Papers by Adelina Comas-Herrera
This paper considers the rationale for insuring against the costs of long-term care, arguing that... more This paper considers the rationale for insuring against the costs of long-term care, arguing that there appears to be strong rationale for the purchase of long-term care insurance by individuals. It then considers the barriers to the development of an efficient long-term care insurance market and the types of insurance products available. The final two sections consider the effects that the underlying public system can have on the structure and success of private long-term care insurance schemes, and what the state can do to encourage the development of private long-term care insurance.
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World Psychiatry, 2013
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Projections of future long-term care expenditure need to incorporate, as well as the future volum... more Projections of future long-term care expenditure need to incorporate, as well as the future volume of services required to meet the future demand for long-term care, an assumption about future changes in the real unit costs of care. It is important to consider how much the cost of a day's residential care or an hour's home care is likely to rise in real terms, ie after general inflation.
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Page 1. Projecting long-term care use in Europe ANCIEN projection model and results for Germany, ... more Page 1. Projecting long-term care use in Europe ANCIEN projection model and results for Germany, the Netherlands, Spain and Poland y p Joanna Geerts and Peter Willemé jg@plan.be @ lb plan.be pw@plan.be Page 2.
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The models used in this study do not make forecasts about the future. Rather they make projection... more The models used in this study do not make forecasts about the future. Rather they make projections on the basis of specific assumptions about future trends in drivers of demand for long-term care. There is a wide range of factors that impact on future long-term care expenditure for older people. This chapter presents projections under common sets of assumptions about the key factors. Section 1 of this chapter discusses the base case assumptions.
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The economic modelling work presented in this report was commissioned as part of the core program... more The economic modelling work presented in this report was commissioned as part of the core programme of the Policy Research Unit in Economics of Health and Social Care Systems (at the University of York, LSE and University of Kent). It builds on the aggregate model originally developed by the Personal Social Services Research Unit (PSSRU at the University of Kent and LSE). The work was funded by the Department of Health on behalf of the Commission on Funding of Care and Support.
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As part of the Wanless Review of social care for older people, the King's Fund commissioned the P... more As part of the Wanless Review of social care for older people, the King's Fund commissioned the Personal Social Services Research Unit (PSSRU) at the London School of Economics and the University of Essex to make projections of expenditure on social services for older people. This paper presents the results of the research. It reports on projections to 2026 of demand for social services for older people and associated expenditure in England.
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This paper presents projections of demand for social care and disability benefits for older peopl... more This paper presents projections of demand for social care and disability benefits for older people (aged 65 and over) in England to 2030 and associated future expenditure. They cover publicly and privately funded social care–assessments, community-based services and residential care. They also cover long-term health care and disability benefits relevant for care–attendance allowance (AA) and disability living allowance (DLA) care component.
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Purpose As the numbers of older people rise in Europe, the importance of long-term care services ... more Purpose As the numbers of older people rise in Europe, the importance of long-term care services in terms of numbers of users and expenditures can be expected to grow. The purpose of this paper is to examine the implications for expenditure in four countries of introducing a national entitlement to long-tem care services for all older people, based on assessed dependency.
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As the numbers of older people rises throughout the world, there have been concerns about the fut... more As the numbers of older people rises throughout the world, there have been concerns about the future affordability of public expenditure, particularly on pensions, health care and long-term care. In this context, the European Union's Economic Policy Committee (EPC) conducted a study of the impact of ageing on future public expenditure on pensions, health and long-term care and how it would affect the fiscal sustainability of public finances (Economic Policy Committee, 2001).
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UK. If your mailing details are incorrect, please let us know (email PSSRU@ ukc. ac. uk), quoting... more UK. If your mailing details are incorrect, please let us know (email PSSRU@ ukc. ac. uk), quoting the number on the mailing label if you have it. Further copies can be ordered from the CEMH (020 7848 0198) or the PSSRU librarian (01227 827773; email pssru_library@ ukc. ac. uk). There are printed back copies available of issues two to seven and all issues are available on the PSSRU website.
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The financing of long-term care for older people is a highly topical issue, especially in view of... more The financing of long-term care for older people is a highly topical issue, especially in view of demographic trends and potential changes in patterns of care or policies. A number of key questions arise. How many older people are likely to require long-term care services in thirty or forty years' time? How much are these services likely to cost? Will the cost to public funds prove affordable? How should costs be divided between public expenditure and private sources of finance?
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This report presents results of projections of use and supply of long-term care for older persons... more This report presents results of projections of use and supply of long-term care for older persons in four countries representative of different long-term care systems: Germany, the Netherlands, Spain and Poland. Using a standardised methodology, the projections show that between 2010 and 2060, the numbers of users of residential care, formal home care and informal care are projected to increase in all countries, but at different rates.
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This study, funded by the Alzheimer's Research Trust, aimed to make projections, for the next 30 ... more This study, funded by the Alzheimer's Research Trust, aimed to make projections, for the next 30 years, of future numbers of older people with cognitive impairment, their demand for long-term care services and the future costs of their care under a range of specified assumptions.
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This thirteenth Bulletin is published at the start of what promises to be a very exciting period ... more This thirteenth Bulletin is published at the start of what promises to be a very exciting period for PSSRU. We are now fully and enthusiastically embarked on our new long-term research programmes, following the award of a further grant from the Department of Health that runs until December 2005. Although some details remain to be settled, the core thrust of each of the Unit's programmes can be seen from the main articles in this Bulletin.
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This paper, commissioned by BUPA, reports on the impact that changes in assumptions about househo... more This paper, commissioned by BUPA, reports on the impact that changes in assumptions about household composition, housing tenure and the balance of domiciliary to institutional care could have on the future numbers of older people in care homes. It uses the PSSRU model of demand for long-term care. The impact of the new scenarios developed for this project is compared to that of scenarios investigated in previous research about variant population projections, marital status and rises in the real costs of care.
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Background The aim of this analysis is to examine the effect of different assumptions about futur... more Background The aim of this analysis is to examine the effect of different assumptions about future trends in life expectancy (LE) on the sustainability of the pensions and long-term care (LTC) systems. The context is the continuing debate in England about the reform of state pensions and the reform of the system for financing care and support.
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Estimates of lifetime costs of care are very relevant to the current debate about how best to fun... more Estimates of lifetime costs of care are very relevant to the current debate about how best to fund care and support in England. Individuals, especially those whose savings would render them ineligible for publicly funded care, will want to know broadly how much long-term care toward the end of their life may cost. This information could help them make informed decisions about how much to save or whether to seek private insurance for care costs.
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Papers by Adelina Comas-Herrera