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Long-term care: Regional disparities in Belgium

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  • Gungor Karakaya

Abstract

In this paper we analyze the problem of population ageing in terms of non-medical care needs of persons who are dependent or have lost their autonomy, in order to provide the various public and private administrations active in these fields with some food for thought. The anticipated increase in dependency poses significant challenges in terms of needs evolution and financing. Using administrative data on the Belgian population to build indicators on the prevalence of dependency at home in the three regions in 2001, we find that the likelihood of a sustained increase in the Flemish prevalence rates ultimately amplifies the magnitude of the financing problems that the Flemish dependency insurance scheme has experienced since its first years of operation. Results also show that the smaller increases or the decreases (according to the scenario selected) expected in Wallonia and Brussels are likely to mitigate concern about the sustainability of any long-term care insurance in Wallonia and therefore to facilitate its eventual introduction.

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Bibliographic Info

Paper provided by ULB -- Universite Libre de Bruxelles in its series ULB Institutional Repository with number 2013/169618.

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Date of creation: Mar 2009
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Publication status: Published in: Journal of Applied Economic Sciences (2009) v.4 n° 1,p.58-79
Handle: RePEc:ulb:ulbeco:2013/169618

Note: SCOPUS: ar.j
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Keywords: Demographic changes; Long-term care; Old age assistance; Projection; Regional inequalities;

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  1. Thomas Philipson & Darius Lakdawalla, 1998. "The Rise in Old Age Longevity and the Market for Long-Term Care," University of Chicago - George G. Stigler Center for Study of Economy and State, Chicago - Center for Study of Economy and State 146, Chicago - Center for Study of Economy and State.
  2. Van Oyen, Herman & Tafforeau, Jean & Roelands, Marc, 1996. "Regional inequities in health expectancy in Belgium," Social Science & Medicine, Elsevier, Elsevier, vol. 43(11), pages 1673-1678, December.
  3. Rodrigo J. Ruz Torres, 2004. "Aspects économiques d'une assurance-dépendance en Belgique francophone et germanophone," ULB Institutional Repository, ULB -- Universite Libre de Bruxelles 2013/13488, ULB -- Universite Libre de Bruxelles.
  4. Norton, Edward C., 2000. "Long-term care," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 17, pages 955-994 Elsevier.
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