Progress Toward Long-Term Care Protection in Latin America: A National Long-Term Care System in Costa Rica

Matus-López, Mauricio; Chaverri-Carvajal, Alexander

doi:10.1016/j.jamda.2021.06.021

Cited by 9 publications

(10 citation statements)

References 21 publications

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“…The region is in the process of discussing and implementing such services and requires evidence-based information on these issues, and the first step in the process consists of calculating the number of people who need help in performing ADLs [3,10]. Uruguay established its LTC system in 2015 [8,28], Costa Rica approved the development of its own system only in 2021 [9], and other countries are advancing in their national plans [26,27]. If the percentage of older adults needing help to perform ADLs is known and can be compared with other countries, the approximate size of the demand for care services can be calculated.…”

Section: Complementary Analyses Also Show Consistency Of Results In Terms Of Associations (Correlation) Representativeness Of the Activitmentioning

confidence: 99%

“…During the 20th century, around 30 high-income countries, including Netherlands, Japan, and Spain, created their own LTC systems; in Latin America, Uruguay did so in 2015 and Costa Rica approved such a system in 2021 [8,9]. Many lessons can be learned from the experiences in other countries, one of which being that the first step in designing an LTC system is to know the number of people who will need it in the future [3,10].…”

Section: Introductionmentioning

confidence: 99%

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Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Matus-López

Chaverri-Carvajal

2021

IJERPH

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The population in Latin America is ageing, and there is an inevitable demand for long-term care services. However, there are no comparative analyses between Latin American countries of the dependency situation of older adults. This study aims to calculate and compare percentages of older adults who need help performing the activities of daily living in six Latin American nations. The study is observational, transversal, and cross-national and uses microdata drawn from national surveys conducted in Argentina (n = 3291), Brazil (n = 3903), Chile (n = 31,667), Colombia (n = 17,134), Mexico (n = 7909), and Uruguay (n = 4042). Comparable indicators of the need for help in performing the basic and instrumental activities of daily living were calculated. The percentages of older adults in need of help for basic activities of daily living ranged from 5.8% in Argentina to 11% in Brazil; for instrumental activities of daily living, from 13.8% in Mexico to 35.7% in Brazil; and combined, from 18.1% in Argentina to 37.1% in Brazil. Brazil thus has the highest indicators, followed by Colombia. The results warn of the frail physical condition of older people and the high potential demand for long-term care services. The information provided could be useful for further research on and planning for long-term care needs in Latin American and middle-income countries.

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Section: Complementary Analyses Also Show Consistency Of Results In Terms Of Associations (Correlation) Representativeness Of the Activitmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Matus-López

Chaverri-Carvajal

2021

IJERPH

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“…Before 2021, investment in long-term healthcare services accounted for .12% of the GDP, while long-term social care services accounted for .1%. After the adoption of the LTCS, the budget is expected to increase to .48% of the GDP (Matus-López & Chaverri-Carvajal, 2022).…”

Section: Cfc For Ltcs In Costa Ricamentioning

confidence: 99%

Impact Evaluation of Cash-For-Care in Latin America’s New Long-Term Care Policies: A Randomized Controlled Trial Pilot Study in Costa Rica

Chaverri-Carvajal

Matus-López

2023

J Appl Gerontol

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Latin America is aging rapidly. Thus, governments in the region are reformulating their social protection policies. In 2022, Costa Rica passed a national long-term care law. A discussion developed on how to provide such care, whether through public or private in-kind benefits or cash-for-care (CfC) to beneficiaries. CfC has been used in developed countries with various outcomes. However, there are still no evaluations of its effects in middle-income countries. The objective of this study was to evaluate the impact of CfC pilot study on female caregivers in a middle-income country. The expectations of the program were to find positive effects of CfC on caregivers. After conducting a literature review, we developed four domains of analysis: labor market participation, time for personal activities, use of CfC, and caregiver burnout. The results indicate that CfC has no significant impact on caregivers’ integration into the labor market, or ability to have leisure time. However, there was a positive effect on the funding of basic needs and mitigation of factors predicting burnout.

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“…In Costa Rica, recent policy efforts have attempted to formalize a national LTC system (Matus-Lopez and Chaverri-Carvajal, 2022). The government has focused on facilitating access to services, such as long-term residential services, day centres and home care visits, using subsidies to families or non-profit service providers (IADB, 2020c).…”

Section: Availability Of Ltc Servicesmentioning

confidence: 99%

“…Costa Rica is in the midst of creating and implementing a national LTC system and is one of the first middle-income countries to do so. The LTC system consists of three benefits, including care services, cash for care (only in specific cases), and caregiver training (Matus-Lopez and Chaverri-Carvajal, 2022). The Ministry of Human Development is responsible for establishing the guidelines and organizing the system, while it is implemented by different public institutions working in social, health care, labour and educational areas.…”

Section: An Overview Of Ltc Provision In Low-and Middle-income Countriesmentioning

confidence: 99%

Understanding the “state of play” of long‐term care provision in low‐ and middle‐income countries

Glinskaya

Feng

Suarez

2022

Int Social Security Review

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In this article, we provide an overview of the current long‐term care (LTC) landscape across low‐ and middle‐income countries (LMICs), based on an analysis and synthesis of literature review findings. We begin with a brief assessment of LTC needs on the demand side, followed by a supply side assessment of the available mix of formal LTC services vis‐à‐vis informal care provision. Next, we describe and discuss the role of government policies in LTC provision and governance. We conclude by discussing and offering practical LTC policy considerations for LMICs, drawing on experiences, best practices and lessons learned from high‐income countries.

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Progress Toward Long-Term Care Protection in Latin America: A National Long-Term Care System in Costa Rica

Cited by 9 publications

References 21 publications

Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Impact Evaluation of Cash-For-Care in Latin America’s New Long-Term Care Policies: A Randomized Controlled Trial Pilot Study in Costa Rica

Understanding the “state of play” of long‐term care provision in low‐ and middle‐income countries

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