Informal and formal care: Substitutes or complements in care for people with dementia? Empirical evidence for 8 European countries.
Health Policy
; 121(6): 613-622, 2017 Jun.
Article
en En
| MEDLINE
| ID: mdl-28449885
ABSTRACT
BACKGROUND:
In order to contain public health care spending, European countries attempt to promote informal caregiving. However, such a cost reducing strategy will only be successful if informal caregiving is a substitute for formal health care services. We therefore analyze the effect of informal caregiving for people with dementia on the use of several formal health care services. STUDYDESIGN:
The empirical analysis is based on primary data generated by the EU-project 'RightTimePlaceCare' which is conducted in 8 European countries. 1223 people with dementia receiving informal care at home were included in the study.METHODS:
Using a regression framework we analyze the relationship between informal care and three different formal health care services the receipt of professional home care, the number of nurse visits and the number of outpatient visits.RESULTS:
The relationship between formal and informal care depends on the specific type of formal care analyzed. For example, a higher amount of informal caregiving goes along with a lower demand for home care services and nurse visits but a higher number of outpatient visits.CONCLUSION:
Increased informal caregiving effectively reduces public health care spending by reducing the amount of formal home care services. However, these effects differ between countries.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Demencia
/
Atención al Paciente
/
Atención Domiciliaria de Salud
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Health Policy
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Año:
2017
Tipo del documento:
Article