Notes About Comparing Long-term Care Expenditures Across Countries; Comment on “Financing Long-term Care: Lessons From Japan”

Document Type : Commentary

Author

DIW Berlin, Berlin, Germany

Abstract

The comparison of long-term care (LTC) expenditures is a difficult task. National LTC systems differ widely in terms of eligibility criteria, level of benefits, institutional variety and regional heterogeneity. In this commentary I will first give some general remarks on cross country comparisons. Then I discuss the role of the informal sector which is the most important pillar of all LTC systems. I conclude with some background on current developments in Germany. Different from Japan Germany is extending its LTC insurance instead of containing costs.

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References

  1. Ikegami N. Financing long-term care: lessons from Japan. Int J Health Policy Manag. 2019;8(8):462-466. doi:10.15171/ijhpm.2019.35
  2. OECD. Health at a Glance 2017: OECD Indicators. OECD; 2017.
  3. The 2018 Ageing Report - Economic & Budgetary Projections for the 28 EU Member States (2016-2070). European Commission; 2018.
  4. Brenna E, Gitto L. To what extent is long-term care representative of elderly care? A case study of elderly care financing in Lombardy, Italy. Int J Health Policy Manag. 2017;6(8):467-471. doi:10.15171/ijhpm.2017.22
  5. Jessoula M, Pavolini E, Raitano M, Natili M. ESPN Thematic Report on Challenges in long-term care – Italy. European Commission; 2018.
  6. Tediosi F, Gabriele S. The Long-Term Care System for the Elderly in Italy.  Ceps Website. https://www.ceps.eu/ceps-publications/long-term-care-system-elderly-italy/. Published June 15, 2010.
  7. Heger D, Korfhage T. Care choices in Europe: To Each According to His or Her Needs? Inquiry. 2018;55:0046958018780848. doi:10.1177/0046958018780848
  8. Geyer J, Korfhage T. Long-term Care Insurance and Carers' Labor Supply – A Structural Model. Health Econ. 2015;24(9):1178-1191. doi:10.1002/hec.3200
  9. Geyer J, Haan P, Korfhage T. Indirect fiscal effects of long-term care insurance. Fisc Stud. 2017;38(3):393-415. doi:10.1111/j.1475-5890.2017.12140
  10. Bauer JM, Sousa-Poza A. Impacts of Informal Caregiving on Caregiver Employment, Health, and Family. J Popul Ageing. 2015;8(3). doi:10.1007/s12062-015-9116-0
  11. Weatherly H, Faria R, van den Berg B. Quantifying Informal Care for Economic Evaluation in Mental Health. In: Razzouk D, ed. Mental Health Economics. Cham, Springer;2017:267-280. doi:10.1007/978-3-319-55266-8_17
  12. Koopmanschap MA, van Exel NJA, van den Berg B, Brouwer WBF. An overview of methods and applications to value informal care in economic evaluations of healthcare. Pharmacoeconomics. 2008;26(4):269-280. doi:10.2165/00019053-200826040-00001
  13. de Meijer C, Brouwer W, Koopmanschap M, van den Berg B, van Exel J. The value of informal care–a further investigation of the feasibility of contingent valuation in informal caregivers. Health Econ. 2010;19(7):755-771. doi:10.1002/hec.1513
  14. van den Berg B, Ferrer-i.-Carbonell A. Monetary valuation of informal care: the well-being valuation method. Health Econ. 2007;16(11):1227-1244. doi:10.1002/hec.1224
  15. Goodrich K, Kaambwa B, Al-Janabi H. The inclusion of informal care in applied economic evaluation: a review. Value Health. 2012;15(6):975-981. doi:10.1016/j.jval.2012.05.009
  16. Barr N. Long-term care: a suitable case for social insurance. Soc Policy Adm. 2010;44(4):359-374. doi:10.1111/j.1467-9515.2010.00718.x
  17. Colombo F, Llena-Nozal A, Mercier J, Tjadens F. Help Wanted? Providing and Paying for Long-term Care. Paris: OECD Publishing; 2011.
  18. Schulz E, Geyer J. Societal change, care need and long-term care workforce in selected european countries.EconStor Preprints;  2013.
International Journal of Health Policy and Management
Volume 9, Issue 2
February 2020
Pages 80-82

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History

  • Receive Date: 15 August 2019
  • Revise Date: 07 October 2019
  • Accept Date: 07 October 2019
  • First Publish Date: 14 October 2019

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