Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

‘Investing’ in care for old age? An examination of long-term care expenditure dynamics and its spillovers

Bibliographic Data

ID21541486
AuthorsJoan Costa-Font (0000-0001-7174-7919, London School of Economics and Political Science, corresponding author), Cristina Vilaplana‐Prieto (0000-0001-7701-0934, Universidad de Murcia), Cristina Vilaplana-Prieto
Year2023
Volume64
Issue1
Pages1-30
Publication date2023-01-01
Open AccessYes
TypeARTICLE
VenueEmpirical Economics (JOURNAL)
Journal identifiersISSN: 0377-7332 • E-ISSN: 1435-8921
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s00181-022-02246-0
PMID35668842
OpenAlexW4281650790
LanguageEN
Citations received3
References cited55

We study the dynamic drivers of expenditure on long-term care (LTC) programmes, and more specifically, the effects of labour market participation of traditional unpaid caregivers (women aged 40 and older) on LTC spending, alongside the spillover effects of a rise in LTC expenditure on health care expenditures (HCE) and the economy (per capita GDP). Our estimates draw from a panel of more than a decade worth of expenditure data from a sample of OECD countries. We use a panel vector auto-regressive (panel-VAR) system that considers the dynamics between the dependent variables. We find that LTC expenditure increases with the rise of the labour market participation of the traditional unpaid caregiver (women over 40 years of age), and that such expenditures rise exerts large spillover effects on health spending and the economy. We find that a 1% increase in female labour participation gives rise to a 1.48% increase in LTC expenditure and a 0.88% reduction in HCE. The effect of LTC spending over HCE is mainly driven by a reduction in inpatient and medicine expenditures, exhibiting large country heterogeneity. Finally, we document significant spillover effects of LTC expenditures on per capita GDP

Demographic economics · Econometrics · Economics · Labour economics · Long-term care · Macroeconomics · Panel data · Per capita · Spillover effect · Global Health Care Issues · Healthcare Systems and Reforms · Intergenerational Family Dynamics and Caregiving · Medicine

  • Long-term care insurance, mental health of the elderly and its spillovers

    Open Access•Yunfei Chen, Yun-fei Chen et al.•Frontiers in Public Health•2023

  • The Spanish long-term care system reaches majority of age

    Open Access•Helena M Hernández-Pizarro, Albert Prades-Colomé•Health Policy•2026

  • The Effect of Welfare State Policy Spending on the Equalization of Socioeconomic Status Disparities in Mental Health

    Open Access•Matthew Parbst, Blair Wheaton•Journal of Health and Social…•2023

  • Time Series Analysis

    James D Hamilton•Time Series Analysis•1994

  • Breaking the panels

    Open Access•Josep Lluís Carrion‐i‐Silvestre, Tomás del Barrio Castro et al.•The Econometrics Journal•2005

  • Coordinating Care — A Perilous Journey through the Health Care System

    Thomas Bodenheimer•New England Journal of Medicine•2008

  • Estimation of Panel Vector Autoregression in Stata

    Open Access•Michael R M Abrigo, Inessa Love•The Stata Journal: Promoting…•2016

  • Consistent model and moment selection procedures for GMM estimation with application to dynamic panel data models

    Open Access•Donald W K Andrews, Biao Lu•Journal of Econometrics•2001

  • Forecasting and conditional projection using realistic prior distributions

    Thomas Doan, Robert B Litterman et al.•Econometric Reviews•1984

  • Who will care? Employment participation and willingness to supply informal care

    Open Access•Fiona Carmichael, Susan T Charles et al.•Journal of Health Economics•2010

  • Financial development and dynamic investment behavior

    Open Access•Inessa Love, Lea Zicchino•The Quarterly Review of Economics…•2006

  • Estimating Vector Autoregressions with Panel Data

    Douglas Holtz-Eakin, Douglas Holtz‐Eakin et al.•Econometrica•1988

  • Inference for unit roots in dynamic panels where the time dimension is fixed

    Open Access•Richard Harris, Richard D F Harris et al.•Journal of Econometrics•1999

  • Intergenerational Household Formation, Female Labor Supply and Informal Caregiving

    Liliana E Pezzin, Barbara Steinberg Schone•The Journal of Human Resources•1999

  • Testing for Granger non-causality in heterogeneous panels

    Open Access•Elena-Ivona Dumitrescu, Christophe Hurlin•Economic Modelling•2012

  • Unit root tests in panel data

    Open Access•Andrew Levin, Andrew T Levin et al.•Journal of Econometrics•2002

  • Some Tests of Specification for Panel Data

    Manuel Arellano, Stephen Bond•The Review of Economic Studies•1991

  • Another look at the instrumental variable estimation of error-components models

    Open Access•Manuel Arellano, Olympia Bover•Journal of Econometrics•1995

  • Testing for unit roots in heterogeneous panels

    Open Access•Kyung So Im, M Hashem Pesaran et al.•Journal of Econometrics•2003

  • Large Sample Properties of Generalized Method of Moments Estimators

    Lars Peter Hansen•Econometrica•1982

  • Initial conditions and moment restrictions in dynamic panel data models

    Open Access•Richard Blundell, Stephen Bond•Journal of Econometrics•1998

  • The opportunity costs of informal care

    Open Access•Fiona Carmichael, Susan T Charles et al.•Journal of Health Economics•2003

  • More Health Expenditure, Better Economic Performance? Empirical Evidence From OECD Countries

    Open Access•Fuhmei Wang•INQUIRY The Journal of Health…•2015

  • Buffer management to solve bed-blocking in the Netherlands, 2000-2010. Cooperation from an integrated care chain perspective as a key success factor for managing patient flows

    Open Access•Ingrid Mur, Mark Govers•International Journal of…•2011

  • The Norrtaelje model

    Open Access•Monica Andersson Bäck, J Calltorp•International Journal of…•2015

  • A Care-Led Recovery From Covid-19

    Jerome De Henau, Susan Himmelweit•Feminist Economics•2021

  • Targeting Risk for Unmet Need

    Julie C Lima, Susan Allen et al.•The Journals of Gerontology…•2001

  • A longitudinal analysis of the impact of family support on the morale of older parents in Japan

    Open Access•Emiko Takagi, Yasuhiko Saito•Ageing and Society•2013

  • The Prevalence and Consequences of Unmet Need

    Susan Allen, Susan M Allen et al.•Medical Care•1997

  • Family Ties in Western Europe

    David Sven Reher, David Reher•Population and Development Review•1998

  • Does long-term care insurance reduce hospital utilization and medical expenditures? Evidence from China

    Open Access•Feng Jin, Jin Feng et al.•Social Science & Medicine•2020

  • Are public subsidies effective to reduce emergency care? Evidence from the PLASA study

    Open Access•Thomas Rapp, Pauline Chauvin et al.•Social Science & Medicine•2015

Citations per year1
Citation span2023 - 2026 (4)
Highly citedNo

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae