Decentralized policies and formal care use by the disabled elderly

Quitterie Roquebert, Remi Kabore and Jerome Wittwer
Additional contact information
Remi Kabore: ISPED - Institut de Santé Publique, d'Epidémiologie et de Développement - Université Bordeaux Segalen - Bordeaux 2
Jerome Wittwer: ISPED - Institut de Santé Publique, d'Epidémiologie et de Développement - Université Bordeaux Segalen - Bordeaux 2

Working Papers from HAL

Abstract: In a context of population ageing, public policies encourage the utilization of pro- fessional home care for the elderly living in the community. This chapter studies the determinants of professional home care use by the disabled elderly in the French con- text. It focuses on the e_ects of the regulation of the supply and the generosity of public _nancing. We use departmental variations in both the regulation of providers and the implementation of the main program devoted to the disabled elderly, the APA policy. We exploit an original survey on departmental practices matched with the HSM survey to estimate the determinants of formal care use, at the extensive margin. We _nd no e_ect of the departmental generosity while, on the supply side, when non-regulated providers | whose quality is uncertain and price is lightly regulated | dominate the market, the disabled elderly have a lower probability to use formal home care. Our results contribute to discuss both the questions raised by the decentralization of a national policy and the recent reform of the home care sector requiring all home care structures to be regulated.

Keywords: long-term care; home care; supply regulation; decentralization (search for similar items in EconPapers)
Date: 2018-09
New Economics Papers: this item is included in nep-age
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01877829v1
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

Downloads: (external link)
https://shs.hal.science/halshs-01877829v1/document (application/pdf)

Related works:
Working Paper: Decentralized policies and formal care use by the disabled elderly (2018)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hal:wpaper:halshs-01877829

Access Statistics for this paper

More papers in Working Papers from HAL
Bibliographic data for series maintained by CCSD (hal@ccsd.cnrs.fr).