This paper introduces a methodology for estimating transition intensities in a multi-state model for disability and long-term care insurance. We propose a novel framework that integrates observable risk factors, such as demographic (age and sex), lifestyle (smoking and exercise habits) and...

Europe's demographic shift is putting increasing pressure on long-term care (LTC) systems and raising concerns about the sustainability of LTC financing. This paper analyses Austria's LTC system, particularly its universal long-term care allowance (LTCA), and uses a dynamic microsimulation model...

The German universal long-term care (LTC) insurance program offers beneficiaries the choice between in-kind services and a cash benefit, which can be used for anything, including informal care. The optimal level of the cash benefit de- pends on substitution between formal and informal care...

Population ageing will reshape economies around the world, with particular implications for longterm care (LTC) systems. As a result of past fertility decline, reflected in high levels of childlessness and smaller family networks, the growing demand for care is confronted by a declining supply...

This paper describes a novel method for the comparative estimation of long-term care needs, care arrangements and care gaps. Our approach generalizes an Austrian administrative procedure for the assessment of care needs and uses data from the Survey of Health, Ageing and Retirement in Europe...

Estimates of social insurance pension wealth are available for a number of Western economies, including Austria for the year 2017. Such wealth may be compared with conventional wealth in terms of size and distribution and when we add such estimates to measures of wealth in the conventional...

Growing needs for long-term care coupled with a dwindling supply of nursing personnel is a common challenge for developed countries. To uphold care standards, many countries introduced measures to safeguard staffing levels, e.g. by introducing minimum staffing regulations for nursing homes....

We study the effect of care dependence on hospitalizations among older persons in Mexico, analyzing data from the Mexican Health and Aging Study (MHAS) from 2001 to 2021. We use fixed-effects logistic regression to estimate the likelihood of hospitalization during the last year (yes/no) and...

The German universal long-term care (LTC) insurance program offers beneficiaries the choice between in-kind services and a cash benefit, which can be used for anything, including informal care. The optimal level of the cash benefit depends on substitution between formal and informal care...

As populations in Asia and Europe face unprecedented levels of ageing, the demand for long-term care (LTC) is escalating, thereby challenging the sustainability of social protection systems. This paper employs a novel dynamic microsimulation model to project LTC demand and supply in Austria and...

We leverage decades of administrative data and quasi-experimental variation in the introduction of universal long-term care (LTC) insurance in Germany in 1995 to examine whether health insurance expansions can stimulate local economies. We find that the LTC insurance rollout led not only to...

We examine the impact of migrant-provided home-based care on elderly health in Italy, focusing on hospitalisation frequency, length of stay, and mortality. To address potential endogeneity between local health conditions and immigrant settlement , we use an instrumental variable approach. Our...

As populations age, the sustainability of long-term care systems increasingly depends on the availability of informal care, particularly from partners. This paper addresses the question of how much care we may expect partners to provide in the future by projecting demand for long-term care...

The price of institutional long-term care is a key determinant of the demand for both formal and informal long-term care. In this paper, we examine how the regional unemployment rate as a proxy for macroeconomic conditions influences these prices. Our analysis draws on administrative data that...

This paper examines how the necessary socio-ecological transformation can be shaped through welfare state institutions and measures in such a way that it does not cause social tensions and avoids any new environmentally harmful maladjustments, but rather is as socially just and ecologically...

In many European countries, men and women differ significantly in the amount of informal care work they provide for relatives, with women acting as caregivers far more frequently than men. This difference, known as the gender care gap, varies considerably between European countries, with Germany...

This paper examines the effect of increasing foreign staffing on the labor market outcomes of native workers in the German long-term care sector. Using administrative social security data covering the universe of long-term care workers and policy-induced exogenous variation, we find that...

This paper examines the effect of increasing foreign staffing on the labor market outcomes of native workers in the German long-term care sector. Using administrative social security data covering the universe of long-term care workers and policy-induced exogenous variation, we find that...

Cognitive impairment poses considerable challenges among older adults, with the protective role of family support becoming increasingly crucial. This study examines the role of children's residential proximity and spousal presence with dementia risk in cognitively impaired older adults. We...

Cognitive impairment poses considerable challenges among older adults, with the protective role of family support becoming increasingly crucial. This study examines the role of children's residential proximity and spousal presence with dementia risk in cognitively impaired older adults. We...

The price for institutional long-term care is a central determinant of the demand for formal and informal long-term care. In this paper, we show how macroeconomic conditions affect these prices. The analysis is based on administrative data that contains rich information on the universe of...

The purpose of this paper is to conduct a theoretical and empirical analysis of the nexus between long-term care insurance (LTCI), formal care, informal (family) care, and bequests. In our empirical analysis, we use micro data from the Japan Household Panel Survey on Consumer Preferences and...

The price for institutional long-term care is a central determinant of the demand for formal and informal long-term care. In this paper, we show how macroeconomic conditions affect these prices. The analysis is based on administrative data that contains rich information on the universe of...

A hospital stay dramatically increases the risk that an elderly person will require long-term care. Due to increasing staff shortages in German nursing homes, patients who require nursing home care directly after a hospital stay often struggle to find a nursing home bed. This paper studies how...

This paper analyses the long-term care system in the context of Spain's aging population from a comparative and multilevel perspective. Starting with the European regulatory framework, it examines the main characteristics of long-term care systems in Europe and the challenges of establishing a...

The European Commission's 2015 aging report forecasts a substantial increase in public spending on Long-Term Care (LTC) for OECD countries by 2060, posing significant fiscal challenges. This study aims to assess the efficiency and productivity of the LTC sector from 2010 to 2019 and explore...

Background Individuals receiving geriatric care are often frail and afflicted with multiple chronic conditions demanding care from several medical disciplines, and from several different care providing units across the health systems. Objective To explore the six-month service utilization and...

In this paper, we use the Survey of Health, Ageing, and Retirement in Europe (SHARE), complemented with register data on the share of the foreign population in the European regions, to examine the effects of migration on the level of informal care provided by children to their senior parents....

Studies into the ethical aspects of consumption tend to focus on a limited class of actions that are explicitly understood as "ethical consumption". The SARS-CoV-2 pandemic provided a context in which other ethical issues and questions of whom we should care for first, and how, suddenly and...

The report focuses on three main categories of LTC workers: personal care workers, nurses and domestic care workers. It does not cover either informal carers, i.e. those in the social environment of the person in need of care, including a partner, child, parent or other person, who provide care...