An Estimation of the Value of Informal Care Provided to Dependent People in Spain

Oliva‐Moreno, Juan; Peña-Longobardo, Luz María; Vilaplana-Prieto, Cristina

doi:10.1007/s40258-015-0161-x

Cited by 35 publications

(32 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The budget cuts on the Dependency Law [22] left those needs unmet. Therefore, according to the studies conducted to this respect, the total estimated cost of 4.193 billion hours of care provided by 1,326,270 informal carers in Spanish homes in 2008 would have posed an expenditure of 23.064 to 50.158 billion euros from the public administration, that is, between 2.1% and 4.6% of the gross domestic product of that year [43]. This fluctuation is due to the method used to estimate such cost.…”

Section: Discussionmentioning

confidence: 99%

Economic Problems and Loneliness as Factors Related to Subjective Unmet Health Needs in People with Chronic Diseases and Dependency

López-Entrambasaguas

Martínez-Linares

Sola-García

et al. 2020

IJERPH

View full text Add to dashboard Cite

Background: The continuous increase of people with chronic diseases is one of the greatest challenges for healthcare systems worldwide. Population growth and life expectancy means that an increasing number of people with chronic diseases and dependency need some kind of assistance to meet their needs. Determining these subjective unmet needs helps to understand the situation of these people. The aim of this study was to explore the perceptions of chronic patients over 65 years of age from the day-care center toward subjective health needs that are not being met by the socio-health system. Methods: Qualitative exploratory-descriptive study. Through convenience sampling, we selected people with chronic diseases and dependency who used day-care centers and met the inclusion criteria. Focus groups were performed. The data were transcribed and a thematic analysis was carried out using Atlas.ti software. Results: The topics resulting from the analysis were classified into dissatisfaction of biological/physiological needs, psychological needs, social needs, and other issues that arose in both groups of participants which referred to the types of needs previously indicated. The issues related to social and psycho-social needs stood out. Conclusions: People with chronic diseases and dependency have their physiological needs covered with the help they receive, but their situation of dependency generates additional costs that worsen their economic situation. However, their greatest need is due to the loneliness they feel and the feeling they have of "being a burden" on their families. diseases being high blood pressure (18.74% of cases), hypercholesterolemia (16.70%), chronic cervical pain (16.52%), chronic low back pain (19.22%), diabetes mellitus (6.84%), and chronic respiratory diseases (3.32%).The condition of being chronically ill produces common consequences among those who suffer from it: difficulty in decision-making, mood alteration, communication problems in the doctor-patient relationship and in the family, labor and social scope, lack of adherence to treatments or medical guidelines, feeding problems, alteration of the physical functions, lack of physical activity, fatigue, and difficulties with pain management, among others [5,6].Both the increase of the rate of chronic diseases and their causes have raised the number of people in a situation of dependency. That is, there is a larger number of elderly people with greater risk of suffering from chronic diseases, which can trigger complications that such people survive, although leaving them in a situation of dependency [7]. This creates a relationship between chronic diseases and dependency, giving rise to the existence of people with chronic diseases and dependency (PCDD).In the year 2019, the rate of dependency in the Spanish population was 54.28%, which had increased continuously since the year 2008 [8]. In the case of people over 64 years of age, this rate was 29.94%, also with a positive increase since 2008 [9]. Day-care centres are part of the assistance o...

show abstract

Section: Discussionmentioning

confidence: 99%

Economic Problems and Loneliness as Factors Related to Subjective Unmet Health Needs in People with Chronic Diseases and Dependency

López-Entrambasaguas

Martínez-Linares

Sola-García

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…However, studies have also emphasised the need for public-sector programmes and initiatives to protect and assist informal caregivers. 2,15 The use of cash allowances is becoming an increasingly important element in the funding of LTC, worldwide, in response to rising demand and the ever-growing cost of facility-based services. However, the design of LTC benefits, and of cash allowances in particular, is a complex matter, and informal care should not be viewed as a remedy for the lack of formally-developed LTC services (as is actually the case in Spain), but rather as a question of individual or family choice.…”

Section: Long-term Care In Japan and Spain And Recent Cost Containmenmentioning

confidence: 99%

The Challenge of Sustaining Long-term Care in Aging Societies: Lessons From Japan and Spain Comment on "Financing Long-term Care: Lessons From Japan"

