Does Informal Care from Adult Children Reduce Nursing Home Admissions for the Elderly?

Sasso, Anthony T. Lo; Johnson, Richard W.

doi:10.5034/inquiryjrnl_39.3.279

Cited by 108 publications

(83 citation statements)

References 30 publications

(32 reference statements)

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“…In studying this impact, it is important to account for the fact that the level of formal and informal care are jointly determined, and that unobservable aspects of health status could be correlated with the receipt of both formal and 5 informal care. Bonsang (2009), Van Houtven and Norton (2004, 2008, Bolin et al (2007), Lo Sasso and Johnson (2002), Charles and Sevak (2005), and Greene (1983) use an instrumental variables approach to examine the impact of informal care on the utilization of formal care. In general, these studies find that informal care by children reduces use of formal care, especially home care and nursing home stays.…”

Section: Literature Reviewmentioning

confidence: 99%

Does Widowhood Explain Gender Differences in Out-of-Pocket Medical Spending Among the Elderly?

Goda¹,

Shoven²,

Slavov³

2011

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Despite the presence of Medicare, out-of-pocket medical spending is a large expenditure risk facing the elderly. While women live longer than men, elderly women incur higher out-of-pocket medical spending than men at each age. In this paper, we examine whether differences in marital status and living arrangements can explain this difference. We find that out-of-pocket medical spending is approximately 29 percent higher when an individual becomes widowed, a large portion of which is spending on nursing homes. Our results suggest a substantial role of living arrangements in out-of-pocket medical spending; however, our estimates combined with differences in rates of widowhood across gender suggest that marital status can explain only one third of the gender difference in total out-of-pocket medical spending, leaving a large portion unexplained. On the other hand, gender differences in widowhood more than explain the observed gender difference in out-of-pocket spending on nursing homes.

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Section: Literature Reviewmentioning

confidence: 99%

Does Widowhood Explain Gender Differences in Out-of-Pocket Medical Spending Among the Elderly?

Goda¹,

Shoven²,

Slavov³

2011

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“…These studies have found evidence that having family members who can serve as informal caregivers, actually receiving informal care, and the number of hours of informal care are associated with reduced nursing home entry (Charles and Sevak 2005;Lo Sasso and Johnson 2002;Van Houtven and Norton 2004;Waidmann and Thomas 2003). Other recent research indicates that various measures of stress or burden resulting from caring for elders with dementia predict nursing home entry (Gaugler et al 2000;Gaugler et al 2003Gaugler et al , 2005Brown, Potter, and Foster 1990).…”

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confidence: 99%

Does High Caregiver Stress Predict Nursing Home Entry?

Spillman¹,

Long²

2009

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This study estimates how informal care, paid formal care, and caregiver stress or burden relate to nursing home placement. Data came from the 1999 National Long Term Care Survey and were merged with administrative data. Results show that stress is a strong predictor of entry over follow-up periods of up to two years, and physical strain and financial hardship are important predictors of high levels of caregiver stress. The estimates indicate that reducing these stress factors would significantly reduce caregiver stress and, as a result, nursing home entry. We conclude that initiatives to reduce caregiver stress hold promise as a strategy to avoid or defer nursing home entry.

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“…The first series of these studies treats the family structure as a possible measure of available informal care and examines the relationship between informal and formal care, with the latter usually measured in terms of nursing home care. Among these studies, La Sasso and Johnson (2002) find that frequent help from dependents' children reduces the probability of needing nursing home care within two years by 60 percent. Van Houtven and Norton (2004) use the dependent's number of children and whether the eldest child is female as instruments to estimate the substitutability between formal and informal care.…”

Section: What Constitutes Ltc?mentioning

confidence: 99%

Long-Term Care in Latin America and the Caribbean? Theory and Policy Considerations

2017

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in Long-Term Care in Latin America and the Caribbean? Theory and Policy Considerations SEPTEMBER 2017Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world's largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. services in Latin America. Demand for these services will rise as the region undergoes a swift demographic transition from its currently young population to a rapidly aging one, especially since the region's aging cohorts are more prone to experience a decline in their functional and physical abilities than elderly people elsewhere in the world. We argue that private insurance markets are ill-equipped to provide coverage to meet the need for LTC, while the amount of personal savings required to afford self-insurance is prohibitively high.We study how developed economies have dealt with the issue of LTC and pay special attention to the most salient features of their LTC programs. We then direct the discussion to Latin America, where LTC may not be an immediate priority, but governments are likely to encourage the development of LTC programs as demand for them steadily grows. In particular, policymakers are probably going to focus initially on LTC programs for the poor and the vulnerable, for whom LTC affordability is a greater problem. We therefore study how basic elements of policy design affect cost-effectiveness of LTC programs by means of a formal model. Our study shows that pro-poor programs are more cost effective when people have the option to receive cash subsidies, and the availability of in-kind and in-cash choices reduces program costs overall. We argue th...

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Does Informal Care from Adult Children Reduce Nursing Home Admissions for the Elderly?

Cited by 108 publications

References 30 publications

Does Widowhood Explain Gender Differences in Out-of-Pocket Medical Spending Among the Elderly?

Does Widowhood Explain Gender Differences in Out-of-Pocket Medical Spending Among the Elderly?

Does High Caregiver Stress Predict Nursing Home Entry?

Long-Term Care in Latin America and the Caribbean? Theory and Policy Considerations

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