Formal and informal care for disabled elderly living in the community = Soins formels et informels prodigués aux personnes âgées handicapes vivant en communauté : une évaluation de la composition et des coûts des soins en France : an appraisal of French care composition and costs

Article indépendant

PARAPONARIS, A. | DAVIN, B. | VERGER, P.

Choices between formal and informal care for disabled elderly people living at home are a key component of the long-term care provision issues faced by an ageing population. This paper aims to identify factors associated with the type of care (informal, formal, mixed or no care at all) received by the French disabled elderly and to assess the care's relative costs. This paper uses data from a French survey on disability ; the 3,500 respondents of interest lived at home, were aged 60 and over, had severe disability and needed help with activities of daily living. We use a multinomial probit model to determine factors associated with type of care. We also assess the cost of care with the help of the proxy good method. One-third of disabled elderly people receive no care. Among those who are helped, 55 % receive informal, 25 % formal, and 20 % mixed care. Low socioeconomic status increases difficulties in accessing formal care. The estimated economic value of informal care. Public policies should pay more attention to inequalities in access to community care. They also should better support informal care, through respite care or workplace accommodations (working hours rescheduling or reduction for instance) not detrimental for the career of working caregivers.

Voir la revue «THE EUROPEAN JOURNAL OF HEALTH ECONOMICS, 13»

Autres numéros de la revue «THE EUROPEAN JOURNAL OF HEALTH ECONOMICS»

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