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Will you still want me tomorrow? The dynamics of families' long-term care arrangements

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  • Michelle Sovinsky Goeree
  • Bridget Hiedemann
  • Steven Stern

Abstract

We estimate dynamic models of elder-care arrangements using data from the Assets and Health Dynamics Among the Oldest Old Survey. We model the use of institutional care, formal home health care, care provided by a child, and care provided by a spouse in the selection of each care arrangement, the primary arrangement, and hours in each arrangement. Our results indicate that both observed heterogeneity and true state dependence play roles in the persistence of care arrangements. We find that positive state dependence (i.e., inertia) dominates caregiver burnout, and that formal care decisions depend on the cost and quality of care.

Suggested Citation

  • Michelle Sovinsky Goeree & Bridget Hiedemann & Steven Stern, 2012. "Will you still want me tomorrow? The dynamics of families' long-term care arrangements," ECON - Working Papers 088, Department of Economics - University of Zurich.
    • Handle: RePEc:zur:econwp:088
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    References listed on IDEAS

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    Cited by:

    1. Ha Trong Nguyen & Luke B. Connelly, 2017. "The Dynamics of Informal Care Provision in an Australian Household Panel Survey: Previous Work Characteristics and Future Care Provision," The Economic Record, The Economic Society of Australia, vol. 93(302), pages 395-419, September.
    2. Claudia Senik & Guglielmo Zappalà & Carine Milcent & Chloé Gerves-Pinquié & Patricia Dargent-Molina, 2021. "Happier Elderly Residents The positive impact of physical activity on objective and subjective health condition of elderly people in nursing homes. Evidence from a multi-site randomized controlled tri," PSE Working Papers halshs-03966677, HAL.
    3. Michelle Sovinsky & Steven Stern, 2016. "Dynamic modelling of long-term care decisions," Review of Economics of the Household, Springer, vol. 14(2), pages 463-488, June.
    4. Julien Bergeot & Roméo Fontaine, 2020. "The heterogeneous effect of retirement on informal care behavior," Health Economics, John Wiley & Sons, Ltd., vol. 29(10), pages 1101-1116, October.
    5. Claudia Senik & Guglielmo Zappalà & Carine Milcent & Chloé Gerves-Pinquié & Patricia Dargent-Molina, 2021. "Happier Elderly Residents The positive impact of physical activity on objective and subjective health condition of elderly people in nursing homes. Evidence from a multi-site randomized controlled tri," Working Papers halshs-03966677, HAL.
    6. Han Hu & Zhao Zhang, 2022. "Long-Term Care Services and Insurance System in China: An Evolutionary Game Analysis," Sustainability, MDPI, vol. 15(1), pages 1-22, December.
    7. Claudia Senik & Guglielmo Zappalà & Carine Milcent & Chloé Gerves-Pinquié & Patricia Dargent-Molina, 2022. "Happier Elderly Residents. The Positive Impact of Physical Activity on Objective and Subjective Health Condition of Elderly People in Nursing Homes. Evidence from a Multi-Site Randomized Controlled Tr," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(2), pages 1091-1111, April.
    8. Bergeot, Julien & Tenand, Marianne, 2021. "Does informal care delay nursing home entry? Evidence from Dutch linked survey and administrative data," CEPREMAP Working Papers (Docweb) 2105, CEPREMAP.
    9. Claudia Senik & Guglielmo Zappalà & Carine Milcent & Chloé Gerves-Pinquié & Patricia Dargent-Molina, 2021. "Happier Elderly Residents. The positive impact of physical activity on objective and subjective health condition of elderly people in nursing homes. Evidence from a multi-site randomized controlled tr," Working Papers halshs-03205172, HAL.
    10. CREMER, Helmuth & PESTIEAU, Pierre & PONTHIERE, Grégory, 2012. "The economics of long-term care: a survey," LIDAM Discussion Papers CORE 2012030, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    11. Quitterie Roquebert, 2022. "Can informal care help preserve mental health in nursing homes? Evidence of gender effects," Working Papers of BETA 2022-08, Bureau d'Economie Théorique et Appliquée, UDS, Strasbourg.
    12. Coe, Norma B. & Goda, Gopi Shah & Van Houtven, Courtney Harold, 2023. "Family spillovers and long-term care insurance," Journal of Health Economics, Elsevier, vol. 90(C).
    13. Claudia Senik & Guglielmo Zappalà & Carine Milcent & Chloé Gerves-Pinquié & Patricia Dargent-Molina, 2021. "Happier Elderly Residents. The positive impact of physical activity on objective and subjective health condition of elderly people in nursing homes. Evidence from a multi-site randomized controlled tr," PSE Working Papers halshs-03205172, HAL.

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    More about this item

    Keywords

    Dynamic models; long-term care; home health care; informal care;
    All these keywords.

    JEL classification:

    • C51 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Model Construction and Estimation
    • C61 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Optimization Techniques; Programming Models; Dynamic Analysis
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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