The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany

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de Jong, L.; Schmidt, T.; Carstens, A.-K.; Damm, K.: The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany. In: Health Economics Review volume 13 (2023), 35. DOI: https://doi.org/10.1186/s13561-023-00448-5

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To cite the version in the repository, please use this identifier: https://doi.org/10.15488/15640

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Sum total of downloads: 24




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Background: Informal care provided by family members, friends, or neighbors is a major pillar in the German long-term care system. As the number of care-dependent older adults grow, ensuring their future care still relies on the willingness of family members, friends, or neighbors to assume the role of an informal caregiver. This study aimed to investigate the impact on people’s willingness to provide informal care to a close relative with predominately cognitive compared to physical impairments. Methods: An online survey was distributed to the general population in Germany, which resulted in 260 participants. A discrete choice experiment was created to elicit and quantify people’s preferences. A conditional logit model was used to investigate preferences and marginal willingness-to-accept values were estimated for one hour of informal caregiving. Results:Increased care time per day (hours) and expected duration of caregiving were negatively valued by the participants and reduced willingness to care. Descriptions of the two care dependencies had a significant impact on participants’ decisions. Having to provide care to a close relative with cognitive impairments was slightly preferred over caring for a relative with physical impairments. Conclusions: Our study results show the impact of different factors on the willingness to provide informal care to a close relative. How far the preference weights as well as the high willingness-to-accept values for an hour of caregiving can be explained by the sociodemographic structure of our cohort needs to be investigated by further research. Participants slightly preferred caring for a close relative with cognitive impairments, which might be explained by fear or discomfort with providing personal care to a relative with physical impairments or feelings of sympathy and pity towards people with dementia. Future qualitative research designs can help understand these motivations.
License of this version: CC BY 4.0 Unported
Document Type: Article
Publishing status: publishedVersion
Issue Date: 2023
Appears in Collections:Forschungszentren

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pos. country downloads
total perc.
1 image of flag of United States United States 8 33.33%
2 image of flag of Germany Germany 8 33.33%
3 image of flag of Israel Israel 2 8.33%
4 image of flag of United Kingdom United Kingdom 2 8.33%
5 image of flag of Austria Austria 2 8.33%
6 image of flag of Ireland Ireland 1 4.17%
7 image of flag of Indonesia Indonesia 1 4.17%

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