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Inequity in long-term care use and unmet need: two sides of the same coin

García-Gómez, Pilar, Hernández-Quevedo, Cristina, Jiménez-Rubio, Dolores and Oliva-Moreno, Juan (2015) Inequity in long-term care use and unmet need: two sides of the same coin. Journal of Health Economics, 39. pp. 147-158. ISSN 0167-6296

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Identification Number: 10.1016/j.jhealeco.2014.11.004


We investigate the determinants of several LTC services and unmet need using data from a representative sample of the non-institutionalised disabled population in Spain in 2008. We measure the level of horizontal inequity and compare results using self-reported versus a more objective indicator of unmet needs. Evidence suggests that after controlling for a wide set of need variables, there is not an equitable distribution of use and unmet need of LTC services in Spain; formal services are concentrated among the better-off, while intensive informal care is concentrated among the worst-off. The distribution of unmet needs for LTC services depends on the service considered and on whether we focus on subjective or objective measures. In 2008, only individuals with the highest dependency level had universal coverage. Our results show that inequities in most LTC services and unmet needs among this group either remain or even increase for formal services.

Item Type: Article
Official URL:
Additional Information: © 2014 Elsevier B.V.
Divisions: LSE Health
Subjects: H Social Sciences > HQ The family. Marriage. Woman
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
JEL classification: I - Health, Education, and Welfare > I1 - Health
I - Health, Education, and Welfare > I3 - Welfare and Poverty > I38 - Government Policy; Provision and Effects of Welfare Programs
J - Labor and Demographic Economics > J1 - Demographic Economics > J14 - Economics of the Elderly; Economics of the Handicapped
Date Deposited: 23 Jan 2015 15:10
Last Modified: 24 Jul 2024 01:42
Projects: ECON2013-48217-C2-2-R
Funders: ECON2013-48217-C2-2-R “Impacto económico, sanitaria y social de las enfermedades y los problemas de salud: información y herramientas para la evaluación de políticas públicas”

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