C Vilaplana-Prieto, J Oliva-Moreno
Department of Economic Analysis, University of Murcia, Murcia, Spain.
Department of Economic Analysis and Finance, University of Castilla-La Mancha, Toledo, Spain.
Eur J Health Econ. 2025 Apr;26(3):377-402. doi: 10.1007/s10198-024-01713-y. Epub 2024 Aug 9.
The aims of this paper are to estimate the monetary value of informal care for people with Alzheimer's disease (AD) in Spain, to compare results with those obtained in 2008 and to analyse the main determinants of the time of the value of informal care. The Survey on Disabilities, Autonomy and Dependency carried out in Spain in 2020/21 was used to obtain information about disabled individuals with AD and their informal caregivers. Assessment of informal care time was carried out using two alternative approaches: the replacement method, and the contingent valuation method (willingness to pay & willingness to accept). The number of people with AD residing in Spanish households and receiving informal care rose to more than 200,000, representing an increase of 43% compared with 2008. The average number of hours of informal care per week ranged from 86 to 101 h, with an estimated value of between €31,584 - €37,019 per year per caregiver (willingness to accept) or €71,653 - €83,984 per year (replacement). The annual total number of caregiving hours ranged between 896 and 1,061 million hours, representing between 0.52 and 0.62 of GDP in 2021 (willingness to accept) or 1.19-1.40 of GDP (replacement). The level of care needs plays a central role in explaining heterogeneity in estimates. These results should be taken into account by decision-makers for long-term care planning in the coming years.
本文的目的是估算西班牙阿尔茨海默病（AD）患者非正式护理的货币价值，将结果与2008年的结果进行比较，并分析非正式护理价值时间的主要决定因素。利用2020/21年在西班牙进行的残疾、自主性和依赖性调查，获取有关患有AD的残疾个体及其非正式护理人员的信息。使用两种替代方法对非正式护理时间进行评估：替代法和或有估值法（支付意愿和接受意愿）。居住在西班牙家庭中并接受非正式护理的AD患者人数增至20多万，与2008年相比增加了43%。每周非正式护理的平均小时数在86至101小时之间，估计每位护理人员每年的价值在31,584欧元至37,019欧元之间（接受意愿）或每年71,653欧元至83,984欧元（替代法）。每年的护理总小时数在8.96亿至10.61亿小时之间，占2021年国内生产总值的0.52至0.62（接受意愿）或国内生产总值的1.19至1.40（替代法）。护理需求水平在解释估计值的异质性方面起着核心作用。决策者在未来几年进行长期护理规划时应考虑这些结果。
