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Quasi-markets Targets and the Evaluation of Nursing-home Funding in the Valencian Region

Author

Listed:
  • Amadeo Fuenmayor

    (Universidad de Valencia)

  • Rafael Granell

    (Universidad de Valencia)

  • María Angeles Tortosa

    (Universidad de Valencia)

Abstract

Spanish long term care is in danger, therefore we propose a change in the nursing home funding sys¬tem. We use as an example the extremely complex nursing home financing system of Valencian Region. In this region, there are many funding mechanisms: two types of public subsidies, two different acces¬sibility plans, a voucher scheme and a cash benefit approach related to residential service. We evaluate these methods through the quasi-market theory. We find that these approaches have negative impact on equity, efficiency and freedom of choice and we propose a new, homogeneous financing method for all nursing homes through voucher.

Suggested Citation

  • Amadeo Fuenmayor & Rafael Granell & María Angeles Tortosa, 2016. "Quasi-markets Targets and the Evaluation of Nursing-home Funding in the Valencian Region," Hacienda Pública Española / Review of Public Economics, IEF, vol. 216(1), pages 13-38, March.
    • Handle: RePEc:hpe:journl:y:2016:v:216:i:1:p:13-38
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    References listed on IDEAS

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    More about this item

    Keywords

    Long term care; nursing homes; quasi-markets; vouchers;
    All these keywords.

    JEL classification:

    • H44 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Goods: Mixed Markets
    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs

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