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The effect of long-term care public benefits and insurance on informal care from outside the household: empirical evidence from Italy and Spain

Author

Listed:
  • Christophe Courbage

    (University of Applied Sciences Western Switzerland (HES-SO))

  • Guillem Montoliu-Montes

    (University of Applied Sciences Western Switzerland (HES-SO)
    University of Lausanne)

  • Joël Wagner

    (University of Lausanne)

Abstract

This article uses cross-sectional data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) database to test the effect of both long-term care (LTC) public benefits and insurance on the receipt of informal care provided by family members living outside the household in Italy and Spain. The choice of Italy and Spain comes from the fact that informal care is rather similar in these two countries while their respective public LTC financing systems are different. Our results support the hypothesis of LTC public support decreasing the receipt of informal care for Spain while reject it for Italy. They tend to confirm that the effect of public benefits on informal care depends on the typology of public coverage for LTC whereby access to proportional benefits negatively influences informal care receipt while access to cash benefits exerts a positive effect. Our results also suggest that private LTC insurance complements the public LTC financing system in place.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:eujhec:v:21:y:2020:i:8:d:10.1007_s10198-020-01215-7
    DOI: 10.1007/s10198-020-01215-7
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    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 26th October 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-10-26 12:00:03

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    Cited by:

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    2. Eling, Martin & Ghavibazoo, Omid & Hanewald, Katja, 2021. "Willingness to take financial risks and insurance holdings: A European survey," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 95(C).
    3. Oliver Fisher, 2021. "The Impact of Micro and Macro Level Factors on the Working and Living Conditions of Migrant Care Workers in Italy and Israel—A Scoping Review," IJERPH, MDPI, vol. 18(2), pages 1-33, January.
    4. Barbara D’Amen & Marco Socci & Mirko Di Rosa & Giulia Casu & Licia Boccaletti & Elizabeth Hanson & Sara Santini, 2021. "Italian Adolescent Young Caregivers of Grandparents: Difficulties Experienced and Support Needed in Intergenerational Caregiving—Qualitative Findings from a European Union Funded Project," IJERPH, MDPI, vol. 19(1), pages 1-14, December.
    5. Tongbo Deng & Yafan Fan & Mengdi Wu & Min Li, 2022. "Older People’s Long-Term Care Preferences in China: The Impact of Living with Grandchildren on Older People’s Willingness and Family Decisions," IJERPH, MDPI, vol. 19(19), pages 1-18, September.
    6. Christophe Courbage & Guillem Montoliu-Montes & Joël Wagner, 2023. "On children’s motives to influence parents’ long-term care insurance purchase: evidence from Switzerland," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 48(1), pages 102-129, January.
    7. 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.
    8. Miao Guo & Yang Li & Minghao Wu & Terence C. Cheng, 2024. "Services and Cash: How Long-term Care Insurance Benefit Design Affects Household Behavior in China," Papers 2024-13, Centre for Health Economics, Monash University.
    9. Sara Santini & Barbara D’Amen & Marco Socci & Mirko Di Rosa & Elizabeth Hanson & Valentina Hlebec, 2022. "Difficulties and Needs of Adolescent Young Caregivers of Grandparents in Italy and Slovenia: A Concurrent Mixed-Methods Study," IJERPH, MDPI, vol. 19(5), pages 1-20, February.
    10. Cieplinski, André & D'Alessandro, Simone & Dwarkasing, Chandni & Guarnieri, Pietro, 2023. "Narrowing women’s time and income gaps: An assessment of the synergies between working time reduction and universal income schemes," World Development, Elsevier, vol. 167(C).
    11. 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.
    12. Mirian Fernández Salido & Carolina Moreno-Castro & Francesco Belletti & Stecy Yghemonos & Jorge Garcès Ferrer & Georgia Casanova, 2022. "Innovating European Long-Term Care Policies through the Socio-Economic Support of Families: A Lesson from Practices," Sustainability, MDPI, vol. 14(7), pages 1-12, March.

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    More about this item

    Keywords

    Long-term care; Public benefits; Insurance; Informal care;
    All these keywords.

    JEL classification:

    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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