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La demande d'aide à domicile est-elle sensible au reste-à-charge : une analyse multi-niveaux sur données françaises

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  • Robin Hege

    (CES - Centre d'économie de la Sorbonne - UP1 - Université Paris 1 Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique)

Abstract

This article focuses on the price-elasticity of demand for formal home-care received by disabled elderly. In France a public financing system of long-term care for disabled elderly – aged 60 and over – called APA (Allocation Personnalisée d'Autonomie) has been set up in 2001. This policy is based on a partial subsidization of demand for formal home-care so that an out-of-pocket cost remains. It rests on three variables: the department policy, the provider chosen by the recipient and the income level of the recipient. The induced heterogeneity of the out-of-pocket cost allows price-elasticity estimations but compels me to employ two databases. I use the HSM survey – an individual database on disability and health that is representative of the French population – and the Territoire survey which provides information in each region on the APA policy parameters. The combination of these two databases enables me to approximate the out-of-pocket cost for each individual that is the one-hour formal home-care price. I estimate a multi-level model with random effects and find that the price-elasticity of demand for formal home-care has a value of -0.15 at my average point.

Suggested Citation

  • Robin Hege, 2016. "La demande d'aide à domicile est-elle sensible au reste-à-charge : une analyse multi-niveaux sur données françaises," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-01306095, HAL.
    • Handle: RePEc:hal:cesptp:halshs-01306095
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01306095
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    Keywords

    price-elasticity; formal home-care; geographical equity; élasticité-prix; aide professionnelle à domicile; équité géographique;
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