Long-term Care in Spain

Joan Costa-Font, Sergi Jimenez-Martin, Cristina Vilaplana Prieto and Analía Viola

No eee2022-23, Studies on the Spanish Economy from FEDEA

Abstract: This paper is part of an international effort to review the characteristics of Long Term Care in many developed countries. The provision of care for older age adults in Spain has greatly developed after the introduction of SAAD in 2007, which has expanded care universally under need criteria alone. As a consequence, LTC expenditure as % of GDP has increased from 0.5% (2003) to nearly 0.9% (2019) where private insurance for LTC plays a negligible role. As other long term care systems, the Spanish system still relies heavily on informal care. Replacing informal caregivers with personal home help services would imply a rise in care expenditure of 2.3%-3.8% of GDP. Caregiving allowances have benefitted about 50% of SAAD beneficiaries. Finally, the majority of caregivers in both the formal (83%) and informal (65%) sectors are women.

Date: 2022-10
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