Eligibility and Inclusiveness of Long-Term Care Institutional Frameworks in Europe: A Cross-Country Comparison

• DOI: 10.2139/ssrn.2541246
• Publication Date: 2014-12-24T16:01:47Z
• Authors: Ludovico Carrino; Cristina Elisa Orso
• Keywords: Long-term care, eligibility, access to home-care, vulnerability, direct adjustment, indirect adjustment, inclusiveness, Europe; 03 medical and health sciences; 0302 clinical medicine; jel:I18; 1. No poverty; jel:I11; jel:H53

Although economic literature has recently started to concentrate on the design, scope and regulations of main public programmes Long-Term-Care in Europe, no analysis have, so far, compared different systems terms their degree inclusiveness with respect vulnerable elderly's health status. Focusing several European countries, this paper investigate how LTC assess vulnerability, as well they define a minimum level objective-dependency that would entitle individuals receive benefits (in-kind or in-cash) for home-based care. Our contribution is threefold. We provide detailed information assessment eligibility frameworks eleven Europe. show substantial heterogeneities exist both at extensive margin (the health-outcomes are included vulnerability-assessment) intensive vulnerability threshold defines benefit eligibility) strategies. Building information, we compare inclusiveness, i.e., extent which each programme able cover standard population elderly facing functional cognitive limitations. The comparison performed following directly- an indirectly-adjusted strategy using SHARE data.