Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain

Background: A large part of the long-term care is provided by non-rofessional caregivers, generally without any monetary payment but a value economic of time invested. The economic relevance of informal caregivers has been recognized in Spain; however, public provision may still be scarce. The objec...

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Detalles Bibliográficos
Autores: Pozo Rubio, Raúl del, Moya Martínez, Pablo, Ortega Ortega, Marta, Oliva Moreno, Juan
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/25140
Acceso en línea:https://hdl.handle.net/10578/25140
Access Level:acceso abierto
Palabra clave:Informal care
Economic value
Long-term care
Spain
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spelling Shadow and extended shadow cost sharing associated to informal long-term care: the case of SpainPozo Rubio, Raúl delMoya Martínez, PabloOrtega Ortega, MartaOliva Moreno, JuanInformal careEconomic valueLong-term careSpainBackground: A large part of the long-term care is provided by non-rofessional caregivers, generally without any monetary payment but a value economic of time invested. The economic relevance of informal caregivers has been recognized in Spain; however, public provision may still be scarce. The objective of this paper is to estimate the economic burden associated with informal long-term care that should assume the families through a new concept of cost sharing that consider opportunity costs of time provided by informal caregivers. Methods: The study sample includes all dependent adults in Spain. Socioeconomic information and the number of hours of informal care was collected through the Spanish Disability and Dependency Survey. The terms of shadow and extended shadow cost sharing were defined as the difference between the maximum potential amount of money that families could receive for the provision of informal care and the amount that actually they received and the value of informal care time with respect to the amount received, respectively. Results: 53.87% of dependent persons received an economic benefit associated to informal care. The average weekly hours of care were 71.59 (92.62 without time restrictions). Shadow cost sharing amounted to, on average, two thirds, whereas the State financed the remaining third. In terms of extended shadow cost sharing, the State financed between 3% and 10% of informal care provided by caregivers. Conclusions: This study reveals the deficient support received for the provision of informal care in Spain. More than 90% of informal care time is not covered by the economic benefits that families receive from the State.BMC202020202020info:eu-repo/semantics/articletext/plainapplication/pdfhttps://hdl.handle.net/10578/25140reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésinfo:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/251402026-05-27T07:36:41Z
dc.title.none.fl_str_mv Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
title Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
spellingShingle Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
Pozo Rubio, Raúl del
Informal care
Economic value
Long-term care
Spain
title_short Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
title_full Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
title_fullStr Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
title_full_unstemmed Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
title_sort Shadow and extended shadow cost sharing associated to informal long-term care: the case of Spain
dc.creator.none.fl_str_mv Pozo Rubio, Raúl del
Moya Martínez, Pablo
Ortega Ortega, Marta
Oliva Moreno, Juan
author Pozo Rubio, Raúl del
author_facet Pozo Rubio, Raúl del
Moya Martínez, Pablo
Ortega Ortega, Marta
Oliva Moreno, Juan
author_role author
author2 Moya Martínez, Pablo
Ortega Ortega, Marta
Oliva Moreno, Juan
author2_role author
author
author
dc.subject.none.fl_str_mv Informal care
Economic value
Long-term care
Spain
topic Informal care
Economic value
Long-term care
Spain
description Background: A large part of the long-term care is provided by non-rofessional caregivers, generally without any monetary payment but a value economic of time invested. The economic relevance of informal caregivers has been recognized in Spain; however, public provision may still be scarce. The objective of this paper is to estimate the economic burden associated with informal long-term care that should assume the families through a new concept of cost sharing that consider opportunity costs of time provided by informal caregivers. Methods: The study sample includes all dependent adults in Spain. Socioeconomic information and the number of hours of informal care was collected through the Spanish Disability and Dependency Survey. The terms of shadow and extended shadow cost sharing were defined as the difference between the maximum potential amount of money that families could receive for the provision of informal care and the amount that actually they received and the value of informal care time with respect to the amount received, respectively. Results: 53.87% of dependent persons received an economic benefit associated to informal care. The average weekly hours of care were 71.59 (92.62 without time restrictions). Shadow cost sharing amounted to, on average, two thirds, whereas the State financed the remaining third. In terms of extended shadow cost sharing, the State financed between 3% and 10% of informal care provided by caregivers. Conclusions: This study reveals the deficient support received for the provision of informal care in Spain. More than 90% of informal care time is not covered by the economic benefits that families receive from the State.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020
2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10578/25140
url https://hdl.handle.net/10578/25140
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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