Long-Term Care: Economic Issues and Policy Solutions
Ensuring long-term care (LTC) is one of the most urgent problems in health care today. Demographic trends are expected to lead to a higher proportion of old and very old people in the global population. As a result, an increased proportion of global incom
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Developments in Health Economics and Public Policy VOLUMES
Series Editors Peter Zweifel, University o/Zurich, Switzerland H.E. Frech ill, University o/California, Santa Barbara, US.A.
The titles published in this series are listed at the end a/this volume.
LONG-TERM CARE: ECONOMIC ISSUES AND POLICY SOLUTIONS
Edited by
Roland Eisen Johann Wolfgang Goethe-Universităt, Frankfurt am Main Frank A. Sioan Duke University Durham, North Carolina
" ~.
SPRINGER SCIENCE+BUSINESS MEDIA, LLC
Library of Congress Cataloging-in-Publication Data
A C.I.P. Catalogue record for this book is avaiIabIe from the Library of Congress.
ISBN 978-1-4613-6834-2 ISBN 978-1-4615-4096-0 (eBook) DOI 10.1007/978-1-4615-4096-0
Copyright ~ 1996 by Springer Science+Business Media New York OriginalIy published by Kluwer Academic Publishers in 1996 Softcover reprint of the hardcover 1st edition 1996 AlI rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, mechanical, photo-copying, recording, or otherwise, without the prior written permission of the pubIisher, Springer Science+Business Media, LLC.
Printed on acid-free paper
Contents
Contributing Authors and Participants ............................................................ vii Introduction Roland Eisen and Frank A. Sloan .................................................................. .
Part One:
International Comparisons
l. An International Comparison of Trends in Disability-Free Life Expectancy Emmanuelle Cambois and Jean-Marie Robine ........ ............ ...................
11
2. Possibilities and Problems in a Cross-Country Comparative Analysis of Long-Term Care Systems Trond O. Edvartsen ........................ .......... ............ ....... ....... ....... ............... 25 Part Two:
Empirical Research into the Demand and Provision of Long-Term Care Services
3. Effects of Strategic Behavior and Public Subsidies on Families' Savings and Long-Term Care Decisions Frank A. Sloan, Thomas J. Boerger and Gabriel Picone .... ..................... 45 4.
Women's Role in the Provision of Long-Term Care, Financial Incentives, and the Future Financing of Long-Term Care Sandra Nocera and Peter Zweifel............................................................. 79
5. Determinants of Institutionalization in Old Age Thomas Klein ............................................................................................ 103 6. The Impact of the Community Long-Term Care Insurance Law on Services for the Elderly in Israel Denise Naon ..... ....... .............. ............ ....... ........ ......... ..... .............. ........... 115 7. The Effect of Public Provision of Home Care on Living and Care Arrangements: Evidence from the Channeling Experiment Peter Kemper and Liliana E. Pezzin ........................................................ 125 v
vi
CONTENTS
Part Three: Germany - A Model for Dealing with the Problems of Long-Term Care? 8.
Social Protection for Dependence in Old Age: T
