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Impact of formal care consumption on informal care use in Europe: What is happening at the beginning of dependency?

Thomas Rapp, Jérome Ronchetti and Jonathan Sicsic

Health Policy, 2022, vol. 126, issue 7, 632-642

Abstract: Little is known about care use decisions at the beginning of the disability process, when older people are vulnerable. This article investigates the impact of formal care (FC) consumption on informal care (IC) utilization in Europe in a population of frail older people. We use data from the Sarcopenia and Physical fRailty IN older people: multi-componenT Treatment strategies (SPRINTT) study, which involves a sample of 1515 elderly (70+) people surveyed in 11 European countries. We explore the impact of home-based FC use on IC use at the extensive and intensive margins. The use of FC is instrumented with a dichotomous variable reproducing the eligibility criteria for public home-based FC in each country. We show that receiving home-based FC positively and significantly affects the probability of using IC. Therefore, we conclude that home-based FC and IC are complementary at the beginning of the dependency process.

Keywords: Frailty; Informal care; Formal care; Long term care; Instrumental variable models (search for similar items in EconPapers)
JEL-codes: C31 I18 I38 J14 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:126:y:2022:i:7:p:632-642

DOI: 10.1016/j.healthpol.2022.04.007

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