A Comprehensive Measure of the Costs of Caring for a Parent: Differences According to Functional Status.
A Comprehensive Measure of the Costs of Caring for a Parent: Differences According to Functional Status.
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DOI：
10.1111/jgs.15552
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发表时间：
2018-10
影响因子：
6.3
通讯作者：
Larson EB
中科院分区：
文献类型：
--
作者：
Coe NB;Skira MM;Larson EB
2015年，约有3400万家庭和朋友为50岁及以上的个人提供无偿护理。很难确定这段时间的价值，因为没有向照料者支付报酬，而且将这段时间乘以工资并不能说明失去的闲暇时间的价值、对未来就业能力和工资的影响或照料者获得的任何内在好处。本研究采用动态离散选择模型来估计一个更完整的措施，由女儿向她的母亲提供的非正式护理的成本，并比较这些成本估计在四个类别的母亲的功能状态：有一个医生诊断的记忆相关的疾病，在日常生活活动（ADL）的限制，两者的组合，或不能单独离开一个小时或更长时间。我们使用健康与退休研究（1998-2012）的数据研究了在样本期开始时有一位在世母亲的40-70岁成年女性（N= 3，427名女性）。主要的结果是福利的货币化变化，经济学家称之为“福利成本”。我们估计，在两年的时间里，照顾一位年迈的母亲对女儿的福利的平均成本从144，302美元到201，896美元不等，这取决于母亲的功能状态。这些估计表明，2011年非正式护理的成本为2770亿美元，比仅考虑当前工资的估计高出20%。
Approximately 34 million family and friends provided unpaid care to individuals age 50 and older in 2015. It is difficult to place a value on that time, since there is no payment made to the caregiver, and multiplying the caregiving hours by a wage does not account for the value of lost leisure, the implications for future employability and wages, or any intrinsic benefits accrued to the care provider. This study uses a dynamic discrete choice model to estimate a more complete measure of the costs of informal care provided by a daughter to her mother, and compares these cost estimates across four categories of the mother’s functional status: has a doctor-diagnosed memory-related disease, limitations in activities of daily living (ADL), a combination of both, or cannot be left alone for an hour or more. We study adult women aged 40–70 with a living mother at the start of the sample period (N=3,427 women) using data from the Health and Retirement Study (1998–2012). The primary outcome is the monetized change in well-being due to caregiving, what economists call “welfare costs.” We estimate that the median cost to the daughter’s well-being of providing care to an elderly mother range from $144,302 to $201,896 over a two-year period, depending on the mother’s functional status. These estimates suggest that informal care cost $277 billion in 2011, 20 percent higher than estimates that only account for current foregone wages.
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发表时间：
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期刊：
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