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Factors Influencing Elderly Living Arrangements Decision-Making in Italy

This paper explores the determinants of family decisions regarding living arrangements of disabled elderly individuals in Italy, focusing on the choice between residential and home care, informal and formal care, and the impact of the disabled person's health condition. The study analyzes a sample of 279 families to understand the role of various covariates and family backgrounds in shaping care decisions.

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Factors Influencing Elderly Living Arrangements Decision-Making in Italy

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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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