Format

Send to

Choose Destination
See comment in PubMed Commons below
Health Econ. 2014 Oct;23(10):1185-212. doi: 10.1002/hec.2977. Epub 2013 Sep 5.

A country for old men? Long-term home care utilization in Europe.

Author information

1
Department of Economics and Business, University of Cagliari and CRENoS, Cagliari, Italy.

Abstract

This paper investigates long-term home care utilization in Europe. Data from the first wave of the Survey on Health, Ageing and Retirement (SHARE) on formal (nursing care and paid domestic help) and informal care (support provided by relatives) are used to study the probability and the quantity of both types of care. The overall process is framed in a fully simultaneous equation system that takes the form of a bivariate two-part model where the reciprocal interaction between formal and informal care is estimated. Endogeneity and unobservable heterogeneity are addressed using a common latent factor approach. The analysis of the relative impact of age and disability on home care utilization is enriched by the use of a proximity to death (PtD) indicator built using the second wave of SHARE. All these indicators are important predictors of home care utilization. In particular, a strong significant effect of PtD is found in the paid domestic help and informal care models. The relationship between formal and informal care moves from substitutability to complementarity depending on the type of care considered, and the estimated effects are small in absolute size. This might call for a reconsideration of the effectiveness of incentives for informal care as instruments to reduce public expenditure for home care services.

KEYWORDS:

C3; I1; ageing; discrete latent factors; long-term care; proximity to death

PMID:
24009166
DOI:
10.1002/hec.2977
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for Wiley
    Loading ...
    Support Center