Crowding out informal care? : evidence from a social experiment in Germany

Arntz, Melanie ; Thomsen, Stephan L.

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URN: urn:nbn:de:bsz:180-madoc-22270
Document Type: Working paper
Year of publication: 2008
The title of a journal, publication series: None
Publication language: English
Institution: Sonstige Einrichtungen > ZEW - Leibniz-Zentrum für Europäische Wirtschaftsforschung
MADOC publication series: Veröffentlichungen des ZEW (Leibniz-Zentrum für Europäische Wirtschaftsforschung) > ZEW Discussion Papers
Subject: 330 Economics
Classification: JEL: I12 I38 C93 ,
Subject headings (SWD): Deutschland , Ambulanter Hilfs- und Pflegedienst , Pflegeversicherung , Hauspflege , Crowding-out-Effekt , Experiment , Pflegegeld
Keywords (English): consumer-directed long-term care , social experiment , personal budget , evaluation , Germany
Abstract: This paper evaluates the effects of a professionally assisted consumer-directed program (Personal Budgets) compared to the standard home care programs of the German long-term care insurance. The evaluation makes use of a long-run social experiment at seven different sites with a random assignment into a treatment group receiving personal budgets and a control group in standard home care programs, i.e. an in-kind benefit (agency care) and cash payments. Compared to agency care personal budgets yield better care outcomes with regard to the overall support of formal and informal caregivers. In contrast, personal budgets do not improve care outcomes compared to the much less generous cash payments due to a strong crowding out of informal by formal care.
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Das Dokument wird vom Publikationsserver der Universitätsbibliothek Mannheim bereitgestellt.

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