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The European Journal of Health Economics

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01.10.2010 | Original Paper

Use of formal and informal care services among older people in Ireland and France

verfasst von: Brenda Gannon, Bérengère Davin

Erschienen in: The European Journal of Health Economics | Ausgabe 5/2010

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Abstract

This paper focuses on current use of elderly care services in Ireland and France. In light of health care resource allocation problems, it is important to know the level of current use of home care on which future projections may be based. With the availability of SHARE (Survey of Health Ageing and Retirement in Europe) data, it is now possible to analyse this process and estimate the relationship between formal and informal care, and our econometric model tests for endogeneity of informal care. Previous research has not included Ireland into the analysis. Given that Ireland has a younger population base, lessons could be learned from countries with older populations, such as France. Results suggest informal care is endogenous and negatively linked with formal care in the pooled (France and Ireland) model. There is a higher unmet need for care in Ireland. These results have important policy implications for Ireland as the demographic makeup will change from 11 per cent to 15 per cent of older people over the next 10 years.

Ireland was not included in the first wave of SHARE, and hence this is the first time to explore the data. France was chosen as a comparator as the two countries are relatively similar in terms of focus on family, yet in France there is a more structured process in terms of family vis-à-vis the state. Furthermore, in Ireland 11 per cent of people are currently over 65, compared to over 16 per cent in France.

Test between the instrument and the endogenous variable is provided through the F-test. If the coefficients are not jointly zero then the instruments are relevant and valid. Our instruments are significantly associated with the endogenous variable in the OLS equation and passed the F-test (Table 3).

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Titel: Use of formal and informal care services among older people in Ireland and France
verfasst von: Brenda Gannon
Bérengère Davin
Publikationsdatum: 01.10.2010
Verlag: Springer-Verlag
Erschienen in: The European Journal of Health Economics / Ausgabe 5/2010
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI: https://doi.org/10.1007/s10198-010-0247-1

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