The non-take up of long-term care benefit in France: A pecuniary motive?

Yves Arrighi, Bérengère Davin-Casalena, Alain Trannoy and Bruno Ventelou

Health Policy, 2015, vol. 119, issue 10, 1338-1348

Abstract: With aging populations, European countries face difficult challenges. In 2002, France implemented a public allowance program (APA) offering financial support to the disabled elderly for their long-term care (LTC) needs. Although currently granted to 1.2 million people, it is suspected that some of those eligible do not claim it—presenting a non-take-up behavior. The granting of APA is a decentralized process, with 94 County Councils (CC) managing it, with wide room for local interpretation. This spatial heterogeneity in the implementation of the program creates the conditions for a “quasi-natural experiment”, and provides the opportunity to study the demand for APA in relation to variations in CCs’ “generosity” in terms of both eligibility and subsidy rate for LTC. We use a national health survey and administrative data in a multilevel model controlling for geographical, cultural and political differences between counties. The results show that claiming for APA is associated with the “generosity” of CCs: the population tends to apply less for the allowance if the subsidy rate is in average lower. This pecuniary trade-off, revealed by our study, can have strong implications for the well-being of the elderly and their relatives.

Keywords: Long-term care; Social benefit; Non-take-up; Multilevel model (search for similar items in EconPapers)
Date: 2015
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (24)

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Working Paper: The non-take up of long-term care benefit in France: A pecuniary motive? (2015)
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:119:y:2015:i:10:p:1338-1348

DOI: 10.1016/j.healthpol.2015.07.003

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