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Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
BACKGROUND: A large part of the long-term care is provided by non-professional caregivers, generally without any monetary payment but a value economic of time invested. The economic relevance of informal caregivers has been recognized in Spain; however, public provision may still be scarce. The obje...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236927/ https://www.ncbi.nlm.nih.gov/pubmed/32430791 http://dx.doi.org/10.1186/s13561-020-00272-1 |
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author | Del Pozo-Rubio, Raúl Moya-Martínez, Pablo Ortega-Ortega, Marta Oliva-Moreno, Juan |
author_facet | Del Pozo-Rubio, Raúl Moya-Martínez, Pablo Ortega-Ortega, Marta Oliva-Moreno, Juan |
author_sort | Del Pozo-Rubio, Raúl |
collection | PubMed |
description | BACKGROUND: A large part of the long-term care is provided by non-professional caregivers, generally without any monetary payment but a value economic of time invested. The economic relevance of informal caregivers has been recognized in Spain; however, public provision may still be scarce. The objective of this paper is to estimate the economic burden associated with informal long-term care that should assume the families through a new concept of cost sharing that consider opportunity costs of time provided by informal caregivers. METHODS: The study sample includes all dependent adults in Spain. Socioeconomic information and the number of hours of informal care was collected through the Spanish Disability and Dependency Survey. The terms of shadow and extended shadow cost sharing were defined as the difference between the maximum potential amount of money that families could receive for the provision of informal care and the amount that actually they received and the value of informal care time with respect to the amount received, respectively. RESULTS: 53.87% of dependent persons received an economic benefit associated to informal care. The average weekly hours of care were 71.59 (92.62 without time restrictions). Shadow cost sharing amounted to, on average, two thirds, whereas the State financed the remaining third. In terms of extended shadow cost sharing, the State financed between 3% and 10% of informal care provided by caregivers. CONCLUSIONS: This study reveals the deficient support received for the provision of informal care in Spain. More than 90% of informal care time is not covered by the economic benefits that families receive from the State. |
format | Online Article Text |
id | pubmed-7236927 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-72369272020-05-27 Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain Del Pozo-Rubio, Raúl Moya-Martínez, Pablo Ortega-Ortega, Marta Oliva-Moreno, Juan Health Econ Rev Research BACKGROUND: A large part of the long-term care is provided by non-professional caregivers, generally without any monetary payment but a value economic of time invested. The economic relevance of informal caregivers has been recognized in Spain; however, public provision may still be scarce. The objective of this paper is to estimate the economic burden associated with informal long-term care that should assume the families through a new concept of cost sharing that consider opportunity costs of time provided by informal caregivers. METHODS: The study sample includes all dependent adults in Spain. Socioeconomic information and the number of hours of informal care was collected through the Spanish Disability and Dependency Survey. The terms of shadow and extended shadow cost sharing were defined as the difference between the maximum potential amount of money that families could receive for the provision of informal care and the amount that actually they received and the value of informal care time with respect to the amount received, respectively. RESULTS: 53.87% of dependent persons received an economic benefit associated to informal care. The average weekly hours of care were 71.59 (92.62 without time restrictions). Shadow cost sharing amounted to, on average, two thirds, whereas the State financed the remaining third. In terms of extended shadow cost sharing, the State financed between 3% and 10% of informal care provided by caregivers. CONCLUSIONS: This study reveals the deficient support received for the provision of informal care in Spain. More than 90% of informal care time is not covered by the economic benefits that families receive from the State. Springer Berlin Heidelberg 2020-05-19 /pmc/articles/PMC7236927/ /pubmed/32430791 http://dx.doi.org/10.1186/s13561-020-00272-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Del Pozo-Rubio, Raúl Moya-Martínez, Pablo Ortega-Ortega, Marta Oliva-Moreno, Juan Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain |
title | Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain |
title_full | Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain |
title_fullStr | Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain |
title_full_unstemmed | Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain |
title_short | Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain |
title_sort | shadow and extended shadow cost sharing associated to informal long-term care: the case of spain |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236927/ https://www.ncbi.nlm.nih.gov/pubmed/32430791 http://dx.doi.org/10.1186/s13561-020-00272-1 |
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