Decentralized Home Care Sector Regulation and the Demand for Formal Care

Quitterie Roquebert, Rémi Kaboré and Jérôme Wittwer

Revue d'économie politique, 2019, vol. 129, issue 6, 1031-1054

Abstract: In a context of population ageing, public policies encourage the utilization of professional home care for the elderly living in the community. In the French context, it takes the form of subsidies financing the demand and public regulation of the home care sector. We study how the level of regulation in the home care sector relates to formal care use by the disabled elderly, using departmental variations in the importance of regulated of providers on the local sector. We exploit an original survey on departmental practices matched with a national health survey to estimate the determinants of formal care use, at the extensive margin. 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. This effect is concentrated on the youngest elderly, aged 60 to 70, and vanishes for older individuals. 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. JEL Classification: D12, H75, I18, J14

Keywords: long-term care; home care; supply regulation; decentralization (search for similar items in EconPapers)
JEL-codes: D12 H75 I18 J14 (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (1)

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