Eligibility and Inclusiveness of Long-Term Care Institutional Frameworks in Europe: A Cross-Country Comparison

74 Pages Posted: 22 Dec 2014

See all articles by Ludovico Carrino

Ludovico Carrino

King's College London; Ca Foscari University of Venice - Dipartimento di Economia

Cristina Orso

Ca Foscari University of Venice - Dipartimento di Economia

Date Written: December 18, 2014

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

JEL Classification: H53, I18, I11

Suggested Citation

Carrino, Ludovico and Orso, Cristina, Eligibility and Inclusiveness of Long-Term Care Institutional Frameworks in Europe: A Cross-Country Comparison (December 18, 2014). University Ca' Foscari of Venice, Dept. of Economics Research Paper Series No. 28/WP/2014. Available at SSRN: https://ssrn.com/abstract=2541246 or http://dx.doi.org/10.2139/ssrn.2541246

Ludovico Carrino (Contact Author)

King's College London ( email )

Room D11, East Wing
Strand Campus
London, WC2R 2LS
United Kingdom

HOME PAGE: http://https://kclpure.kcl.ac.uk/portal/ludovico.carrino.html

Ca Foscari University of Venice - Dipartimento di Economia ( email )

Cannaregio 873
Venice, 30121
Italy

Cristina Orso

Ca Foscari University of Venice - Dipartimento di Economia ( email )

Cannaregio 873
Venice, 30121
Italy

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