Rubio

Jiménez-Rubio

2020

Int J Health Policy Manag

View full text Add to dashboard Cite

This article compares the provision of long-term care (LTC) in Japan and Spain, two countries with similar demographic structures but which address the provision of LTCs in very different ways. Both countries provide universal LTC. However, Japan has developed a generous benefit package of formal services for dependents to alleviate the care burden on the family, but provides no cash benefits. In Spain, on the other hand, cash allowances are the norm rather than the exception in the practical implementation of LTC services. After discussing the necessary delineation of LTC in response to future sociodemographic challenges, we discuss LTC system characteristics and the recent cost containment reforms implemented in Japan and Spain. Finally, we consider the lessons that may be drawn from each country’s experience and the reforms that must be undertaken in order ensure the sustainability of LTC provision in other countries with incipient or more developed LTC systems. In addition, since Japan and Spain are both faced with challenging demographic projections, it is important for each country to learn from the other’s initiatives and reforms.

show abstract

“…En con traste en Reino Unido (UK) representa GBP £119 billones por año para 2008. En España, se estima para el 2005, las pérdidas laborales ocasionadas por enfermedad y le siones en cifras cercanas al 4.2% del producto interno bruto y para el año 2007 del 4.0% del producto interno bruto [9].…”

Section: Materials Y Métodounclassified

“…Los costes informales forman parte de los cos tes de las evaluaciones económicas. Los métodos men cionados para valorar los costos informales deben complementarse con otros métodos de medición para de tectar el impacto total del cuidado informal [9]. No incluir los costes informales puede crear sesgos en los cálculos de evaluaciones de costoefectividad y a la toma de deci http://dx.doi.org/10.37980/im.journal.rmdp.2020829 Relacionado al estado de salud del paciente afectado por sus cuidadores (efecto familiar) [2].…”

Section: Importancia De La Incorporación De Los Costes Infor Males Enunclassified

See 1 more Smart Citation

Costes Informales: definición, obtención y análisis. La importancia de su incorporación en las evaluaciones económicas en salud. [Informal costs: definition, obtaining and analysis. The importance of its incorporation in economic evaluations in health]

Lim-Law

Castillo-Fernandez

2020

Rev Med Panama

View full text Add to dashboard Cite

ResumenIntroducción:Los costes informales derivan de cuidados informales que es la atención prestada a un enfermo o discapacitado por parte de personas que no son profesionales socio sanitarios y que no reciben una remuneración económica. El objetivo del trabajo es explicar los costes informales en salud, su definición, su obtención, análisis y el impacto en su incorporación en las evaluaciones económicas en salud.Materiales y métodos: Se realizó una búsqueda del tema sobre costes informales en la base de datos de Medline-Pubmed y en la búsqueda de la biblioteca de la Universidad Carlos III Madrid vía internet a través de varias bases de datos como EconLit y ABI/INFORM collection.Resultados: Se define los cuidados informales, los métodos para su medición en tiempo, en preferencias reveladas, preferencias establecidos fijados, otros métodos, la importancia de incorporar los costos informales en las evaluaciones económicas en salud.Conclusión:La evaluación económica a nivel de la perspectiva de la sociedad se debe incluir, pero muchas veces se realiza según el pagador por lo difícil que puede ser su medición. AbstractIntroduction:Informal costs derive from informal care, which is the care provided to a sick or disabled person by people who are not socio-health professionals and who do not receive financial compensation. The objective of the work is to explain the informal costs in health, its definition, its obtaining, analysis and the impact on its incorporation in the economic health evaluations.Materialand methods:A search of the topic on informal costs was carried out in the Medline-Pubmed database and in the search of the Carlos III Madrid University library via the Internet through several databases such as EconLit and ABI / INFORM collection.Results:Informal care is defined, the methods for its measurement in time, in revealed preferences, established preferences, other methods, the importance of incorporating informal costs in economic health evaluations.Conclusion:The economic evaluation at the level of the society perspective must be included, but many times it is carried out according to the payer because of how difficult its measurement can be done.

show abstract

An Estimation of the Value of Informal Care Provided to Dependent People in Spain

Cited by 35 publications

References 19 publications

Economic Problems and Loneliness as Factors Related to Subjective Unmet Health Needs in People with Chronic Diseases and Dependency

Economic Problems and Loneliness as Factors Related to Subjective Unmet Health Needs in People with Chronic Diseases and Dependency

The Challenge of Sustaining Long-term Care in Aging Societies: Lessons From Japan and Spain Comment on "Financing Long-term Care: Lessons From Japan"

Costes Informales: definición, obtención y análisis. La importancia de su incorporación en las evaluaciones económicas en salud. [Informal costs: definition, obtaining and analysis. The importance of its incorporation in economic evaluations in health]

Contact Info

Product

Resources

About