Skip to Main content Skip to Navigation
Theses

Informal care modelling : Economic evaluation and applications to an innovative support program and respite care for informal carers in the Lyon metropolitan area

Abstract : This thesis includes four chapters. The first chapter provides a systematic review and critical appraisal of cost-utility analyses of interventions for informal carers. The latter described the methods used and assessed the quality of the studies. Twenty cost-utility analyses were included. The interventions were mainly psychological, training and education support programmes. The quality of the studies was generally quite good. However, we noted that there appeared to be a tendency whereby the studies with better reporting deemed the intervention to be not cost-effective. This work was published in the journal PharmacoEconomics (2020).The second chapter focuses on identifying the main determinants of informal carers' need for respite in France. Based on the French representative survey CARE (2015), statistical and econometric analyses were conducted. The results show that worse health status, cohabitation, being a female carer, but also the volume of care provision and age significantly increase the need for respite. This work is under review in the journal BMC Health Services Research.The third chapter examines how formal home care affects informal carers' use of support services. Using nationally representative data from CARE (France) and NHATS/NSOC (USA), we address the endogeneity of formal home care by the characteristics of the care recipient and the choice of care at the community level. In France, formal care does not influence the use of carer services. In contrast, in the United States, it significantly increases the use of respite care by informal carers. This work has been published in the GATE Working Papers series (2021).The last chapter proposes a cost-utility analysis of an innovative respite care facility for informal carers, including a mobile team and a respite house. In an innovating way in health economics, a Markov model, combined with a discrete event simulation original model, was developed. The findings show that the probability that this innovative support programme is cost-effective is less than 50% at the €100,000 threshold. This method seems particularly well adapted to organisational innovations.
Document type :
Theses
Complete list of metadata

https://tel.archives-ouvertes.fr/tel-03374388
Contributor : Abes Star :  Contact
Submitted on : Tuesday, October 12, 2021 - 9:54:11 AM
Last modification on : Wednesday, November 10, 2021 - 5:13:33 PM

File

these_internet_guets_w.pdf
Version validated by the jury (STAR)

Identifiers

  • HAL Id : tel-03374388, version 1

Citation

Wilfried Guets. Informal care modelling : Economic evaluation and applications to an innovative support program and respite care for informal carers in the Lyon metropolitan area. Economics and Finance. Université de Lyon, 2021. English. ⟨NNT : 2021LYSE2028⟩. ⟨tel-03374388⟩

Share

Metrics

Record views

101

Files downloads

199