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Dependent, Poorer, and More Care-Demanding? An Analysis of the Relationship between Being Dependent, Household Income, and Formal and Informal Care Use in Spain

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  • Beatriz Rodríguez-Sánchez

    (Faculty of Communication and Humanities, University Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, Spain)

  • Marta Pascual Sáez

    (Research Group of Health Economics and Health Services Management IDIVAL, Department of Economics and GEN, University of Cantabria, Avenue Los Castros, s/n, 39005 Santander, Spain)

  • David Cantarero-Prieto

    (Research Group of Health Economics and Health Services Management IDIVAL, Department of Economics and GEN, University of Cantabria, Avenue Los Castros, s/n, 39005 Santander, Spain)

Abstract

Population ageing is one of the current challenges that most societies are facing, with great implications for health systems and social services, including long-term care. This increasing long-term care use is particularly rising for dependent older people, motivating the implementation of regional dependency laws to ensure their care needs’ coverage. Using data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) from the year 2004 until 2017, the aim of this study is to assess the impact that the Spanish System for Personal Autonomy and Dependency might have on (i) household income, according to different needs for care levels, by running Generalized Linear Models (GLMs); and (ii) formal and informal care use depending on the income-related determinant through the performance of logit random-effects regression models. We show that the different degrees of needs for personal care are associated with a lower household income, being associated with an income reduction from €3300 to nearly €3800, depending on the covariates included, per year for the more severely in-need-for-care older adults. Moreover, our findings point towards a higher use of formal and informal care services by the moderate and severe dependents groups, regardless of the household income group and time period. Bearing in mind the demographic ageing, our results highlight the need for the identification of potentially vulnerable populations and the efficient planification of long-term care systems and social support services.

Suggested Citation

  • Beatriz Rodríguez-Sánchez & Marta Pascual Sáez & David Cantarero-Prieto, 2021. "Dependent, Poorer, and More Care-Demanding? An Analysis of the Relationship between Being Dependent, Household Income, and Formal and Informal Care Use in Spain," IJERPH, MDPI, vol. 18(8), pages 1-17, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4339-:d:539302
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    1. Viitanen, Tarja, 2007. "Informal and Formal Care in Europe," IZA Discussion Papers 2648, Institute of Labor Economics (IZA).
    2. Francesca Colombo & Jérôme Mercier, 2012. "Help Wanted? Fair and Sustainable Financing of Long-term Care Services," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 34(2), pages 316-332.
    3. John Cullinan & Brenda Gannon & Eamon O’Shea, 2013. "The welfare implications of disability for older people in Ireland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 171-183, April.
    4. Liliana E. Pezzin & Barbara Steinberg Schone, 1999. "Intergenerational Household Formation, Female Labor Supply and Informal Caregiving: A Bargaining Approach," Journal of Human Resources, University of Wisconsin Press, vol. 34(3), pages 475-503.
    5. Bauer, Jan Michael & Sousa-Poza, Alfonso, 2015. "Impacts of Informal Caregiving on Caregiver Employment, Health, and Family," IZA Discussion Papers 8851, Institute of Labor Economics (IZA).
    6. Cristina Hernandez-Quevedo & Andrew M Jones & Nigel Rice, "undated". "Reporting Bias and Heterogeneity in Self-Assessed Health. Evidence from the British Household Panel Survey," Discussion Papers 04/18, Department of Economics, University of York.
    7. Raúl Del Pozo-Rubio & Pablo Moya-Martínez & Marta Ortega-Ortega & Juan Oliva-Moreno, 2020. "Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain," Health Economics Review, Springer, vol. 10(1), pages 1-12, December.
    8. Bonsang, Eric, 2009. "Does informal care from children to their elderly parents substitute for formal care in Europe?," Journal of Health Economics, Elsevier, vol. 28(1), pages 143-154, January.
    9. Heij, Christiaan & de Boer, Paul & Franses, Philip Hans & Kloek, Teun & van Dijk, Herman K., 2004. "Econometric Methods with Applications in Business and Economics," OUP Catalogue, Oxford University Press, number 9780199268016.
    10. Francesca Colombo & Jérome Mercier, 2012. "Help Wanted? Fair and Sustainable Financing of Long-term Care Services," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 34(2), pages 316-332.
    11. Maëlenn M Guerchet & Mariella Guerra & Yueqin Huang & Peter Lloyd-Sherlock & Ana Luisa Sosa & Richard Uwakwe & Isaac Acosta & Peter Ezeah & Sara Gallardo & Zhaorui Liu & Rosie Mayston & Veronica Monte, 2018. "A cohort study of the effects of older adult care dependence upon household economic functioning, in Peru, Mexico and China," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-19, April.
    12. Stefania Ilinca & Ricardo Rodrigues & Andrea E. Schmidt, 2017. "Fairness and Eligibility to Long-Term Care: An Analysis of the Factors Driving Inequality and Inequity in the Use of Home Care for Older Europeans," IJERPH, MDPI, vol. 14(10), pages 1-15, October.
    13. Naoko Muramatsu & Hongjun Yin & Richard T. Campbell & Ruby L. Hoyem & Martha A. Jacob & Christopher O. Ross, 2007. "Risk of Nursing Home Admission Among Older Americans: Does States' Spending on Home- and Community-Based Services Matter?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(3), pages 169-178.
    14. Asghar Zaidi & Tania Burchardt, 2005. "Comparing Incomes When Needs Differ: Equivalization For The Extra Costs Of Disability In The U.K," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 51(1), pages 89-114, March.
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