Arbeitspapier
Reforming Home Care Provision in Germany: Evidence from a Social Experiment
In a long-run social experiment, personal budgets have been tested as an alternative to the home care programs of the German long-term care insurance (LTCI). Due to extending the coverage beyond LTCI approved services and agencies, personal budgets may improve care outcomes compared to the provision of agency care at a constant benefit level, a highly desirable result in light of the ongoing demographic challenge. However, personal budgets also compete with the less generous cash option of the LTCI. Any transition from cash recipients to personal budgets increases LTCI spending, while care outcomes may remain unchanged if informal caregivers are crowded out by formal care. This paper compares care outcomes of the different home care programs and provides a rough cost analysis from the perspective of the LTCI. While personal budgets improve care outcomes compared to agency services, the nationwide introduction of personal budgets increases LTCI spending for former cash recipients without any traceable effect on their care outcomes.
- Sprache
-
Englisch
- Erschienen in
-
Series: ZEW Discussion Papers ; No. 08-114
- Klassifikation
-
Wirtschaft
Field Experiments
Health Behavior
Welfare, Well-Being, and Poverty: Government Programs; Provision and Effects of Welfare Programs
- Thema
-
consumer directed long-term care
agency care
social experiment
Germany
Pflegedienst
Reform
Kosten
Test
Deutschland
Pflegebudget
- Ereignis
-
Geistige Schöpfung
- (wer)
-
Arntz, Melanie
Thomsen, Stephan L.
- Ereignis
-
Veröffentlichung
- (wer)
-
Zentrum für Europäische Wirtschaftsforschung (ZEW)
- (wo)
-
Mannheim
- (wann)
-
2008
- Handle
- Letzte Aktualisierung
-
10.03.2025, 11:42 MEZ
Datenpartner
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Objekttyp
- Arbeitspapier
Beteiligte
- Arntz, Melanie
- Thomsen, Stephan L.
- Zentrum für Europäische Wirtschaftsforschung (ZEW)
Entstanden
- 2008
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