The trade-off between formal and informal care in Spain

Jiménez-Martín, Sergi; Prieto, Cristina Vilaplana

doi:10.1007/s10198-011-0317-z

Cited by 71 publications

(32 citation statements)

References 36 publications

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“…This issue is linked to the availability (or lack thereof) of alternative formal care services for older dependents. The available research has documented the association between the provision of care services for older people such as home care and the well-being of informal carers [33,34]. The absence of a specific needs-assessment system for informal caregivers in most EU member states (with the exception of England, Malta and Sweden) is also particularly problematic.…”

Section: Discussionmentioning

confidence: 99%

Mapping support policies for informal carers across the European Union

2014

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Abstract:Background: At a time when health and social care services in European countries are under pressure to contain or cut costs, informal carers are relied upon as the main providers of long-term care. However, still little is known about the availability of direct and indirect support for informal carers across the European Union. Methods: Primary data collection in all EU member states was supplemented with an extensive review of the available literature. Results: Various forms and levels of support have been implemented across Europe to facilitate the role of informal caregivers. Financial support is the most common type of support provided, followed by respite care and training. Most countries do not have a process in place to systematically identify informal carers and to assess their needs. Policies are often at an early stage of development and the breadth and depth of support varies significantly across the EU. Conclusions: Policy developments are uneven across the member states, with some countries having mechanisms in place to assess the needs and support informal carers while others are only starting to take an interest in developing support services. Given the unprecedented challenges posed by population ageing, further research and better data are needed to capture and monitor information on informal carers, to help design adequate support policies and eventually to evaluate their impact across the EU.

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Section: Discussionmentioning

confidence: 99%

Mapping support policies for informal carers across the European Union

2014

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“…Such characteristics are associated with relatively low rates of people living alone and may cause lower rates of healthcare costs for residential care [9]. But family's ability to carry most of the burden may be limited due to several sociodemographic changes, such as smaller family size, increasing female participation in the labour market and higher divorce rates [10]. At the same time, societal expectations about a longer and more functional life expectancy are also increasing [8].…”

Section: Introductionmentioning

confidence: 99%

Cost of Disorders of the Brain in Spain

et al. 2014

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BackgroundBrain disorders represent a high burden in Europe and worldwide. The objective of this study was to provide specific estimates of the economic costs of brain disorders in Spain, based on published epidemiological and economic evidence.MethodsA cost-of-illness study with a societal perspective of 19 brain disorders was carried out. Cost data published between 2004 and 2012 was obtained from a systematic literature review. Direct healthcare, direct non-medical and indirect costs were considered, prioritizing bottom-up information. All costs were converted to Euro and to year 2010. The missing values were imputed with European estimates. Sensitivity analyses based on qualitative assessment of the literature and on a Monte Carlo simulation were performed.ResultsThe review identified 33 articles with information on costs for 11 disorders (8 neurological, 3 mental). The average per–patient cost ranged from 36,946 € for multiple sclerosis to 402 € for headache. The societal cost of the 19 brain disorders in Spain in 2010 was estimated in 84 € billion. Societal costs ranged from 15 € billion for dementia to 65 € million for eating disorders. Mental disorders societal cost were 46 € billions (55% of the total), while neurological disorder added up to 38 € billion. Healthcare costs represented 37% of the societal costs of brain disorders, whereas direct non-medical constituted 29% and indirect costs 33%.ConclusionBrain disorders have a substantial economic impact in Spain (equivalent to almost 8% of the country's GDP). Economic data on several important brain disorders, specially mental disorders, is still sparse.

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“…find in an international comparison that the welfare state does not crowd out family care, whileBonsang (2009) finds informal care to be a weak complement to nursing care. Finally,Jiménez-Martín and Vilaplana (2011) find that the question of complementarity or substitution varies among groups of users, and that formal care acts as a reinforcement of the family care in certain cases.…”

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confidence: 99%

Labor supply in the terminal stages of lone parents’ lives

Fevang¹,

Kverndokk²,

Røed³

2012

J Popul Econ

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Based on Norwegian register data, we show that having a lone parent in the terminal stage of life affects the offspring's labor market activity. The employment propensity declines by around 0.5-1 percentage point among sons and 4 percentage points among daughters during the years prior to the parent's death, ceteris paribus. After the parent's demise, employment picks up again and earnings rise for both sons and daughters. Reliance on sickness insurance and other social security transfers increases significantly during the terminal stages of the parent's life. For sons, the claimant rate remains at a higher level long after the parent's demise.

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The trade-off between formal and informal care in Spain

Cited by 71 publications

References 36 publications

Mapping support policies for informal carers across the European Union

Mapping support policies for informal carers across the European Union

Cost of Disorders of the Brain in Spain

Labor supply in the terminal stages of lone parents’ lives

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