Long-Term Care: Economic Issues and Policy Solutions / Edition 1

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Ensuring long-term care (LTC) is one of the most urgent problems in health care today. Demographic trends are expected to lead to a higher proportion of old and very old people in the global population. As a result, an increased proportion of global income will be devoted to LTC services. With this in mind, Long-term Care: Economic Issues and Policy Solutions aims to address the following important objectives:
  • to provide a detailed analysis of the arrangements and institutions designed to protect the disabled and dependent elderly people in various countries, and to try to evaluate their respective merits.
  • to discuss the projections of future costs of protection for dependent elderly, and to assess the impact of improvements in disability-free life expectancy on the future cost of care and choices between informal and formal care.
  • to present empirical research on these decisions, with special consideration of primary caregivers, and on the substitution between in kind and cash benefits as well as between institutional (or formal) care and home (or informal) care.
  • to analyze different theoretical approaches in modeling decisions referring to LTC services to be provided both within and between generations.

With its mix of empirical, theoretical and policy-related contributions, Long-term Care: Economic Issues and Policy Solutions will be of interest not only to health economists, but also to social scientists, health insurers, and public policy advocates.
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Editorial Reviews

For health economists, social scientists, health insurers, and public- policy advocates, addresses some of the research needs relating to the extensive long-term medical care that the aging world population is expected to require. Among the research goals discussed are a detailed analysis and evaluation of the arrangements and institutions to protect disabled and dependent elderly people in various countries, projecting the future costs and the impact on it of increasing the expectancy of disability-free life, empirical research on the choice between informal and formal care with special consideration given to the primary caregivers and their recompense, and an analysis of theoretical approaches to modeling decisions about care within and between generations. Germany is taken as a case study. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

Table of Contents

Contributing Authors and Participants
Introduction 1
1 An International Comparison of Trends in Disability-Free Life Expectancy 11
2 Possibilities and Problems in a Cross-Country Comparative Analysis of Long-Term Care Systems 25
3 Effects of Strategic Behavior and Public Subsidies on Families' Savings and Long-Term Care Decisions 45
4 Women's Role in the Provision of Long-Term Care, Financial Incentives, and the Future Financing of Long-Term Care 79
5 Determinants of Institutionalization in Old Age 103
6 The Impact of the Community Long-Term Care Insurance Law on Services for the Elderly in Israel 115
7 The Effect of Public Provision of Home Care on Living and Care Arrangements: Evidence from the Channeling Experiment 125
8 Social Protection for Dependence in Old Age: The Case of Germany 149
9 Determining the Long-Term Care Needs of Individuals Living in Private Households: Results from a Survey 171
10 The Long-Term Costs of Public Long-Term Care Insurance in Germany Some Guesstimates 181
11 Long-Term Care Insurance and Trust Saving in a Two-Generation Model 225
12 Long-Term Care - An Inter- and Intragenerational Decision Model 251
13 The Assessment and the Regulation of Quality in Long-Term Care 285
14 Almost Optimal Social Insurance for Long-Term Care 307
Subject Index 331
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