TeRRiToRiAl DiSpARiTieS of peRSonAl AlloCATion foR Age-RelATeD DepenDenT peRSonS AT home

Abstract

The goal of this paper is the study of municipal disparities among a French district (“départment”), of a financial allocation to help elderly dependent people to stay at their home, called in French “Allocation personnalisée d’autonomie” (APA). The methods are based on the analysis of an exhaustive database of APA beneficiaries (15 000 individuals)”, enriched with demographic, fiscal data and data about the level of equipment of the districts. First, the results highlight APA territorial disparities, both in terms of prevalence and average overall expenditure. We show that this phenomenon cannot be explained simply but is complex and multidimensional. Using data mining (PCA and hierarchical and ascending classification analysis), we find and describe the main axes structuring it and we propose a typology of behavior of districts regarding APA allocation. In conclusion, this work clearly shows APA territorial disparities and leads to a form of districts specialization, regarding the question of maintaining the elderly at home. This raises questions about whether this specialization is a deliberate choice, a historical result or a generational learning leading to chosen migration by the elderly for their end of life.