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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.

Suggested Citation

  • Gungor Karakaya, 2009. "Long-term care: Regional disparities in Belgium," DULBEA Working Papers 09-06.RS, ULB -- Universite Libre de Bruxelles.
  • Handle: RePEc:dul:wpaper:09-06rs
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    References listed on IDEAS

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    1. Darius Lakdawalla & Tomas Philipson, 2002. "The Rise in Old-Age Longevity and the Market for Long-Term Care," American Economic Review, American Economic Association, vol. 92(1), pages 295-306, March.
    2. Gungor Karakaya & Rodrigo J. Ruz Torres, 2006. "Inégalités régionales en matière de dépendance en Belgique: perspectives à long terme," ULB Institutional Repository 2013/9397, ULB -- Universite Libre de Bruxelles.
    3. Van Oyen, Herman & Tafforeau, Jean & Roelands, Marc, 1996. "Regional inequities in health expectancy in Belgium," Social Science & Medicine, Elsevier, vol. 43(11), pages 1673-1678, December.
    4. Norton, Edward C., 2000. "Long-term care," Handbook of Health Economics,in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 17, pages 955-994 Elsevier.
    5. Rodrigo J. Ruz Torres, 2004. "Aspects économiques d'une assurance-dépendance en Belgique francophone et germanophone," ULB Institutional Repository 2013/13488, ULB -- Universite Libre de Bruxelles.
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    Cited by:

    1. Vincenzo Atella & Federico Belotti & Ludovico Carrino & Andrea Piano Mortari, 2017. "The future of Long Term Care in Europe. An investigation using a dynamic microsimulation model," CEIS Research Paper 405, Tor Vergata University, CEIS, revised 08 May 2017.

    More about this item

    Keywords

    Long-term care; Old age assistance; Demographic changes; Regional inequalities; Projection;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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