Seminarium z udziałem Sandera Boxebelda w ramach Warsaw Economic Seminars – 5 grudnia br.
Swoje badanie “Trade-offs in long term care for older individuals in an ageing society - Estimating public preferences using a constrained portfolio choice experiment” zaprezentuje Sander Boxebeld z Uniwersytetu Erazma w Rotterdamie.
Spotkanie odbędzie się 5 grudnia br. o godz. 17:00.
Serdecznie zapraszamy do udziału stacjonarnie na Wydział Nauk Ekonomicznych (s. B202) bądź zdalnie – za pośrednictwem platformy Zoom.
Link do spotkania: https://uw-edu-pl.zoom.us/j/93278126659?pwd=HAlBLR5bz9uqFroMDWLPnPF02vgqWi.1
[Identyfikator spotkania: 932 7812 6659
Kod dostępu: 014067]
Poniżej prezentujemy abstrakt wystąpienia:
Objective: Many countries face rapidly ageing populations, putting the sustainability of their long-term care (LTC) system under pressure. This urges governments to make challenging trade-offs between the affordability of the system and the quality and accessibility of care. To inform such trade-offs, this study elicited the preferences of citizens in the Netherlands for LTC policy in 2040.
Methods: We conducted a Participatory Value Evaluation (PVE) study, a constrained portfolio choice experiment. 997 respondents composed a portfolio of their preferred policies for LTC for older people in 2040 from seven policy alternatives, embedding different types of care and support, subject to a budget constraint. Each policy alternative was characterized by its estimated effects on meeting the demand for nursing care, the required amount of informal care, and governmental expenditure on LTC in 2040. Choices were analyzed using a Multiple Discrete Continuous Extreme Value (MDCEV) choice model and a Latent Class Cluster Analysis (LCCA).
Results: Respondents generally chose portfolios resulting in substantial increases in public expenditure on LTC. While all policy alternatives were chosen by more than half of the respondents, institutional and home-based nursing and social care were chosen most often. The presented effects of policies significantly affected respondents’ choices. The optimal portfolios were diverse in composition, and often included the increasing use of supportive care technologies and providing respite care to informal caregivers. Cluster membership probabilities in the LCCA varied significantly by age, gender and work experience in healthcare. Preferences differed most regarding the use of supportive care technologies and the introduction of compulsory social service for young adults.
Conclusion: This study finds that most citizens in the Netherlands support increases in public expenditure on LTC for older people. However, we also identified preference heterogeneity regarding both the preferred level of expenditure and the policy alternatives to be adopted. Policymakers may use these results to gauge public support for trade-offs between the affordability of the LTC system and the quality and accessibility of this care for older people.