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The Risk of Household Socioeconomic Deprivation Related to Older Long-Term Care Needs: A Qualitative Exploratory Study in Italy and Spain

Author

Listed:
  • Georgia Casanova

    (Centre for Socio-Economic Research on Ageing, IRCCS-INRCA National Institute of Health & Science on Ageing, 60124 Ancona, Italy)

  • Mirian Fernández-Salido

    (Instituto de Investigación en Políticas de Bienestar Social (POLIBIENESTAR)—Research Institute on Social Welfare Policy, Universidad València, 46022 Valencia, Spain)

  • Carolina Moreno-Castro

    (Instituto de Investigación en Políticas de Bienestar Social (POLIBIENESTAR)—Research Institute on Social Welfare Policy, Universidad València, 46022 Valencia, Spain)

Abstract

Background: Older individuals with long-term care (LTC) needs represent a risk factor for poverty and socioeconomic deprivation (SED) for households. This challenge threatens the overall sustainability of health and social care systems. Spain and Italy have a robust family-based care regime with a high level of informal long-term care. Aims: This qualitative study aims to provide empirical evidence of the socioeconomic risks for Spanish and Italian households related to long-term care needs by identifying the phenomenon’s main characteristics and suggestions for innovative policies and solutions. In particular, this qualitative study examines the opinions of experts and stakeholders from both countries to: (a) explore the relationship between LTC needs and household SED risk in Spain and Italy; (b) identify key associations between words and concepts, highlighting their specific characteristics in both countries; and (c) perform an in-depth analysis of the interviewees’ views on designing innovative policies to support households, aimed at coping with the SED risk arising from the challenges posed by meeting the LTC needs of older people and their relatives Methods: National experts and stakeholders were involved in interviews and focus groups in both countries. A linguistic and content analysis of the transcriptions produced was performed and supported by T-LAB. Results: The SED risk for households was confirmed in both countries. Informal carers, often women, contend with a higher risk of material and social deprivation. To improve the coordination and integration strategy of public LTC, policies should contrast the SED risk of households. Moreover, an innovative integrated welfare model should consider valorizing different existing resources (e.g., informal care, neighbors, and NGOs). Conclusions: Long-term care policies aimed at promoting ageing need to pay more attention to such a risk as a structural component to be addressed and tackled with more specific and effective strategies.

Suggested Citation

  • Georgia Casanova & Mirian Fernández-Salido & Carolina Moreno-Castro, 2023. "The Risk of Household Socioeconomic Deprivation Related to Older Long-Term Care Needs: A Qualitative Exploratory Study in Italy and Spain," Sustainability, MDPI, vol. 15(20), pages 1-15, October.
  • Handle: RePEc:gam:jsusta:v:15:y:2023:i:20:p:15031-:d:1262507
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    References listed on IDEAS

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    1. Howdon, Daniel & Rice, Nigel, 2018. "Health care expenditures, age, proximity to death and morbidity: Implications for an ageing population," Journal of Health Economics, Elsevier, vol. 57(C), pages 60-74.
    2. Estrada Fernández, Mª Eugenia & Gil Lacruz, Ana I. & Gil Lacruz, Marta & Viñas López, Antonio, 2019. "Informal care. European situation and approximation of a reality," Health Policy, Elsevier, vol. 123(12), pages 1163-1172.
    3. Mirela Cristea & Gratiela Georgiana Noja & Petru Stefea & Adrian Lucian Sala, 2020. "The Impact of Population Aging and Public Health Support on EU Labor Markets," IJERPH, MDPI, vol. 17(4), pages 1-27, February.
    4. Marco Albertini & Emmanuele Pavolini, 2017. "Unequal Inequalities: The Stratification of the Use of Formal Care Among Older Europeans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(3), pages 510-521.
    5. Yoko Niimi, 2018. "Does providing informal elderly care hasten retirement? Evidence from Japan," Review of Development Economics, Wiley Blackwell, vol. 22(3), pages 1039-1062, August.
    6. Arrighi, Y. & Rapp, T. & Sirven, N., 2017. "The impact of economic conditions on the disablement process: A Markov transition approach using SHARE data," Health Policy, Elsevier, vol. 121(7), pages 778-785.
    7. Georgia Casanova & Andrea Principi & Giovanni Lamura, 2020. "Social Innovation in Long-Term Care: Lessons from the Italian Case," IJERPH, MDPI, vol. 17(7), pages 1-17, March.
    8. László Árpád Kostyál & Zsuzsa Széman & Virág Erzsébet Almási & Paolo Fabbietti & Sabrina Quattrini & Marco Socci & Giovanni Lamura & Cristina Gagliardi, 2021. "Impact of the COVID-19 Pandemic on Family Carers of Older People Living with Dementia in Italy and Hungary," Sustainability, MDPI, vol. 13(13), pages 1-19, June.
    9. Oscar Flores-Flores & Ruth Bell & Rodney Reynolds & Antonio Bernabé-Ortiz, 2018. "Older adults with disability in extreme poverty in Peru: How is their access to health care?," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-15, December.
    10. Nekehia T. Quashie & Melanie Wagner & Ellen Verbakel & Christian Deindl, 2022. "Socioeconomic differences in informal caregiving in Europe," European Journal of Ageing, Springer, vol. 19(3), pages 621-632, September.
    11. Mirian Fernández Salido & Carolina Moreno-Castro & Francesco Belletti & Stecy Yghemonos & Jorge Garcès Ferrer & Georgia Casanova, 2022. "Innovating European Long-Term Care Policies through the Socio-Economic Support of Families: A Lesson from Practices," Sustainability, MDPI, vol. 14(7), pages 1-12, March.
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