Time-bound opportunity costs of informal care: Consequences for access to professional care, caregiver support, and labour supply estimates

Time-bound opportunity costs of informal care: Consequences for access to professional care, caregiver support, and labour supply estimates
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DOI:
10.1016/j.socscimed.2011.08.027
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发表时间:
2011-11-01
影响因子:
5.4
通讯作者:
Van den Berg, Bernard
Van den Berg, Bernard
中科院分区:
医学2区
文献类型:
--
作者:
Hassink, Wolter H. J.;Van den Berg, Bernard

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与提供非正规护理有关的机会成本通常是根据护理人员参与有酬工作的可能性降低来估算的(既包括他们是否能够从事有酬工作,也包括如果能够从事有酬工作,则工作的时间)。除了所提供的非正式照料的时间之外,这些机会成本还可能取决于在一天的特定时刻执行特定非正式照料任务的必要性。迄今为止,文献在很大程度上忽略了非正式护理的这一层面。我们使用了荷兰的数据,从时间使用日记,报告模式的非正式护理全天,使调查时,进行特定的活动。我们发现,虽然有些任务必须在一天中相对固定的时间执行,但其他任务是可以转移的,可以在其他时间甚至不同的日子执行。家庭和组织活动更有可能由受雇的照顾者承担,而且似乎在很大程度上是可转移的:而个人护理包含不可转移的活动。这意味着提供个人护理任务的额外机会成本,我们称之为“有时限”的机会成本。由于照顾对象的护理需要可能在一定程度上涉及到不可转移的任务,我们的结论是,一个人应该小心使用护理需要作为一种工具的非正式护理劳动力供应方程。(C)2011爱思唯尔有限公司保留所有权利。
The opportunity costs associated with the provision of informal care are usually estimated based on the reduced potential of the caregiver to partake in paid work (both in terms of whether they are able to undertake paid work, and if so the hours of work undertaken). In addition to the hours of informal care provided, these opportunity costs are also likely determined by the necessity to perform particular informal care tasks at specific moments of the day. The literature, to date, has largely overlooked this dimension of informal care. We used Dutch data from time use diaries which report patterns of informal care throughout the day which enables investigation of when particular activities are undertaken. We found that whereas some tasks must be performed at a relatively fixed time of day, others are shiftable and can be performed at other times or even on different days. Household and organisation activities are more likely to be undertaken by employed caregivers, and seem largely to be shiftable: whereas personal care contains unshiftable activities. This implies additional opportunity costs of providing personal care tasks we term these "time-bound" opportunity costs. Since the care recipient's need for care may in part relate to unshiftable tasks, we conclude that one should be careful with using care need as an instrument of informal care in labour supply equations. (C) 2011 Elsevier Ltd. All rights reserved.