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The family as provider of long-term care: efficiency, equity and externalities
Author(s)Douglas A Wolf
Journal titleJournal of Aging and Health, vol 11, no 3, August 1999
Pagespp 360-382
KeywordsFamily care ; Home nursing ; Costs [care] ; United States of America.
AnnotationThe passage of the baby-boom generation into old age raises the prospect of pressures on public programmes for elderly people, limiting any contemplated expansion of programmes serving those needing sustained personal care. This necessitates consideration of comparative efficiency of alternative resources for elderly care. This paper focuses on two distinct aspects of such efficiency: productive - the relationship between inputs and outputs - and targets - the coincidence of served and those viewed as needing services. It argues that for theoretical reasons family members, specifically children, may be more productive and efficient carers than paid helpers. Furthermore, even if no more efficient than formal providers, care provided by children reduces public expenditures on long-term care. In view of the value to society of children's caregiving activities, if a collective programme of long-term care insurance were to be adopted, it should be configured to target its financing and benefits according to family composition. (AKM).
Accession NumberCPA-990826241 A
ClassmarkP6:SJ: N4: QDC: 7T

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