La demande d'aide à domicile est-elle sensible au reste-à-charge : une analyse multi-niveaux sur données françaises
Author(s)
Hege, RobinContributor(s)
Centre d'économie de la Sorbonne (CES)Université Panthéon-Sorbonne (UP1) - Centre National de la Recherche Scientifique (CNRS)
Keywords
price-elasticityformal home-care
geographical equity
élasticité-prix
aide professionnelle à domicile
équité géographique
JEL : D - Microeconomics/D.D1 - Household Behavior and Family Economics/D.D1.D12 - Consumer Economics: Empirical Analysis
JEL : I - Health, Education, and Welfare/I.I1 - Health/I.I1.I18 - Government Policy • Regulation • Public Health
JEL : H - Public Economics/H.H4 - Publicly Provided Goods/H.H4.H42 - Publicly Provided Private Goods
JEL : H - Public Economics/H.H7 - State and Local Government • Intergovernmental Relations/H.H7.H71 - State and Local Taxation, Subsidies, and Revenue
[SHS.ECO] Humanities and Social Sciences/Economies and finances
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Abstract
URL des Documents de travail : http://ces.univ-paris1.fr/cesdp/cesdp2016.htmlDocuments de travail du Centre d'Economie de la Sorbonne 2016.22 - ISSN : 1955-611X
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.
L'objet de cet article est le calcul de l'élasticité-prix de la demande d'aide à domicile des personnes âgées dépendantes. En France, une allocation à destination des personnes âgées dépendantes, appelée Allocation Personalisée d'Autonomie (APA), a été mise en place en 2001. Cette allocation consiste en une solvabilisation partielle de la demande d'aide à domicile. Dans la plupart des cas, lorsqu'ils ont recours à de l'aide professionnelle à domicile les bénéficiaires de l'APA doivent payer un reste-à-charge. Il dépend de la politique du département de résidence du bénéficiaire, du producteur d'aide à domicile choisi et enfin du revenu mensuel de la personne âgée dépendante. Cette variation dans les reste-à-charge permet une identification économétrique de l'élasticité-prix. Afin de réaliser cette estimation j'utilise deux bases de données et à je les apparie : l'enquête “Territoire” qui porte sur les pratiques départementales de mises en œuvre de l'APA et l'enquête “HSM’ qui fournit des informations socio-économiques, de santé et de consommation d'aide des individus. Ceci permet d'approximer un reste à charge individuel, c'est à dire un prix net individuel de l'aide professionnelle à domicile. J'estime un modèle multi-niveaux à effets mixtes et obtiens une valeur de -0,15 pour l'élasticité-prix de la demande d'aide formelle au point moyen.
Date
2016-03Type
info:eu-repo/semantics/otherIdentifier
oai:HAL:halshs-01306095v1halshs-01306095
https://halshs.archives-ouvertes.fr/halshs-01306095
https://halshs.archives-ouvertes.fr/halshs-01306095/document
https://halshs.archives-ouvertes.fr/halshs-01306095/file/16022.pdf
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