Evidence map›Paper›PMID 37315472›Full record

ArticleJournal of health economics2023

Family spillovers and long-term care insurance.

Norma B Coe, Gopi Shah Goda, Courtney Harold Van Houtven

Abstract read
In one paragraph

Article in Journal of health economics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Does long-term care insurance affect labor supply? Empirical evidence from China.International journal of health economics and management · 2026
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  7. Review
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  11. The Unseen Shift: How Partnership Long-term Care Insurance Influences Caregiving Among Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  12. Article
  13. What Can Economics Say about Alzheimer's Disease?Journal of economic literature · 2023
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Norma B CoeUniversity of Pennsylvania, Medical Ethics and Health Policy, Perelman School of Medicine, 423 Guardian Drive, Philadelphia, PA 19104, USA; NBER, 1050 Massachusetts Ave., Cambridge, MA 02138, USA.
Gopi Shah GodaNBER, 1050 Massachusetts Ave., Cambridge, MA 02138, USA; Stanford University, Stanford Institute for Economic Policy Research (SIEPR), 366 Galvez Street, Stanford, CA 94305-6015, USA.
Courtney Harold Van HoutvenDurham VA Medical Center, Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), 508 Fulton Street, Durham, NC 27705, USA; University School of Medicine, Department of Population Health Sciences and Duke-Margolis Center for Health Policy, 215 Morris St. 2nd Floor, The Imperial Building, Campus Box: 104023, Durham, NC 27701, USA. Electronic address: courtney.vanhoutven@duke.edu.

Funding

Sci-Tech Core-Population Dynamics Research CenterP2CHD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI EMILIO ALBERTO PARRADO · 2018 to 2026
$5.3M
Effects of Informal Care for persons with Alzheimer's Disease and related dementiasR01AG057501 · NIA · UNIVERSITY OF PENNSYLVANIA · PI COE, NORMA B · 2017 to 2020
$2.7M
Family Structure, Informal Care and Long-term Care InsuranceR01NR013583 · NINR · DUKE UNIVERSITY · PI VAN HOUTVEN, COURTNEY HAROLD · 2011 to 2013
$756k
NIA NIH HHS R01 AG057501NICHD NIH HHS P2C HD044964NINR NIH HHS R01 NR013583
6 · The paper itself

Abstract

We examine how long-term care insurance (LTCI) affects informal care use and expectations among the insured individuals and co-residence and labor market outcomes of their adult children. We address the endogeneity of LTCI coverage by instrumenting for LTCI with changes in state tax treatment of LTCI insurance policies. We do not find evidence of reductions in informal care use over a horizon of approximately eight years. However, we find that LTCI coverage reduces parents' perceptions of the willingness of their children to care for them in the future and that the behavior of adult children changes, with LTCI resulting in lower likelihoods of adult children co-residing and stronger labor market attachment. These findings provide empirical support for the presence of spillovers of LTCI on the economic behaviors of family members.

Indexed as

Insurance, Long-Term CareParentsAdultAdult ChildrenHumansLong-Term CareCo-residenceExpectationsFamily behaviorInformal careIntra-family behavioral responseLong-term care insuranceWork

Identifiers

PMID37315472
PMCPMC10533212

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.