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...

One challenge presented by population aging is how to adjust public support for social care in a way that achieves desired quality of life outcomes without compromising budget sustainability. This study uses best-practice methods of economic analysis to explore projections for care and related...

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....

This study examines the implications of the rising person-centered care model on the long-term care market, specifically focusing on the promotion of higher single-room occupancy in nursing homes. We exploit the staggered implementation of a state-level policy that requires nursing homes to meet...

The Chinese government announced the pilot of public long-term care insurance (LTCI) policy in 2016. While most studies focus on LTCI's effects on labor supply and retirement behavior, its effect on retirement intentions, which offer certain advantages over actual behavior, remains unclear. This...

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...

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...

We use administrative microdata and statistical learning methods to analyze how personal characteristics and the consumption of healthcare services help predict the first-time receipt of "long-term care allowance" (LTCA), a needs-tested cash-for-care benefit in Austria. Our findings suggest that...

Leveraging nationally representative data from the 2011-2018 Chinese Longitudinal Healthy Longevity Study (CLHLS), this study examines the impact of spousal death on long-term care (LTC) needs among Chinese older adults aged 60 and above. Our results show that spousal bereavement significantly...

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...

Poland has experienced a powerful demographic shift, driven predominantly by increased life expectancy, a sizable baby boomer generation nearing retirement, and persistently low birth rates. Poland is characterized by demographic and spatial disparities, where life expectancy differs...

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...

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...

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...

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 report presents the key findings from the 'Mutual learning workshop on long-term care workforce', which took place on 23-24 April 2024 in Brussels. The workshop was the third of its kind, previous events focused on quality in long-term care (June 2023), and adequate social protection in...

This report summarises findings from the 'Mutual learning workshop on adequate social protection in long-term care', which was held from 23 to 24 of November 2023 in Brussels. The event followed a meeting of the national long-term care coordinators for the implementation of the Council...

Family considerations are known to influence the decision to buy long-term care (LTC) insurance. This paper uses a Swiss survey to identify the characteristics of individuals willing to purchase LTC insurance, either to protect their children's bequest or because they cannot rely on family for...

Prolonged hospital stays, or hospital stays that are longer than medically necessary, are a major concern for patients, payers, and providers. We conceptualize and empirically estimate the prevalence and cost of prolonged stays among elderly hospital patients (65 years and older) in Brazil and...

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...

Background Healthcare-associated infections (HCAI) are common in long-term care facilities (LTCF) and cause significant burden. Infection prevention and control (IPC) measures include the clinical best practices (CBP) of hand hygiene, hygiene and sanitation, screening, and basic and additional...

Demographic aging results in a growing number of older people in need of care in many regions all over the world. Germany has witnessed steady population aging for decades, prompting policymakers and other stakeholders to discuss how to fulfill the rapidly growing demand for care workers and...

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...