Caring Connections: Immigrant Caregivers and Long-Term Elderly Care in Italy

46 Pages Posted: 22 Apr 2024

See all articles by Lisa Capretti

Lisa Capretti

University Tor Vergata - Economia

Joanna Kopinska

Sapienza University of Rome - Dipartimento di Scienze Sociali ed Economich; University of Rome Tor Vergata - Centre for International Studies on Economic Growth (CEIS)

Rama Dasi Mariani

University of Rome Tor Vergata

Furio C. Rosati

University of Rome Tor Vergata - Faculty of Economics

Date Written: April 19, 2024

Abstract

This paper investigates the impact of migrant-provided home-based care on elderly health in Italy, analysing hospitalisation frequency, duration, and mortality. Using an instrumental variable approach to mitigate endogeneity between local health status and migratory flows, we show that migrant-provided home-based care reduces the frequency of hospital admissions (extensive margin) and their duration (intensive margin). Regarding the former, a one percentage point increase in the immigrant-to-elderly population ratio leads to a 4% decrease in long-term and rehabilitation (LR) stays, with no effect on acute stays. Concerning the latter, we find that a similar change in the migrant inflows translates to a 1.5% reduction in admission duration, with LR admissions reaching a 3.3% decline. These effects primarily stem from traumatic injuries, musculoskeletal disease, and genitourinary disorders, particularly linked to home-based mobility and treatment management. Our back-of-the-envelope calculations suggests that a 1.3 percentage point increase in the migrant-to-elderly population ratio registered in our analysis period could potentially reduce LR elderly hospitalisation costs by approximately 8% and yield annual public budget savings equivalent to around 0.59% of total hospitalisation expenditures.

Suggested Citation

Capretti, Lisa and Kopinska, Joanna and Mariani, Rama Dasi and Rosati, Furio C., Caring Connections: Immigrant Caregivers and Long-Term Elderly Care in Italy (April 19, 2024). CEIS Working Paper No. 573, Available at SSRN: https://ssrn.com/abstract=4800634 or http://dx.doi.org/10.2139/ssrn.4800634

Lisa Capretti

University Tor Vergata - Economia ( email )

Via Columbia 2
Rome, Lazio 00133
Italy

Joanna Kopinska

Sapienza University of Rome - Dipartimento di Scienze Sociali ed Economich ( email )

Rome
Italy

University of Rome Tor Vergata - Centre for International Studies on Economic Growth (CEIS) ( email )

Via Columbia, 2
Rome
Italy

Rama Dasi Mariani

University of Rome Tor Vergata

Furio C. Rosati (Contact Author)

University of Rome Tor Vergata - Faculty of Economics ( email )

Via Columbia n.2
Rome, rome 00100
Italy
6 2020 500 (Fax)

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