Does the amount of formal care affect informal care ? Evidence among over‑60s in France

Elsa Perdrix () and Quitterie Roquebert
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Elsa Perdrix: Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, Max-Planck Institute for Social Law and Social Policy

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Abstract: This paper investigates the causal effect of the amount of formal care used on the informal care received by formal careusers. We use an original instrument for formal care volume based on local disparities (NUTS 3 level, 96 units) in the priceof formal care. Using the French CARE survey, we use a two-part model to assess the effect of formal care on the extensiveand the intensive margin of informal care. An increase in the amount of formal care is found to be associated with a smalldecrease in the probability of using informal care. Heterogeneity tests show that this negative effect is mainly driven by helpfor daily activities provided by women. At the intensive margin, informal care is not significantly affected by the amountof formal care. Reforms increasing subsidies for formal care can thus be suspected to have a limited effect on informal carearrangements.

Keywords: Long term care; Informal and formal care; Instrumental variable (search for similar items in EconPapers)
Date: 2021
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Published in European Journal of Health Economics, 2021, pp.13. ⟨10.1007/s10198-021-01370-5⟩

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Related works:
Journal Article: Does the amount of formal care affect informal care? Evidence among over-60s in France (2022)
Working Paper: Does the amount of formal care affect informal care ? Evidence among over‑60s in France (2021)
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Persistent link: https://EconPapers.repec.org/RePEc:hal:cesptp:hal-03389540

DOI: 10.1007/s10198-021-01370-5

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