Life-Course Health and Inequality
In Chap. 5, we address the “health equity” issue related to the access to formal home care services across a set of European countries. We make use of the individual-level eligibility index developed in Chap. 4, and relate it to the most relevant “covariates”. The novelty of this chapter is that, by using the SHARE and the ELSA data, we can analyse the effect of adverse health shocks occurring during individuals’ lives as captured by a cumulative measure of health deterioration. The purpose of the analysis is to compare individuals with similar socio-economic backgrounds and similar health histories, by distinguishing those who may face the need for LTC as a result of a health shock: this is the “demand side” of the programme. However, depending on the LTC regulation to which these individuals are exposed, they will have different probabilities of access to care and different coverage, i.e., there is also a “supply side”. We describe how different LTC systems cope with the “cumulative health disadvantage”.
KeywordsDemand for care Health shocks Chronic diseases Health equity Cumulative health disadvantage
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