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Care choices in Europe: To Each According to His or Her Needs?

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  • Heger, Dörte
  • Korfhage, Thorben

Abstract

Growing long-term care (LTC) needs represent a major challenge for our aging societies. Understanding how utilization patterns of different types of care are influenced by LTC policies or changes in the population composition such as age patterns or health can provide helpful insight on how to adequately prepare for this situation. To this aim, this paper explores how individuals choose between different forms of LTC. We exploit variation between countries as well as between individuals within countries using data from the Survey of Health, Ageing, and Retirement in Europe (SHARE). Using nonlinear decomposition techniques, we break down the difference in utilization rates between countries into differences based on observed sociodemographic and need-related characteristics and differences in the impacts of these characteristics, which allows us to identify the drivers behind differences in the formal-informal care mix. Our results show that a substantial fraction of the observed country differences can be explained by differences in impacts. We argue that this is a result of the different incentives provided by the different LTC systems.

Suggested Citation

  • Heger, Dörte & Korfhage, Thorben, 2018. "Care choices in Europe: To Each According to His or Her Needs?," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 55, pages 1-16.
    • Handle: RePEc:zbw:espost:290415
    DOI: 10.1177/0046958018780848
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    References listed on IDEAS

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    Citations

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    Cited by:

    1. Korfhage, Thorben & Fischer-Weckemann, Björn, 2024. "Long-run consequences of informal elderly care and implications of public long-term care insurance," Journal of Health Economics, Elsevier, vol. 96(C).
    2. Bergmann, Lea & Heger, Dörte & Wuckel, Christiane, 2024. "Nursing home shortage and hospital bed-blocking," Ruhr Economic Papers 1108, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    3. Attila Bartha & Violetta Zentai, 2020. "Long-Term Care and Gender Equality: Fuzzy-Set Ideal Types of Care Regimes in Europe," Social Inclusion, Cogitatio Press, vol. 8(4), pages 92-102.

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    Keywords

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    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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