Essays on long-term care

This thesis analyses the effects of expanding public Long-Term Care (LTC) benefits in Spain, using three different approaches. In the first chapter, I estimate the impact of public LTC allowances on the mortality of the beneficiaries. My results suggest that providing care prevents a deterioration i...

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Detalles Bibliográficos
Autor: Hernández-Pizarro, Helena M.
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/456565
Acceso en línea:http://hdl.handle.net/10803/456565
Access Level:acceso abierto
Palabra clave:Long-Term Care
Spain
33
Descripción
Sumario:This thesis analyses the effects of expanding public Long-Term Care (LTC) benefits in Spain, using three different approaches. In the first chapter, I estimate the impact of public LTC allowances on the mortality of the beneficiaries. My results suggest that providing care prevents a deterioration in health, such that death is postponed when the level of needs is low or moderate. In the second chapter –with Garc´ıa-G´omez, L´opez-Casasnovas and Vidiella-Martin–, we assess the equity of the access of public LTC. We show that the system is particularly inequitable regarding the form of provision of benefits. This translates into a pro-poor concentration of longer waiting time to access care. Finally, in the last chapter –with L´opez-Casasnovas and Nicodemo–, we investigate the unintended consequences of a non-linear scheme of benefits. We identify that around 3% of the claimants are upgraded to the next level of benefits, increasing the cost for the system. Instead, the proposed linear system of benefits could make the system more egalitarian and minimise the unintended incentives.