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Informal care and elderly health care use.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Informal care and elderly health care use./
Author:	Van Houtven, Courtney Harold.
Description:	1 online resource (149 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 62-10, Section: B.
Contained By:	Dissertations Abstracts International62-10B.
Subject:	Public health. -
Online resource:	click for full text (PQDT)
ISBN:	9780493017792

Informal care and elderly health care use.
Van Houtven, Courtney Harold.

Informal care and elderly health care use. - 1 online resource (149 pages)

Source: Dissertations Abstracts International, Volume: 62-10, Section: B.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2000.

Includes bibliographical references

Background. Informal care of the elderly by their adult children is a common form of long-term care, is often preferred by the elderly to formal care, and can reduce medical expenditures if it substitutes for formal care. Much work has been done to characterize informal caregivers. However, there is a dearth of research quantifying informal care's effect on subsequent formal care use, beyond knowing that informal care can both replace and supplement formal care. Objective. This study helps to assess the merit of proposals to support informal caregivers, such as through tax breaks or respite care programs. I use two waves of the Asset and Health Dynamics Among the Oldest-Old survey to answer the following question: Does informal care of elderly parents by their children reduce formal care use? I examine home health care, nursing home care, hospital care, outpatient surgery, and doctor's visits. Methods. I use two-part models to predict the immediate and medium-term effects of informal care on formal care use of the single elderly. Because informal care can both precede and follow formal care, I use two-step instrumental variables estimation and lagged informal care to control for endogeneity. Results. Elderly who received informal care were 72 percent less likely to use home health care and 89 percent less likely to use nursing home care in the next three years than those who did not. Doctor's visits fell slightly in the short-term for informal care recipients (2 percent), while the risk of outpatient surgery fell dramatically (by 43 percent) two years later. Caregiving did not significantly affect hospital use. Specification tests show that simultaneity exists between informal and formal care. Conclusions. Controlling for endogeneity is essential to correctly inform the policy process that informal care drastically reduces home health care and nursing home use. If informal care is the type of care that elderly prefer, tax breaks, as well as caregiver training, respite care, and increased workplace flexibility could all be considered as policies to help the supply of informal care meet burgeoning demand. Such policies may be more cost-effective than funneling money into Medicare or Medicaid directly.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9780493017792Subjects--Topical Terms:

560998
Public health.
Subjects--Index Terms:

ElderlyIndex Terms--Genre/Form:

554714
Electronic books.

Informal care and elderly health care use.
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500 $a Source: Dissertations Abstracts International, Volume: 62-10, Section: B.
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504 $a Includes bibliographical references
520 $a Background. Informal care of the elderly by their adult children is a common form of long-term care, is often preferred by the elderly to formal care, and can reduce medical expenditures if it substitutes for formal care. Much work has been done to characterize informal caregivers. However, there is a dearth of research quantifying informal care's effect on subsequent formal care use, beyond knowing that informal care can both replace and supplement formal care. Objective. This study helps to assess the merit of proposals to support informal caregivers, such as through tax breaks or respite care programs. I use two waves of the Asset and Health Dynamics Among the Oldest-Old survey to answer the following question: Does informal care of elderly parents by their children reduce formal care use? I examine home health care, nursing home care, hospital care, outpatient surgery, and doctor's visits. Methods. I use two-part models to predict the immediate and medium-term effects of informal care on formal care use of the single elderly. Because informal care can both precede and follow formal care, I use two-step instrumental variables estimation and lagged informal care to control for endogeneity. Results. Elderly who received informal care were 72 percent less likely to use home health care and 89 percent less likely to use nursing home care in the next three years than those who did not. Doctor's visits fell slightly in the short-term for informal care recipients (2 percent), while the risk of outpatient surgery fell dramatically (by 43 percent) two years later. Caregiving did not significantly affect hospital use. Specification tests show that simultaneity exists between informal and formal care. Conclusions. Controlling for endogeneity is essential to correctly inform the policy process that informal care drastically reduces home health care and nursing home use. If informal care is the type of care that elderly prefer, tax breaks, as well as caregiver training, respite care, and increased workplace flexibility could all be considered as policies to help the supply of informal care meet burgeoning demand. Such policies may be more cost-effective than funneling money into Medicare or Medicaid directly.
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650 4 $a Health care. $3 1413477
650 4 $a Gerontology. $3 559846
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650 4 $a Health care management. $3 1148454
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653 $a Health care
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