Informal care and health care use of older adults

Informal care and health care use of older adults
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DOI:
10.1016/j.jhealeco.2004.04.008
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发表时间:
2004-11-01
影响因子:
3.5
通讯作者:
Norton, EC
Norton, EC
中科院分区:
经济学2区
文献类型:
--
作者:
Van Houtven, CH;Norton, EC

文献摘要

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由成年子女提供的非正式护理是老年人长期护理的一种常见形式,如果它取代正式护理,可以减少医疗支出。我们解决所有儿童的非正式护理如何影响正式护理,这是至关重要的人口趋势和许多政策建议,以促进非正式护理。我们研究了1998年的健康和退休调查(HRS)和1995年的资产和健康动态之间的最古老的老面板调查(AHEAD)使用两部分利用模型。工具变量(IV)估计控制的非正式和正式的护理的一致性。非正式护理减少了家庭医疗保健的使用,并推迟进入疗养院。(C)2004 Elsevier B.V.保留所有权利。
Informal care by adult children is a common form of long-term care for older adults and can reduce medical expenditures if it substitutes for formal care. We address how informal care by all children affects formal care, which is critically important given demographic trends and the many policies proposed to promote informal care. We examine the 1998 Health and Retirement Survey (HRS) and 1995 Asset and Health Dynamics Among the Oldest-Old Panel Survey (AHEAD) using two-part utilization models. Instrumental variables (IV) estimation controls for the simultaneity of informal and formal care. Informal care reduces home health care use and delays nursing home entry. (C) 2004 Elsevier B.V. All rights reserved.