欧洲成人非正式照护的隐藏价值

The Hidden Value of Adult Informal Care in Europe

Health Economics · 2025
被引 8 · 同刊同年前 1%
人大 A-

中文导读

利用欧洲跨国纵向数据,通过工具变量法估计非正式照护对主观福祉的因果影响,计算其补偿剩余,发现非正式照护平均降低福祉约1%,其价值占GDP的0.85%至4.2%,且随正式照护支出增加而下降。

Abstract

The hidden value of adult informal care (IC) refers to the unaccounted value of informal care in overall costs of long-term care (LTC) estimates. This paper estimates the net value of adult IC in Europe, drawing on a well-being-based methodology. We use an instrumental variable strategy and a longitudinal and cross-country dataset to estimate the causal effect of the extensive and intensive margin of caregiving on subjective well-being. We estimate the so-called compensating surplus (CS), namely the income equivalent transfer, to compensate for the net disutility of caregiving. We show that IC reduces average subjective well-being by about 1% compared to the mean (6% among co-residential caregivers). Relative to a country's Gross Domestic Product (GDP), the value of IC ranges between 4.2% in France and 0.85% in Germany. Such relative value declines as the country's share of formal LTC spending increases. These results call for a reconsideration of the existing classifications of LTC regimes. We estimate that the average CS per hour for IC is 9.55€, with a range from 22€ per hour in Switzerland to 5€ per hour in Spain. Additionally, we estimate that the long-term CS (estimated using an individual's permanent income) tends to be lower than short-term CS (estimated using an individual's current income).

非正式照料长期护理主观福祉补偿剩余欧洲