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On average, people in Europe are living longer, and are in better health. Despite this, however, a significant degree of health inequality is emerging among different socioeconomic groups. Assessment-of-need procedures and eligibility rules define the target population in ‘need-of-care’, and represent a compulsory gateway for elderly adults in order to receive home-care benefits, either in-kind or in-cash. In this context, the economic relevance of formal long-term care has been growing and the rates of care-dependent older people in need of long-term care are estimated to increase in the forthcoming decades. The authors of this volume compare micro-data from SHARE (the Survey of Health, Ageing and Retirement in Europe) and ELSA (the English Longitudinal Study of Ageing) across Austria, Belgium, the Czech Republic, France, Germany, Italy, Spain, and United Kingdom’s England and Wales, where eligibility rules are care-blind. They critically review long-term care regulations in Europe, offering a detailed taxonomy of the role and the characteristics of vulnerability-evaluations and eligibility criteria. This book is of interest to academics in health economics and social policy, managers in the health sector, policy makers and professionals interested in the design, implementation and evaluation of long-term care policies. It could also be used to support different courses in the fields of ageing, health economics and policy evaluation.

Health care management. --- Health services administration. --- Social policy. --- Health economics. --- Medical economics. --- Labor economics. --- Population. --- Economics. --- Health Economics. --- Health Care Management. --- Social Policy. --- Labor Economics. --- Population Economics. --- Economics, Medical --- Health --- Health economics --- Hygiene --- Medical care --- Medicine --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Health planning --- Public health administration --- Economic aspects --- Administration --- Management --- Human population --- Human populations --- Population growth --- Populations, Human --- Economics --- Human ecology --- Sociology --- Demography --- Malthusianism --- National planning --- State planning --- Economic policy --- Family policy --- Social history

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The provision of long-term care (LTC) for senior citizens in Italy is at the center of the recent policy debate. Italy has witnessed a spectacular increase in the share of people aged 65 and over and in particular of people aged 80 and over, which could translate in large increases in the number of people in need of care. We show that individuals who are in need of LTC have lower economic resources than the average, so that many frail older people have little financial means to pay out-of-pocket for formal care. In fact, publicly provided care is highly fragmented, with stark differences emerging in terms of coverage and generosity across Italian regions. Hence, the supply of LTC is relying heavily on the informal support of members of the family, especially women, at the same time formal care is characterised by a significant underground economy of unskilled carers.