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首页> 外文期刊>Journal of health economics >Can family caregiving substitute for nursing home care?
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Can family caregiving substitute for nursing home care?

机译：家庭护理可以代替家庭护理吗？

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摘要

Informal care should be a substitute for nursing homes but empirical evidence often suggests the opposite. This may be because informal care receipt is positively correlated with unobserved negative health characteristics. We exploit variation in children's characteristics as instruments for informal care to provide Two-Stage Least Squares (TSLS) estimates of nursing home use among a sample of 6855 individuals from the 1993-2000 waves of the AHEAD survey. While OLS results suggest informal care is associated with greater future nursing home risk, TSLS estimates show that receipt of informal care statistically and substantially reduces the risk of nursing home entry. This finding has implications for Medicaid and private long-term care insurance markets.
机译：非正式护理应该可以代替疗养院，但是经验证据常常表明情况恰恰相反。这可能是因为非正式护理收据与未观察到的负面健康特征呈正相关。我们利用儿童特征的差异作为非正式护理的工具，以从1993-2000年AHEAD调查的6855名个体样本中提供两阶段最小二乘（TSLS）估计的疗养院使用情况。虽然OLS结果表明非正式护理与将来更大的疗养院风险相关，但TSLS的估计显示，统计上接受非正式护理并大大降低了进入疗养院的风险。这一发现对医疗补助和私人长期护理保险市场具有影响。

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