Eligibility and inclusiveness of Long-Term Care Institutional frameworks in Europe: a cross-country comparison

Ludovico Carrino and Cristina Elisa Orso

No 2014:28, Working Papers from Department of Economics, University of Venice "Ca' Foscari"

Abstract: Although economic literature has recently started to concentrate on the design, the scope and the regulations of main public programmes of Long-Term-Care in Europe, no analysis have, so far, compared different systems in terms of their degree of inclusiveness with respect to vulnerable elderly�s health status. Focusing on several European countries, this paper investigate how LTC regulations assess vulnerability, as well as how they define a minimum level of objective-dependency that would entitle individuals to receive public benefits (in-kind or in-cash) for home-based care. Our contribution is threefold. We provide detailed information on assessment and eligibility frameworks for eleven LTC programmes in Europe. We show that substantial heterogeneities exist both at the extensive margin (the health-outcomes that are included in the vulnerability-assessment) and at the intensive margin (the minimum vulnerability threshold that defines benefit eligibility) of the assessment strategies. Building on this information, we compare LTC programmes in terms of their degree of inclusiveness, i.e., we investigate the extent to which each programme is able to cover a standard population of elderly individuals facing functional and cognitive limitations. The comparison is performed following both a directly- and an indirectly- adjusted strategy using SHARE data.

Keywords: Long-term care; eligibility; access to home-care; vulnerability; direct adjustment; indirect adjustment; inclusiveness; Europe (search for similar items in EconPapers)
JEL-codes: H53 I11 I18 (search for similar items in EconPapers)
Pages: 75 pages
Date: 2014
New Economics Papers: this item is included in nep-age, nep-eur and nep-hea
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Citations: View citations in EconPapers (7)

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