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Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal

Author

Listed:
  • Carlo Lallo

    (Department of Economics, University of Molise, Via F. De Sanctis, 86100 Campobasso, Italy)

  • Marta Pasqualini

    (Department MEMOTEF, Sapienza University of Rome, Via del Castro Laurenziano 9, 00161 Rome, Italy)

  • Cecilia Tomassini

    (Department of Economics, University of Molise, Via F. De Sanctis, 86100 Campobasso, Italy)

Abstract

Italian Long-Term Care is considered largely inadequate, and the recent COVID-19 pandemic has dramatically exposed its limitations. Public Home Care Services in particular were revealed as under-financed and unable to cover the potential demand for care from the older population. But does the type of municipality and its geographic location play a role in creating or mitigating unmet demand? This is the first study addressing this research question in Italy. Our hypothesis is that older people’s care preferences and care possibilities may vary between small, medium and metropolitan areas, as will the organisation, funding and availability of services, and the combination will influence (unmet) demand for public home care services. In this paper, using nationally representative survey data collected by the Italian National Statistical Institute in 2003 and 2016, we investigate changes and differences in the use of public and private home care services among people aged 75 or older in Italy by size of the municipality. Our results reveal inequalities in service use between Northern and Southern areas of the country and in particular between metropolitan areas, medium and small municipalities. Such differences reinforce post-pandemic calls for new investment and changes in the design of the Italian Long-Term Care system.

Suggested Citation

  • Carlo Lallo & Marta Pasqualini & Cecilia Tomassini, 2022. "Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal," IJERPH, MDPI, vol. 19(19), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12796-:d:934764
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    References listed on IDEAS

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    1. Madama, Ilaria & Maino, Franca & Razetti, Federico, 2019. "Innovating long-term care policy in Italy from the bottom: confronting the challenge of inclusive local care environments in Lombardy and Piedmont," INVESTIGACIONES REGIONALES - Journal of REGIONAL RESEARCH, Asociación Española de Ciencia Regional, issue 44, pages 125-141.
    2. Marina Zannella & Andrea Principi & Davide Lucantoni & Francesco Barbabella & Mirko Di Rosa & Antía Domínguez-Rodríguez & Marco Socci, 2021. "Active Ageing: The Need to Address Sub-National Diversity. An Evidence-Based Approach for Italy," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    3. Sara Santini & Marco Socci & Paolo Fabbietti & Giovanni Lamura & Andrea Teti, 2022. "Factors Worsening and Mitigating the Consequences of the COVID-19 Outbreak on the Overall Health of Informal Caregivers of Older People with Long-Term Care Needs Living in Germany and in Italy," IJERPH, MDPI, vol. 19(3), pages 1-21, February.
    4. Davide Lucantoni & Andrea Principi & Marco Socci & Marina Zannella & Francesco Barbabella, 2022. "Active Ageing in Italy: An Evidence-Based Model to Provide Recommendations for Policy Making and Policy Implementation," IJERPH, MDPI, vol. 19(5), pages 1-25, February.
    5. Christophe Courbage & Guillem Montoliu-Montes & Joël Wagner, 2020. "The effect of long-term care public benefits and insurance on informal care from outside the household: empirical evidence from Italy and Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1131-1147, November.
    6. Georgia Casanova & Andrea Principi & Giovanni Lamura, 2020. "Social Innovation in Long-Term Care: Lessons from the Italian Case," IJERPH, MDPI, vol. 17(7), pages 1-17, March.
    7. Cecilia Reynaud & Sara Miccoli, 2018. "Depopulation and the Aging Population: The Relationship in Italian Municipalities," Sustainability, MDPI, vol. 10(4), pages 1-12, March.
    8. Silvia Bruzzi & Enrico Ivaldi & Marta Santagata, 2022. "Measuring Regional Performance in the Italian NHS: Are Disparities Decreasing?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 159(3), pages 1057-1084, February.
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