Geneva School of Business Administration, University of Applied Sciences Western Switzerland (HES-SO), Geneva, Switzerland.
Department of Actuarial Science, Faculty of Business and Economics (HEC), University of Lausanne, Lausanne, Switzerland.
Eur J Health Econ. 2020 Nov;21(8):1131-1147. doi: 10.1007/s10198-020-01215-7. Epub 2020 Jul 11.
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.
本文利用欧洲健康、老龄化和退休调查（SHARE）数据库的横断面数据，检验长期护理（LTC）公共福利和保险对意大利和西班牙家庭外成员提供的非正式护理的影响。选择意大利和西班牙是因为这两个国家的非正式护理非常相似，而它们各自的公共 LTC 融资系统不同。我们的结果支持了公共支持减少西班牙接受非正式护理的假设，而对意大利则不支持。结果倾向于证实，公共福利对非正式护理的影响取决于 LTC 的公共覆盖类型，即获得比例福利会对非正式护理的获得产生负面影响，而获得现金福利则会产生积极影响。我们的结果还表明，私人 LTC 保险补充了现有的公共 LTC 融资系统。
