The non-take up of long-term care benefit ...
Document type :
Compte-rendu et recension critique d'ouvrage
Title :
The non-take up of long-term care benefit in France: A pecuniary motive?
Author(s) :
Arrighi, Yves [Auteur]
Lille économie management - UMR 9221 [LEM]
Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé [LIRAES - EA 4470]
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Davin, Bérengère [Auteur]
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
ORS PACA
Trannoy, Alain [Auteur]
École des hautes études en sciences sociales [EHESS]
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Ventelou, Bruno [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
ORS PACA
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Lille économie management - UMR 9221 [LEM]
Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé [LIRAES - EA 4470]
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Davin, Bérengère [Auteur]
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
ORS PACA
Trannoy, Alain [Auteur]
École des hautes études en sciences sociales [EHESS]
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Ventelou, Bruno [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U912 INSERM - Aix Marseille Univ - IRD]
ORS PACA
Groupement de Recherche en Économie Quantitative d'Aix-Marseille [GREQAM]
Journal title :
Health Policy
Pages :
1338--1348
Publisher :
Elsevier
Publication date :
2015-10
ISSN :
0168-8510
English keyword(s) :
Long-term care
Multilevel model
Non-take-up
Social benefit
Multilevel model
Non-take-up
Social benefit
HAL domain(s) :
Sciences de l'Homme et Société/Economies et finances
English abstract : [en]
With aging populations, European countries face difficult challenges. In 2002, France implemented a public allowance program (APA) offering financial support to the disabled elderly for their long-term care (LTC) needs. ...
Show more >With aging populations, European countries face difficult challenges. In 2002, France implemented a public allowance program (APA) offering financial support to the disabled elderly for their long-term care (LTC) needs. Although currently granted to 1.2 million people, it is suspected that some of those eligible do not claim it—presenting a non-take-up behavior. The granting of APA is a decentralized process, with 94 County Councils (CC) managing it, with wide room for local interpretation. This spatial heterogeneity in the implementation of the program creates the conditions for a “quasi-natural experiment”, and provides the opportunity to study the demand for APA in relation to variations in CCs’ “generosity” in terms of both eligibility and subsidy rate for LTC. We use a national health survey and administrative data in a multilevel model controlling for geographical, cultural and political differences between counties. The results show that claiming for APA is associated with the “generosity” of CCs: the population tends to apply less for the allowance if the subsidy rate is in average lower. This pecuniary trade-off, revealed by our study, can have strong implications for the well-being of the elderly and their relatives.Show less >
Show more >With aging populations, European countries face difficult challenges. In 2002, France implemented a public allowance program (APA) offering financial support to the disabled elderly for their long-term care (LTC) needs. Although currently granted to 1.2 million people, it is suspected that some of those eligible do not claim it—presenting a non-take-up behavior. The granting of APA is a decentralized process, with 94 County Councils (CC) managing it, with wide room for local interpretation. This spatial heterogeneity in the implementation of the program creates the conditions for a “quasi-natural experiment”, and provides the opportunity to study the demand for APA in relation to variations in CCs’ “generosity” in terms of both eligibility and subsidy rate for LTC. We use a national health survey and administrative data in a multilevel model controlling for geographical, cultural and political differences between counties. The results show that claiming for APA is associated with the “generosity” of CCs: the population tends to apply less for the allowance if the subsidy rate is in average lower. This pecuniary trade-off, revealed by our study, can have strong implications for the well-being of the elderly and their relatives.Show less >
Language :
Anglais
Popular science :
Non
Comment :
ACL-2
Collections :
Source :