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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Does home care for dependent elderly people improve their mental health?
Thomas Barnay1, Sandrine Juin2
1University of Rouen, 3 avenue Pasteur, Rouen Cedex 1 76186, France; ERUDITE laboratory, Université Paris-Est Créteil, 61 avenue du Général de Gaulle, Créteil Cedex 94010, France; TEPP (Labour, Employment and Public Policy), Fédération TEPP, UPE MLV, 5 bd Descartes-Champs sur Marne, Marne la Vallée Cedex 2 77454, France.
Abstract:
While theoretical models on long-term care decisions assume that the health production function of dependent elderly depends positively on the care received, it has not received much attention in the empirical literature. We estimate the effects of both informal and formal home care on the mental health of elderly individuals in France needing help with daily activities. We adjust for the endogeneity of care with instrumental variables, using characteristics of adult children and geographical disparities in access to public long-term care coverage. The results show that informal care reduces the risk of depression of dependent elderly and that formal care increases their general mental health.
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