Journal
HEALTH POLICY
Volume 126, Issue 7, Pages 632-642Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.healthpol.2022.04.007
Keywords
Frailty; Informal care; Formal care; Long term care; Instrumental variable models
Funding
- Innovative Medicines Initiative Joint Undertaking from the European Union' Seventh Framework Programme (FP7/2007-2013) [115621]
- EFPIA companies
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This article investigates the impact of formal care consumption on informal care utilization in a population of frail older people in Europe. The study finds that receiving formal care positively affects the probability of using informal care, suggesting their complementarity at the beginning of the dependency process.
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.
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