Costa-Font, Joan 
ORCID: 0000-0001-7174-7919, Courbage, Christophe and Swartz, Katherine
(2015)
Financing long-term care: ex-ante, ex-post or both?
Health Economics, 24.
pp. 45-57.
ISSN 1057-9230
Abstract
This paper examines the heterogeneity in the public financing of long-term care (LTC), and the wide-ranging instruments in place to finance long-term care services. We distinguish and classify the institutional responses to the need for LTC financing as ex-ante (occurring prior to when the need arises, such as insurance) and ex-post (occurring after the need arises, such as public sector and family financing). Then we examine country-specific data to ascertain whether the two types of financing are complements or substitutes. Finally, we examine exploratory cross-national data on public expenditure determinants, specifically economic, demographic and social determinants. We show that although both ex-ante and ex-post mechanisms exist in all countries with advanced industrial economies and despite the fact that instruments are different across countries, ex-ante and ex-post instruments are largely substitutes for each other. Expenditure estimates to date indicate that the public financing of long-term care is highly sensitive to a country’s income, ageing of the population, and the availability of informal caregiving.
| Item Type: | Article |
|---|---|
| Official URL: | http://onlinelibrary.wiley.com/doi/10.1002/hec.v24... |
| Additional Information: | © 2015 John Wiley & Sons |
| Divisions: | Social Policy Centre for Economic Performance Health Policy |
| Subjects: | H Social Sciences > HC Economic History and Conditions 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: | H - Public Economics > H5 - National Government Expenditures and Related Policies I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health J - Labor and Demographic Economics > J1 - Demographic Economics |
| Date Deposited: | 05 Jan 2015 10:06 |
| Last Modified: | 14 Apr 2024 19:24 |
| URI: | http://eprints.lse.ac.uk/id/eprint/60587 |
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