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Impact of implementation of the Dependency Act on the Spanish economy: an analysis after the 2008 financial crisis

Author

Listed:
  • Raúl Del Pozo-Rubio

    (University of Castilla-La Mancha
    University of Castilla-La Mancha)

  • Fernando Bermejo-Patón

    (University of Castilla-La Mancha
    University of Castilla-La Mancha)

  • Pablo Moya-Martínez

    (University of Castilla-La Mancha
    University of Castilla-La Mancha)

Abstract

The aim of this paper is to assess the industry-wide impact of Long-Term Care (LTC) spending on the Spanish economy. LTC spending includes beneficiaries’ copayment and the impact is quantified in terms of output, employment and value added. To this purpose, we use an input–output model of the Spanish economy that allows us to further describe how the value added generated is distributed throughout the economy according to the existing benefit-mix (in kind services, cash benefit for informal care and cash benefit for personal assistance). Additionally, the model provides results on how the return on LTC spending would improve by using only in-kind services instead of the benefit mix currently in place. The 2012 Spanish Input–Output Table at current prices was extracted from the WIOD Database’s 2016 Release. Consumption data for dependent, employed, and unemployed households were collected from the Spanish Household Budget Survey for 2012. The findings reveal that the total annual costs are 7,205.43 million €, with total costs from in-kind services being almost 71% higher than total costs from cash benefits. Each million euros invested in in-kind services and CBPA would create 41.91 jobs (68.41% direct, 9.16% indirect and 22.43% induced). However, each million euros spent on cash benefits would result in 16.88 jobs overall (53.02% direct, 24.53% indirect and 22.45% induced). The total number of jobs is 151,353 at the aggregate level, being 46,840 depending on cash-benefits and 104,513 on in-kind services.

Suggested Citation

  • Raúl Del Pozo-Rubio & Fernando Bermejo-Patón & Pablo Moya-Martínez, 2022. "Impact of implementation of the Dependency Act on the Spanish economy: an analysis after the 2008 financial crisis," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 111-128, March.
    • Handle: RePEc:kap:ijhcfe:v:22:y:2022:i:1:d:10.1007_s10754-021-09310-9
    DOI: 10.1007/s10754-021-09310-9
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    1. Marcel P. Timmer & Erik Dietzenbacher & Bart Los & Robert Stehrer & Gaaitzen J. Vries, 2015. "An Illustrated User Guide to the World Input–Output Database: the Case of Global Automotive Production," Review of International Economics, Wiley Blackwell, vol. 23(3), pages 575-605, August.
    2. Sofia A. Perez & Manos Matsaganis, 2018. "The Political Economy of Austerity in Southern Europe," New Political Economy, Taylor & Francis Journals, vol. 23(2), pages 192-207, March.
    3. Peter W. J. Batey & Adam Z. Rose, 1990. "Extended Input-Output Models: Progress and Potential," International Regional Science Review, , vol. 13(1-2), pages 27-49, April.
    4. Peter Batey & Moss Madden, 1999. "The employment impact of demographic change: A regional analysis," Papers in Regional Science, Springer;Regional Science Association International, vol. 78(1), pages 69-87.
    5. Peña-Longobardo, Luz María & Oliva-Moreno, Juan & García-Armesto, Sandra & Hernández-Quevedo, Cristina, 2016. "The Spanish long-term care system in transition: Ten years since the 2006 Dependency Act," Health Policy, Elsevier, vol. 120(10), pages 1177-1182.
    6. Geoffrey J.D. Hewings, 1985. "Regional Input-Output Analysis," Wholbk, Regional Research Institute, West Virginia University, number 11 edited by Grant I. Thrall, Fall.
    7. Adam Wagstaff & Eddy van Doorslaer, 2003. "Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998," Health Economics, John Wiley & Sons, Ltd., vol. 12(11), pages 921-933, November.
    8. Tim Muir, 2017. "Measuring social protection for long-term care," OECD Health Working Papers 93, OECD Publishing.
    9. Gerd Schwartz & Teresa Ter‐Minassian, 2000. "The Distributional Effects of Public Expenditure," Journal of Economic Surveys, Wiley Blackwell, vol. 14(3), pages 337-358, July.
    10. Lucia Quaglia & Sebasti�n Royo, 2015. "Banks and the political economy of the sovereign debt crisis in Italy and Spain," Review of International Political Economy, Taylor & Francis Journals, vol. 22(3), pages 485-507, June.
    11. repec:bla:jecsur:v:14:y:2000:i:3:p:337-58 is not listed on IDEAS
    12. Fabio Monsalve & Jorge Zafrilla & María-Ángeles Cadarso & Angela García-Alaminos, 2019. "Is the emperor wearing new clothes? A social assessment of the European Union 2007–2013 financial framework," Economic Systems Research, Taylor & Francis Journals, vol. 31(3), pages 285-304, July.
    13. del Pozo-Rubio, Raúl & Jiménez-Rubio, Dolores, 2019. "Catastrophic risk associated with out-of-pocket payments for long term care in Spain," Health Policy, Elsevier, vol. 123(6), pages 582-589.
    14. 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.
    15. Moss Madden, 1993. "Welfare Payments And Migration In A Nonlinear, Extended Input‐Output Model With An Application To Scotland," Papers in Regional Science, Wiley Blackwell, vol. 72(2), pages 177-199, April.
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