Home vs. nursing care: Unpacking the impact on health and well-being

Elena Bassoli, Mathieu Lefebvre () and Jérôme Schoenmaeckers
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Elena Bassoli: ETH Zürich - Eidgenössische Technische Hochschule - Swiss Federal Institute of Technology [Zürich]
Mathieu Lefebvre: BETA - Bureau d'Économie Théorique et Appliquée - AgroParisTech - UNISTRA - Université de Strasbourg - Université de Haute-Alsace (UHA) - Université de Haute-Alsace (UHA) Mulhouse - Colmar - UL - Université de Lorraine - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement
Jérôme Schoenmaeckers: ULiège - Université de Liège = University of Liège = Universiteit van Luik = Universität Lüttich

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Abstract: In this paper, we present estimates of the effect of different care settings on health and well-being outcomes. We use data from the French CARE Survey, which interviews individuals aged 60 and above, to assess the differential effect of living at home or in a nursing home on mortality, morbidity and well-being indicators. In addition, we differentiate the effect between for-profit and non-profit nursing homes. To do so, we apply a propensity score matching approach that controls for selection on observables by matching people living at home with those living in nursing homes. Our results are threefold. First, we observe a positive effect of being in a nursing home on health outcomes but a negative effect on other well-being indicators such as happiness and nervousness. Second, the ownership status of the nursing home matters and the positive effect is stronger for non-profit and public nursing homes. Third, residents in for-profit nursing homes appear to to be worse off than those in nonprofit institutions. These findings raise important questions for the future organization and the funding of long-term care.

Keywords: Private vs public; Care; Propensity score matching; Nursing homes; Health outcomes (search for similar items in EconPapers)
Date: 2025-09-07
New Economics Papers: this item is included in nep-age and nep-hea
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Published in Social Science & Medicine, 2025, 385, pp.118533. ⟨10.1016/j.socscimed.2025.118533⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05460270

DOI: 10.1016/j.socscimed.2025.118533

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