Can family caregiving substitute for nursing home care?
Can family caregiving substitute for nursing home care?
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DOI：
10.1016/j.jhealeco.2005.05.001
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发表时间：
2005-11-01
影响因子：
3.5
通讯作者：
Sevak, P
中科院分区：
文献类型：
--
作者：
Charles, KK;Sevak, P
非正式护理应该替代养老院，但经验证据往往表明情况恰恰相反。这可能是因为接受非正规护理与未观察到的负面健康特征呈正相关。我们利用儿童特征的差异作为非正式护理的工具，对1993-2000年AHEAD调查中6855名个体的疗养院使用情况进行了两阶段最小二乘(TSLS)估计。虽然OLS的结果表明，非正式护理与未来疗养院的风险更大相关，但TSLS估计表明，从统计上讲，接受非正式护理可以显著降低进入疗养院的风险。这一发现对医疗补助和私人长期护理保险市场有影响。(C)2005 Elsevier B.V.保留所有权利。
Informal care should be a substitute for nursing homes but empirical evidence often suggests the opposite. This may be because informal care receipt is positively correlated with unobserved negative health characteristics. We exploit variation in children's characteristics as instruments for informal care to provide Two-Stage Least Squares (TSLS) estimates of nursing home use among a sample of 6855 individuals from the 1993-2000 waves of the AHEAD survey. While OLS results suggest informal care is associated with greater future nursing home risk, TSLS estimates show that receipt of informal care statistically and substantially reduces the risk of nursing home entry. This finding has implications for Medicaid and private long-term care insurance markets. (c) 2005 Elsevier B.V. All rights reserved.