Crowding out informal care?: Evidence from a field experiment in Germany

This article evaluates the effects of a consumer-directed home care programme (Personal Budgets) compared with the standard home care programmes of the German long-term care insurance (LTCI). The evaluation makes use of a random assignment into a treatment group receiving personal budgets and a cont...

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Bibliographic Details
Main Authors: Arntz, Melanie (Author) , Thomsen, Stephan L. (Author)
Format: Article (Journal)
Language:English
Published: 2011
In: Oxford bulletin of economics and statistics
Year: 2010, Volume: 73, Issue: 3, Pages: 398-427
ISSN:1468-0084
DOI:10.1111/j.1468-0084.2010.00616.x
Online Access:Verlag, Volltext: https://doi.org/10.1111/j.1468-0084.2010.00616.x
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1468-0084.2010.00616.x
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Author Notes:Melanie Arntz and Stephan L. Thomsen
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Summary:This article evaluates the effects of a consumer-directed home care programme (Personal Budgets) compared with the standard home care programmes of the German long-term care insurance (LTCI). The evaluation makes use of a random assignment into a treatment group receiving personal budgets and a control group receiving either in-kind benefits (agency care) or cash payments. Compared with agency care, personal budgets extend the support by independent providers, but leave health outcomes unchanged. Compared with cash payments, personal budgets tend to improve health outcomes, but double LTCI spending due to a strong crowding out of informal care by formal care.
Item Description:First published: 14 November 2010
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Physical Description:Online Resource
ISSN:1468-0084
DOI:10.1111/j.1468-0084.2010.00616.x