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Decentralized policies and formal care use by the disabled elderly

Author

Listed:
  • Quitterie Roquebert

    (PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique, PSE - Paris School of Economics - 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 des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

  • 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)

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.

Suggested Citation

  • Quitterie Roquebert & Remi Kabore & Jerome Wittwer, 2018. "Decentralized policies and formal care use by the disabled elderly," PSE Working Papers halshs-01877829, HAL.
    • Handle: RePEc:hal:psewpa:halshs-01877829
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01877829
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    1. Cécile Bourreau-Dubois & Agnès Gramain & Helen Lim & Jingyue Xing, 2014. "Impact du reste à charge sur le volume d’heures d’aide à domicile utilisé par les bénéficiaires de l’APA," Working Papers of BETA 2014-07, Bureau d'Economie Théorique et Appliquée, UDS, Strasbourg.
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    Cited by:

    1. Elsa Perdrix & Quitterie Roquebert, 2022. "Does the amount of formal care affect informal care? Evidence among over-60s in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(3), pages 453-465, April.
    2. Elsa Perdrix & Quitterie Roquebert, 2020. "Does an increase in formal care affect informal care ? Evidence among the French elderly," PSE Working Papers halshs-02370689, HAL.

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    Keywords

    long-term care; home care; supply regulation; decentralization;
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