Delegating Home Care for the Elderly to External Caregivers? An Empirical Study on Italian Data

Quaderni - Working Paper DSE N° 905

38 Pages Posted: 5 Oct 2013

See all articles by Matteo Lippi Bruni

Matteo Lippi Bruni

University of Bologna - Department of Economics

Cristina Ugolini

University of Bologna - Department of Economics

Date Written: October 1, 2013

Abstract

We study care arrangement decisions in Italy, where families are increasingly delegating the role of primary caregiver to external (paid) people also for the provision of home care.

We consider a sample of households with a dependent elderly person cared for either at home or in a residential home, extracted from a survey representative of the population of Italy’s Emilia-Romagna region. We investigate the determinants of a household’s decision to opt for one of the following three alternatives: the institutionalisation of elderly family members, informal home care, or paid home care. We estimate two model specifications, based on a simultaneous and a sequential decision process respectively, the results of which are fairly consistent. Disability related variables, rather than family characteristics, emerge as the main determinants of institutionalisation. On the other hand, household characteristics and socio-economic variables are more influential when it comes to choosing between informal and formal home care provisions.

Keywords: long-term and social care, elderly living arrangements, informal care, household choice, health economics

JEL Classification: C21, D13, I18

Suggested Citation

Lippi Bruni, Matteo and Ugolini, Cristina, Delegating Home Care for the Elderly to External Caregivers? An Empirical Study on Italian Data (October 1, 2013). Quaderni - Working Paper DSE N° 905. Available at SSRN: https://ssrn.com/abstract=2334299 or http://dx.doi.org/10.2139/ssrn.2334299

Matteo Lippi Bruni (Contact Author)

University of Bologna - Department of Economics ( email )

Piazza Scaravilli, 2
40126 Bologna, 40126
Italy

Cristina Ugolini

University of Bologna - Department of Economics ( email )

Piazza Scaravilli 2
Bologna, 40126
Italy

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