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- Title
Family Choices with Managed Care for the Home Bound Elderly.
- Authors
White-Means, Shelley I.; Chang, Cyril F.
- Abstract
The purpose of this paper is to identify and empirically study the factors that influence the amount and types of geriatric care provided by informal caregivers. Recognizing that caregiving is influenced by many other activities that compete for the caregivers' time, we will develop a model which describes how informal caregivers allocate their time to caregiving, as well as to employment, production of ordinary household goods, and leisure. Taken together, our results suggest that informal caregivers do systematically determine their allocation of time to the provision of elderly care. They also show that this allocation is influenced by a set of sociodemographic factors, as well as such economic variables as market wage rates, access to Medicaid, and the production technology of the care setting. Our preliminary analysis of government intervention strategies experimented by the Channeling Project suggests that while access to basic services (information, management and coordination services) reduces the total hours of care given by the informal caregivers, the additional services provided by the financial program do not seem to have any noticeable effect. Moreover, intervention strategies may affect the role of the various determinants of the caregiver's time allocation decisions. Finally, this paper has limited its investigation to caregiving decisions. Other time allocation decisions such as decisions on employment, household production, and leisure must be explored to gain a fuller understanding of the caregiver's behavior and the role of governmental intervention in the long-term care setting.
- Subjects
UNITED States; CAREGIVERS; HOME care services; SERVICES for older people
- Publication
Southern Economic Journal, 1991, Vol 58, Issue 1, p203
- ISSN
0038-4038
- Publication type
Article
- DOI
10.2307/1060043