This paper explores the association between health measures and long-term care (LTC) use in the 70+ old population. We examine how different measures of health—subjective versus objective—predict LTC use, provided either formally or informally. We consider an absolute measure of subjective health, the grade given by the individual to his/her health status, and additionally construct a relative measure capturing the difference between this grade and the average grade given to health by individuals sharing the same characteristics. Conceptually, this difference comes from the perception of the individual, corresponding to both the private health information and the reporting behavior affecting self-rated health. We use the baseline data from the SPRINTT study, an ongoing randomized control trial on 1519 subjects facing physical frailty and sarcopenia (PF&S) in 11 European countries. Our sample population is older than 70 (mean: 79 years) and comprises a majority (71%) of women. Results show that self-rated health indicators correlate to formal care even when objective health measures are included, while it is not the case for informal care. Formal care consumption thus appears to be more sensitive to the individual's perception of health than informal care.
Health measures and long-term care use in the European frail population
Résumé
en
This paper explores the association between health measures and long-term care (LTC) use in the 70+ old population. We examine how different measures of health—subjective versus objective—predict LTC use, provided either formally or informally. We consider an absolute measure of subjective health, the grade given by the individual to his/her health status, and additionally construct a relative measure capturing the difference between this grade and the average grade given to health by individuals sharing the same characteristics. Conceptually, this difference comes from the perception of the individual, corresponding to both the private health information and the reporting behavior affecting self-rated health. We use the baseline data from the SPRINTT study, an ongoing randomized control trial on 1519 subjects facing physical frailty and sarcopenia (PF&S) in 11 European countries. Our sample population is older than 70 (mean: 79 years) and comprises a majority (71%) of women. Results show that self-rated health indicators correlate to formal care even when objective health measures are included, while it is not the case for informal care. Formal care consumption thus appears to be more sensitive to the individual's perception of health than informal care.
Auteur(s)
Quitterie Roquebert1
, Jonathan Sicsic2
, Thomas Rapp2
1
BETA -
Bureau d'Économie Théorique et Appliquée
( 1001961 )
- Université de Lorraine, UFR Droit Sciences Economiques et Gestion, 13 place Carnot CO 70026, 54035 Nancy Cedex
Université de Strasbourg, Faculté des Sciences Economiques et de Gestion, 61 avenue de la Forêt Noire 67085 Strasbourg Cedex
- France
Centre National de la Recherche Scientifique UMR7522 ( 441569 )
;
Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement UMR1443 ( 577435 )
2
LIRAES (URP_ 4470) -
Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé
( 1004765 )
- Centre Universitaire des Saints Pères
45 rue des Saints Pères
Bureau 825-10 et 825-11
75006 Paris
- France
DOUBLEUP
- European Union Seventh Framework Programme (FP7/2007-2013) under European Research Council Advanced Grant
Numéro CORDIS :
322739
Financement
The research leading to these results has received support from the Innovative Medicines Initiative Joint Undertaking under grant agreement no 115621, resources of which are composed of financial contribution from the European Union’ Seventh Framework Programme (FP7/2007–2013) and European Federation of Pharmaceutical Industries and Associations (EFPIA) companies’ in kind contribution.
Domaine(s)
Sciences de l'Homme et Société/Economies et finances
Sciences de l'Homme et Société/Gestion et management
J - Labor and Demographic Economics/J.J1 - Demographic Economics/J.J1.J14 - Economics of the Elderly • Economics of the Handicapped • Non-Labor Market Discrimination
I - Health, Education, and Welfare/I.I3 - Welfare, Well-Being, and Poverty/I.I3.I31 - General Welfare, Well-Being
Mots-clés
en
Frailty, Sarcopenia, Self-rated health, Long-term care
Quitterie Roquebert, Jonathan Sicsic, Thomas Rapp. Health measures and long-term care use in the European frail population. European Journal of Health Economics, 2021, 22 (3), pp.405-423. ⟨10.1007/s10198-020-01263-z⟩. ⟨hal-03209450⟩