| Titre | Décisions de recours au système de soins dans la prise en charge des personnes âgées dépen dantes : un modèle de choix discret dynamique | |
|---|---|---|
| Auteur | Agnès Gramain | |
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Revue | Economie et prévision |
| Numéro | no 129-130, 1997/3-4 Nouvelles approches micro-économiques de la santé | |
| Rubrique / Thématique | Nouvelles approches micro-économiques de la santé Les enjeux de la régulation |
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| Page | 239-254 | |
| Résumé anglais |
Long-Term Care Choices of Disabled Elderly and their Family Caregivers : a Dynamic Discrete Choice Model
by Agnès Gramain
This article presents an application of a dynamic discrete choice model to the analysis of care arrangement of disabled elderly. This method allows us to examine the main determinants of the demand for in-home services and nursing-home admission. Data were collected in 1993 and 1996 in southern France, and describe the evolution of care arangement for 155 elderly and their main caregivers. Our results show that the call for professionnal help is obviously a response to time and budget arbitrage. They also indicate that ageing and disability increasing do not systematically induce a higher probability of formal help use. The care arrangements of disabled elderly seem to be very stable whatever the type of formal services and the level of incapacities. Our estimations give some elements for the evaluation of the in-home services' efficiency in terms of reduced probability of nursing-home admission. It suggests that the nursing-home admission probability depends of a rather complex profile of characteristics including the type of disability the elderly persons suffer from, their socio-economic status and the formal and informal caregivers that help them. Source : Éditeur (via Persée) |
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| Article en ligne | http://www.persee.fr/web/revues/home/prescript/article/ecop_0249-4744_1997_num_129_3_5876 |
