Household Responses to Public Home Care Programs, Issue 8523
A choice-theoretic model of household decision-making with respect to care-giving time allocations and the use of publicly and privately financed home care services is proposed. Predictions concerning the effect of increased availability of publicly financed home care services on home care utilization, informal care-giving, and health status are derived. These predictions are assessed through use of Canadian inter-provincial survey data on home care use and care-giving that are matched with data on home care funding for the period 1992 to 1998. Increased availability of publicly financed home care is associated with an increase in its utilization and a decline in informal care-giving, with this effect more pronounced among lower income Canadians. While self-reported health status was positively correlated with the increased availability of publicly financed home care, the perceived need for home care was invariant to this change
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allocation of publicly availability of publicly Canada Health Act care-giving activities cluster corrected standard College conditional on needing corner solution corrected standard errors Coyte data on home demographic denote significance devoted to home elderly errors in parentheses fixed effects formal generosity of public giving activities Health Canada HH Income home care programs home care services household decision-making household fully exhausts in-home services income effect Income in 000 increased availability informal care-giving instrumental variable Lagged Public Health levels respectively linear probability models living arrangements Marginal Effects reported maximum allocation Medicaid model of household models for column moral hazard NBER Working Paper need for home NPHS Number nursing home papers in hard partial subscription percent performance ability policies privately financed Probit Marginal Effects public allocation public home public program generosity publicly financed home receive recipient's recipients reported for column Research self-reported health status specifications include province Statistics Canada utilization variable