Economic valuation of informal care provided to people after a myocardial infarction in France

Rabier, Hugo; Serrier, Hassan; Schott, Anne-Marie; Mewton, Nathan; Ovize, Michel; Nighoghossian, Norbert; Duclos, Antoine; Colin, Cyrille

doi:10.1186/s12913-019-4637-5

Cited by 4 publications

(3 citation statements)

References 28 publications

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“…Finally, we compute the total volume of informal care received by the individual by summing the hours provided by all the caregivers. To deal with implausible or extreme values, we censor the volume of hours received at the caregiver level, as as is often done in informal care valuation [ 34 , 37 ]. We set a maximum of 12 h per day, corresponding to the maximum daily duration of work in France.…”

Section: Datamentioning

confidence: 99%

Informal care at old age at home and in nursing homes: determinants and economic value

Roquebert

Tenand

2023

Eur J Health Econ

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This paper provides a comprehensive analysis of informal care receipt by the French individuals aged 60 or older. The literature has focused on the community, leaving informal care in residential care settings in the shadow. We leverage data from a representative survey (CARE) conducted in 2015–2016 on both community-dwelling individuals and nursing home residents. Focusing on the 60+ with activity restrictions, we show that 76% of nursing home residents receive help with the activities of daily living from relatives, against 55% in the community. The number of hours conditional on receipt is yet 3.5 times higher in the community. Informal care represents 186 million hours per month and a value equivalent to 1.1% of GDP at least, care in the community representing 95% of the total. We investigate the determinants of informal care receipt. Using an Oaxaca-type approach, we disentangle between two mechanisms explaining that nursing home residents are more likely to receive informal care, namely the differences in population composition (endowments) and the differences in the association of individual characteristics with informal care (coefficients). Both are found to have a similar contribution. Our results imply that private costs make up for the majority (76%) of the costs associated with long-term care provision once informal care is taken into account. They also highlight that informal care is extremely common for nursing home residents. Existing evidence on the determinants of informal care receipt in the community has, however, limited relevance to understand informal care behaviors in nursing homes.

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Section: Datamentioning

confidence: 99%

Informal care at old age at home and in nursing homes: determinants and economic value

Roquebert

Tenand

2023

Eur J Health Econ

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“…[2,3] International studies show that approximately 70-80% of the people who carry out informal care tasks are women, mainly the partner of the sick person. [4][5][6] The distribution of tasks related to the care economy, in general, is in uenced by the sexual division of work. It comes from the social and cultural stereotypes imposed by society on the role of women and men.…”

Section: Introductionmentioning

confidence: 99%

Making visible the cost of informal caregivers’ time in Latin America: a case study for major cardiovascular, cancer and respiratory diseases in eight countries

Espínola¹,

Pichon-Riviere²,

Casarini³

et al. 2022

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Background: Informal care is a key element of health care and well-being for society; however it is scarcely visible and studied in economic evaluations of healthcare. This study aims to estimate the use time and cost of informal care associated with cardiovascular diseases, pneumonia and ten different cancers in eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico and Peru). Methods: The good proxy approach was used to estimate the monetary value of informal care. To estimate the use of time, a compilation of data from an exhaustive literature review and econometric estimation was carried out. This data was validated through a survey of professional caregivers and interviews with experts. The national household surveys databases were processed to obtain the average wage per hour of a proxy of informal caregiver. Estimates are expressed in 2020 US dollars. Results: The study estimates approximately 1,900 million hours of informal care annually and $ 4,300 million per year in average use time cost for these fifteen diseases and eight countries analyzed. Cardiovascular diseases accounted for an informal care burden that ranged from 374 to 555 hours per year, while cancers varied from 512 to 1,825 hours per year. The informal care cost on GDP varied from 0.26% (Mexico) to 1.38% (Brazil), with an average of 0.82% in the eight Latin American countries. The cost of informal care time represents between 16% and 44% of the total economic cost (direct medical and informal care cost) associated with health conditions. Conclusions: The study shows that there is a significant informal care economic burden in different chronic and acute diseases in Latin American countries. The study highlights the relevance of including the economic value of informal care in the economic evaluations of healthcare.

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“…feminized and linked to the care economy, making it a contributor to gender inequalities worldwide [2,3]. International studies show that approximately 70-80% of the people who carry out informal care tasks are women, often the partner of the sick person [4][5][6].…”

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confidence: 99%

Making visible the cost of informal caregivers’ time in Latin America: a case study for major cardiovascular, cancer and respiratory diseases in eight countries

et al. 2023

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Background Informal care is a key element of health care and well-being for society, yet it is scarcely visible and rarely studied in health economic evaluations. This study aims to estimate the time use and cost associated with informal care for cardiovascular diseases, pneumonia and ten different cancers in eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico and Peru). Methods We carried out an exhaustive literature review on informal caregivers’ time use, focusing on the selected diseases. We developed a survey for professional caregivers and conducted expert interviews to validate this data in the local context. We used an indirect estimate through the interpolation of the available data, for those cases in which we do not found reliable information. We used the proxy good method to estimate the monetary value of the use of time of informal care. National household surveys databases were processed to obtain the average wage per hour of a proxy of informal caregiver. Estimates were expressed in 2020 US dollars. Results The study estimated approximately 1,900 million hours of informal care annually and $ 4,300 million per year in average informal care time cost for these fifteen diseases and eight countries analyzed. Cardiovascular diseases accounted for an informal care burden that ranged from 374 to 555 h per year, while cancers varied from 512 to 1,825 h per year. The informal care time cost share on GDP varied from 0.26% (Mexico) to 1.38% (Brazil), with an average of 0.82% in the studied American countries. Informal care time cost represents between 16 and 44% of the total economic cost (direct medical and informal care cost) associated with health conditions. Conclusions The study shows that there is a significant informal care economic burden -frequently overlooked- in different chronic and acute diseases in Latin American countries; and highlights the relevance of including the economic value of informal care in economic evaluations of healthcare.

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Economic valuation of informal care provided to people after a myocardial infarction in France

Cited by 4 publications

References 28 publications

Informal care at old age at home and in nursing homes: determinants and economic value

Informal care at old age at home and in nursing homes: determinants and economic value

Making visible the cost of informal caregivers’ time in Latin America: a case study for major cardiovascular, cancer and respiratory diseases in eight countries

Making visible the cost of informal caregivers’ time in Latin America: a case study for major cardiovascular, cancer and respiratory diseases in eight countries

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