Department of Economics, Irish Centre for Social Gerontology, National University of Ireland, Galway, Ireland.
Eur J Health Econ. 2010 Oct;11(5):499-511. doi: 10.1007/s10198-010-0247-1. Epub 2010 May 15.
This paper focuses on current use of elderly care services in Ireland and France. In light of health care resource allocation problems, it is important to know the level of current use of home care on which future projections may be based. With the availability of SHARE (Survey of Health Ageing and Retirement in Europe) data, it is now possible to analyse this process and estimate the relationship between formal and informal care, and our econometric model tests for endogeneity of informal care. Previous research has not included Ireland into the analysis. Given that Ireland has a younger population base, lessons could be learned from countries with older populations, such as France. Results suggest informal care is endogenous and negatively linked with formal care in the pooled (France and Ireland) model. There is a higher unmet need for care in Ireland. These results have important policy implications for Ireland as the demographic makeup will change from 11 per cent to 15 per cent of older people over the next 10 years.
本文聚焦于爱尔兰和法国的老年人护理服务现状。鉴于医疗保健资源配置问题，了解当前家庭护理的使用水平至关重要，以便为未来的预测提供依据。借助 SHARE（欧洲健康老龄化和退休调查）数据，现在可以对这一过程进行分析，并估计正式护理和非正式护理之间的关系，我们的计量经济学模型还检验了非正式护理的内生性。先前的研究并未将爱尔兰纳入分析范围。鉴于爱尔兰的人口基数更为年轻，该国可以从人口老龄化程度更高的国家（如法国）汲取经验教训。研究结果表明，在综合（法国和爱尔兰）模型中，非正式护理具有内生性，且与正式护理呈负相关。爱尔兰对护理的需求未得到满足的程度更高。鉴于未来 10 年内，爱尔兰的老年人口比例将从 11%上升至 15%，这些结果对爱尔兰的政策制定具有重要意义。
