation des plans d'aide APA comme outil décentralisé d'assurance et de redistribution

Author

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  • Cécile Bourreau-Dubois
  • Agnès Gramain

Abstract

La loi du 13 août 2004, dans son article 56, reconnaît aux conseils généraux un rôle de "chef de file" de l'action sociale en direction des personnes âgées, mais un cadre légal, fixé au plan national, encadre étroitement leur action, en particulier en matière de solvabilisation de la demande d'aide, via l'allocation personnalisée d'autonomie (APA). S’appuyant sur les enseignements tirés d’enquêtes réalisées auprès de conseils généraux, cet article montre comment le vide juridique concernant la valeur de l'heure d'aide à utiliser dans le calcul de l'APA permet aux conseils généraux de modifier sensiblement les propriétés de cet outil de financement public, à la fois ses propriétés assurantielles face aux risque de prix induit par la tarification individualisée qui prévaut dans le secteur médico- social, et ses propriétés distributives.

Suggested Citation

  • Cécile Bourreau-Dubois & Agnès Gramain, 2014. "La solvabilisation des plans d'aide APA comme outil décentralisé d'assurance et de redistribution," Working Papers of BETA 2014-08, Bureau d'Economie Théorique et Appliquée, UDS, Strasbourg.
  • Handle: RePEc:ulp:sbbeta:2014-08
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    File URL: http://www.beta-umr7522.fr/productions/publications/2014/2014-08.pdf
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    References listed on IDEAS

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    1. Agnès Gramain & Solène Billaud & Cécile Bourreau-Dubois & Helen Lim & Florence Weber & Jingyue Xing, 2012. "La prise en charge de la dépendance des personnes âgées: les dimensions territoriales de l'action publique," Working Papers halshs-00705569, HAL.
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    Cited by:

    1. Claire Marbot & Delphine Roy, 2015. "Projections du coût de l’APA et des caractéristiques de ses bénéficiaires à l’horizon 2040 à l’aide du modèle Destinie," Économie et Statistique, Programme National Persée, vol. 481(1), pages 185-209.
    2. Marianne Tenand, 2018. "Being dependent rather than handicapped in France: Does the institutional barrier at 60 affect care arrangements?," PSE Working Papers halshs-01889452, HAL.
    3. Carbonnier, Clément, 2014. "The incidence of non-linear price-dependent consumption taxes," Journal of Public Economics, Elsevier, vol. 118(C), pages 111-119.

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