Arora Kanika, Wolf Douglas A
Department of Health Management and Policy at the University of Iowa, College of Public Health, Iowa City, IA.
Aging Studies, Institute, Syracuse University, Syracuse, NY.
J Policy Anal Manage. 2018;37(1):38-62. doi: 10.1002/pam.22038.
The intent of Paid Family Leave (PFL) is to make it financially easier for individuals to take time off from paid work to care for children and seriously ill family members. Given the linkages between care provided by family members and the usage of paid services, we examine whether California's PFL program influenced nursing home utilization in California during the 1999 to 2008 period. This is the first empirical study to examine the effects of PFL on long-term care patterns. Multivariate difference-indifference estimates across alternative comparison groups provide consistent evidence that the implementation of PFL reduced the proportion of the elderly population in nursing homes by 0.5 to 0.7 percentage points. Our preferred estimate, employing an empirically-matched group of control states, finds that PFL reduced nursing home usage by about 0.65 percentage points. For California, this represents an 11 percent relative decline in elderly nursing home utilization.
带薪家庭假（PFL）的目的是让个人在经济上更容易从带薪工作中抽出时间来照顾孩子和重病家庭成员。鉴于家庭成员提供的照料与付费服务的使用之间存在联系，我们研究了加利福尼亚州的PFL计划在1999年至2008年期间是否影响了该州疗养院的使用情况。这是第一项实证研究，旨在检验带薪家庭假对长期护理模式的影响。对不同比较组进行的多变量差异估计提供了一致的证据，表明带薪家庭假的实施使疗养院中老年人的比例降低了0.5至0.7个百分点。我们采用经验匹配的一组对照州得出的最佳估计结果发现，带薪家庭假使疗养院的使用率降低了约0.65个百分点。对于加利福尼亚州而言，这意味着老年疗养院利用率相对下降了11%。
