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首页> 外文期刊>Health & social care in the community >Monetising the provision of informal long-term care by elderly people: estimates for European out-of-home caregivers based on the well-being valuation method
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Monetising the provision of informal long-term care by elderly people: estimates for European out-of-home caregivers based on the well-being valuation method

机译：将老年人提供的非正式长期照护服务货币化：基于福利评估方法的欧洲外出看护人的估计

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Providing informal care can be both a burden and a source of satisfaction. To understand the welfare effect on caregivers, we need an estimate of the shadow value' of informal care, an imputed value for the non-market activity. We use data from the 2006-2007 Survey of Health Ageing and Retirement in Europe which offers the needed details on 29,471 individuals in Austria, Belgium, the Czech Republic, Denmark, France, Germany, Italy, the Netherlands, Poland, Spain, Sweden and Switzerland. Of these, 9768 are unpaid non-co-resident caregivers. To estimate net costs, we follow the subjective well-being valuation method, modelling respondents' life satisfaction as a product of informal care provision, income and personal characteristics, then expressing the relation between satisfaction and care as a monetary amount. We estimate a positive net effect of providing mode rate amounts of informal care, equivalent to Euro93 for an hour of care/week provided by a caregiver at the median income. The net effect appears to turn negative for greater high care burdens (over 30hours/week). Interestingly, the effects of differences in care situation are at least an order of magnitude larger. We find that carers providing personal care are significantly more satisfied than those primarily giving help with housework, a difference equivalent to Euro811 a year at the median income. The article makes two unique contributions to knowledge. The first is its quantifying a net benefit to moderately time-intensive out-of-home caregivers. The second is its clear demonstration of the importance of heterogeneity of care burden on different subgroups. Care-giving context and specific activities matter greatly, pointing to the need for further work on targeting interventions at those caregivers most in need of them.
机译：提供非正式护理既可能是负担，也可能是满足感的来源。为了了解福利对照料者的影响，我们需要对非正式照料的影子价值进行估算，这是非市场活动的估算值。我们使用2006-2007年欧洲健康老龄化与退休调查的数据，该数据提供了奥地利，比利时，捷克共和国，丹麦，法国，德国，意大利，荷兰，波兰，西班牙，瑞典和瑞士。其中有9768名是无偿的非同居护理员。为了估算净成本，我们采用主观幸福感评估方法，将受访者的生活满意度建模为非正式护理，收入和个人特征的产物，然后将满意度和护理之间的关系表示为金额。我们估计提供中等费率的非正式护理的积极净效果，相当于照料者在中等收入水平下每周提供的每小时一小时的护理费用为93欧元。净效应似乎对更大的高护理负担（超过30小时/周）不利。有趣的是，护理情况差异的影响至少要大一个数量级。我们发现提供个人护理的护理人员比主要提供家务帮助的护理人员更加满意，这相当于中位数收入每年811欧元。本文对知识做出了两个独特的贡献。首先是它量化了中等时间密集型外出看护者的净收益。第二是它清楚地表明了不同亚组护理负担的异质性的重要性。提供照料的环境和特定活动非常重要，指出有必要针对针对最需要照料者的干预措施开展进一步的工作。

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