Journal Article

The economic value of time of informal care and its determinants (The CUIDARSE Study)

Oliva-Moreno, Juan, García-Calvente, María del Mar, del Río Lozano, María, Peña-Longobardo, Luz María, García-Mochón, Leticia, Mosquera Metcalfe, Isabel

2019

Overview

The main aims of this paper are to analyse the monetary value of informal care time using different techniques and to identify significant variables associated with the number of caregiving hours. A multicentre study in two Spanish regions in adult caregivers was conducted. A total sample of 604 people was available. A multivariate analysis was performed to identify the variables associated with the number of hours of caregiving time. In the monetary valuation of informal care provided, three approaches were used: replacement cost method, opportunity cost and contingent valuation (willingness to pay and willingness to accept). The main determinants of the amount of time of informal care provided were age, gender, the level of care receiver´s dependence and the professional care services received (at home and out of home). The value estimated for informal care time ranges from EUROS 80,247 (replacement cost method) to EUROS 14,325 (willingness to pay), with intermediate values of EUROS 27,140 and EUROS 29,343 (opportunity cost and willingness to accept, respectively). Several sensitivity analyses were performed over the base cases, confirming the previous results. Time of informal care represents a great social value, regardless of the applied technique. However, the results can differ strongly depending on the technique chosen. Therefore, the choice of technique of valuation is not neutral. Among the determinants of informal care time, the professional care received at home has a complementary character to informal care, while the formal care outside the home has a substitute character.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Aged / Biomedical research / Caregivers / Caregivers - economics / Contingent valuation / Cost analysis / Cost of Illness / Cross-Sectional Studies / Dependence / Determinants / Disease / Economic aspects / Epidemiology / Expenditures / Female / Health Care Costs / Health economics / Health services / Home Nursing - economics / Humans / Illnesses / Long term care / Long term health care / Longitudinal Studies / Male / Medical research / Medicine and Health Sciences / Middle Aged / Models, Economic / Multivariate analysis / Older people / Patient Care - economics / People and places / Public health / Research and Analysis Methods / Sensitivity analysis / Social Class / Social Sciences / Spain - epidemiology / Surveys and Questionnaires / Sustainability / Time / Valuation