Differences in the use of formal and informal care services among older adults after the implementation of the dependency act in Spain

  1. David Cantarero Prieto 1
  2. Marta Pascual 1
  3. Beatriz Rodríguez Sánchez 2
  1. 1 Universidad de Cantabria
    info

    Universidad de Cantabria

    Santander, España

    ROR https://ror.org/046ffzj20

  2. 2 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
Hacienda Pública Española / Review of Public Economics

ISSN: 0210-1173

Año de publicación: 2022

Número: 240

Páginas: 61-93

Tipo: Artículo

Otras publicaciones en: Hacienda Pública Española / Review of Public Economics

Resumen

Utilizando datos de la Encuesta de Salud, Envejecimiento y Jubilación en Europa (SHARE - Survey of Health, Ageing and Retirement in Europe por su denominación en inglés), el objetivo de este estudio es inferir el impacto que el Sistema español para la Autonomía y la Atención a la Dependencia (SAAD) ha podido tener en la utilización de servicios de cuidado formales e informales a través de modelos de regresión logísticos con efectos aleatorios aplicando un enfoque de diferencias en diferencias. Los niveles de dependencia se crearon en función de las limitaciones al realizar las actividades básicas e instrumentales de la vida diaria. El cuidado formal consistía en ayuda domiciliaria y atención en residencias, mientras que el cuidado informal se refería a la recepción de cuidado por parte de familiares o amigos, ya fuera desde dentro o fuera del hogar. Se incluyeron también co-variables adicionales, como características socioeconómicas y variables relacionadas con el estado de salud. Nuestros resultados muestran que los efectos negativos de la dependencia en la recepción de cuidado informal se intensificaron tras la introducción del acto de dependencia, ya que la interacción entre un nivel de dependencia moderada y la oleada 4 (año 2010) es significativa y positiva. En caso de los cuidados formales, el análisis conjunto del marco temporal relativo a la introducción del SAAD y los diferentes niveles de dependencia no reportaron resultados significativos, aunque estaban asociados de manera significativa e independiente con la utilización de cuidados formales. Teniendo en cuenta el envejecimiento demográfico, nuestros hallazgos resaltan la necesidad de una planificación eficiente de los sistemas de cuidados de larga duración y los servicios de apoyo social, especialmente para los cuidadores informales, con el fin de satisfacer la demanda de cuidados y reducir la carga de los cuidadores.

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