Inequity in long-term care use and unmet need: two sides of the same coin

Pilar Garcia-Gomez, Cristina Hernández-Quevedo (), Dolores Jiménez-Rubio and Juan Oliva ()

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: We investigate the determinants of several LTC services and unmet need using data from a representative sample of the non-institutionalised disabled population in Spain in 2008. We measure the level of horizontal inequity and compare results using self-reported versus a more objective indicator of unmet needs. Evidence suggests that after controlling for a wide set of need variables, there is not an equitable distribution of use and unmet need of LTC services in Spain; formal services are concentrated among the better-off, while intensive informal care is concentrated among the worst-off. The distribution of unmet needs for LTC services depends on the service considered and on whether we focus on subjective or objective measures. In 2008, only individuals with the highest dependency level had universal coverage. Our results show that inequities in most LTC services and unmet needs among this group either remain or even increase for formal services.

Keywords: Disability; Equity in utilisation; Dependency; Long-term care; Unmet need (search for similar items in EconPapers)
JEL-codes: I1 I38 J14 (search for similar items in EconPapers)
Date: 2015-01
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (19)

Published in Journal of Health Economics, January, 2015, 39, pp. 147-158. ISSN: 0167-6296

Downloads: (external link)
http://eprints.lse.ac.uk/60789/ Open access version. (application/pdf)

Related works:
Journal Article: Inequity in long-term care use and unmet need: Two sides of the same coin (2015)
Working Paper: Inequity in long-term care use and unmet need: two sides of the same coin (2014)
Working Paper: Inequity in long-term care use and unmet need: two sides of the same coin (2014)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:ehl:lserod:60789

Access Statistics for this paper

More papers in LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library LSE Library Portugal Street London, WC2A 2HD, U.K.. Contact information at EDIRC.
Bibliographic data for series maintained by LSERO Manager ().