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Feminization of Ageing and Long Term Care Financing in Singapore

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Author Info

  • Chia Ngee Choon

    ()
    (Department of Economics, National University of Singapore)

  • Shawna Lim Shi en

    (Department of Economics, National University of Singapore)

  • Angelique Chan

    ()
    (Department of Sociology, National University of Singapore)

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    Abstract

    Feminization of ageing leads to issues relating to long term healthcare financing since females are more susceptible to chronic illnesses. This paper assesses the current provision of long-term care (LTC) in Singapore by first examining the health status of elderly female; and then estimates the present value of LTC expenses. We calibrate the LTC costs for institutional nursing homes, community homes and informal home-based care with domestic helper. We next evaluate the comprehensiveness of a private disability insurance scheme in Singapore (Eldershield) in capturing the expected share of LTC expenditures. We compare the policy comprehensiveness of Eldershield payouts for different utilizations of LTC at different levels of means-tested government subsidies. With subsidies, the LTC cost can be adequately covered by Eldershield; without any subsidies, Eldershield is able to capture 25% to 40% of the LTC costs. We also evaluate the LTC financing implications after an osteoporotic hip fracture surgery.

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    File URL: http://www.fas.nus.edu.sg/ecs/pub/wp-scape/0806.pdf
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    Bibliographic Info

    Paper provided by National University of Singapore, Department of Economics, SCAPE in its series SCAPE Policy Research Working Paper Series with number 0806.

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    Length: 41 pages
    Date of creation: 08 Sep 2008
    Date of revision:
    Handle: RePEc:sca:scaewp:0806

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    Web page: http://www.fas.nus.edu.sg/ecs/scape/index.html
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    Related research

    Keywords: health financing; long-term care; ageing; disability insurance; policy comprehensiveness;

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