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Susanne Steffes (ZEW)

Discussion about “The role of paid home care in elderly living arrangements decisions” by Matteo Lippi Bruno and Cristina Ugolini. Susanne Steffes (ZEW). European Conference on Long-Term Care 21./22. October 2005. Issue of the paper

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Susanne Steffes (ZEW)

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  1. Discussion about “The role of paid home care in elderly living arrangements decisions” by Matteo Lippi Bruno and Cristina Ugolini Susanne Steffes (ZEW) European Conference on Long-Term Care 21./22. October 2005

  2. Issue of the paper • Determinants of family decisions regarding living arrangements of disabled elderly in Italy • Familiy choice as a two-stage process:  residential care vs. home care  informal care vs. formal care • Using information on the health condition of the disabled person

  3. General comments • Detailed overview of theoretical and empirical literature • No information about the italian welfare system concerning long-term care • Descriptive statistics of dependent variables and covariates

  4. Data set • Sample of 279 families with at least one dependent relative • What about families • whose disabled relative does neither live in the household nor in an institution? • with informal and formal care?

  5. Covariates • Level of disability instead of aggregation: Low  [cooking, shopping, telephone] Middle  [bathing, dressing] High  [out of bed, toilet, walking, eating] • Family background • woman in the household, employment status of woman

  6. Results • „Length of disability“ sign. negative at first stage, not significant at second stage • No gender-effects of elderly person • covered by „lived alone before disability“? • Unobserved heterogeneity? Home care Nursing home t Low level of disability High level of disablitiy Observation date

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