Formal and Informal Care: An Empirical Bayesian Analysis Using the Two-part Model
Formal and Informal Care: An Empirical Bayesian Analysis Using the Two-part Model
复制标题
正式和非正式护理：使用两部分模型的实证贝叶斯分析
DOI：
--
复制
发表时间：
2012
影响因子：
--
通讯作者：
Juan Du
中科院分区：
文献类型：
--
作者：
Juan Du
摘要非正式的照顾提供给老年人的子女提出了一个较便宜的替代机构的长期护理。本文探讨了老年人的医疗保健消费的变化，以应对他们从他们的子女接受的非正式照顾的变化。许多早期的研究都忽略了非正式医疗服务的内涵和医疗服务利用数据的复杂性。本文建立了一个两部分模型，将非正式护理视为内生回归变量，并在选择过程中施加排除限制。该模型使用贝叶斯马尔可夫链蒙特卡罗（MCMC）方法，特别是吉布斯采样器和Metropolis-Hasting算法进行拟合。通过后验模拟得到了平均处理效果和处理效果的分布。结果表明，非正式护理提供了一个替代护理之家和医院住院护理，但它不影响支付家庭医疗服务的平均。治疗效果是异质性的。最大的替代效应发生在密集边际的疗养院和医院住院治疗。政策分析表明，针对产生最大替代效应的群体的非正式护理政策可能有助于减少政府在医疗补助和医疗保险方面的支出。
Abstract Informal care provided to the elderly by their children is proposed as a less expensive alternative to institutional long-term care. This paper explores how the elderly's consumption of medical care changes in response to changes in the informal care they receive from their children. Many earlier studies have ignored both the endogeneity of informal care and the complicated nature of health care utilization data. This paper develops a two-part model with informal care treated as an endogenous regressor and imposes exclusion restrictions on the selection process. The model is fitted using the Bayesian Markov Chain Monte Carlo (MCMC) methods, in particular the Gibbs sampler and the Metropolis-Hasting algorithm. The average treatment effects and the distributions of the treatment effects are obtained via posterior simulation. The results indicate that informal care provides a substitute for nursing home care and hospital inpatient care, but it does not affect paid home health care on average. The treatment effects are heterogeneous. The largest substitution effects occur for nursing home and hospital inpatient care at the intensive margin. The policy analysis suggests that informal care policies targeting the group that incurs the largest substitution effect may help to reduce government spending on Medicaid and Medicare.
影响因子：
2.1
作者：
Bolin, K.;Lindgren, B.;Lundborg, P.
通讯作者：
Lundborg, P.
压倒性的可能性：护理和收容的风险。
DOI：
10.1093/geronj/45.5.s173
发表时间：
1990
期刊：
Journal of gerontology
影响因子：
--
作者：
Newman,SJ;Struyk,R;Wright,P;Rice,M
通讯作者：
Rice,M
影响因子：
3.5
作者：
Bonsang, Eric
通讯作者：
Bonsang, Eric