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La régulation du marché de l'aide professionnelle à domicile pour les personnes âgées dépendantes

Abstract : The professional home-care market for the disabled elderly in France is regulated. The APA partially reimburses the professional home-care demand and the price of some home-care producers are fixed by the regulator. These producers must serve every area on the territory. The departmental councils set up these regulation policies. Their goal is to reduce financial and geographical inequalities in terms of access to home-care inside each department. Our thesis tries to determine if reductions of inequalities inside each department increase inequalities between department. The first chapter uses a departmental survey to check if the decentralization of regulation policies creates a heterogeneity between department. The second chapter aims to estimate the effects of the heterogeneity observed in the previous chapter on the home-care consumption. We use a national survey to estimate the price-elasticity of the professional home-care demand. The third chapter uses firm’s billing data to analyze the distribution function of the public support according to personal income and its impact on consumption. Finally, the fourth chapter presents a theoretical model of a mixed market where two firms compete on a market, one of which has a ubiquity constraint. The model studies the effect of this ubiquity constraint on the quality.
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Robin Hege. La régulation du marché de l'aide professionnelle à domicile pour les personnes âgées dépendantes. Economies et finances. Université Panthéon-Sorbonne - Paris I, 2018. Français. ⟨NNT : 2018PA01E006⟩. ⟨tel-01979968⟩

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