Trends in the use of home LTC services in large, medium and small municipalities in Italy: lessons for the post-COVID-19 reappraisal

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• dc.contributor.author Lallo, Carlo
• dc.contributor.author Pasqualini, Marta
• dc.contributor.author Tomassini, Cecilia
• dc.date.accessioned 2024-04-22T06:21:52Z
• dc.date.available 2024-04-22T06:21:52Z
• dc.date.issued 2022
• dc.description.abstract Italian Long-Term Care is considered largely inadequate, and the recent COVID-19 pandemic has dramatically exposed its limitations. Public Home Care Services in particular were revealed as under-financed and unable to cover the potential demand for care from the older population. But does the type of municipality and its geographic location play a role in creating or mitigating unmet demand? This is the first study addressing this research question in Italy. Our hypothesis is that older people’s care preferences and care possibilities may vary between small, medium and metropolitan areas, as will the organisation, funding and availability of services, and the combination will influence (unmet) demand for public home care services. In this paper, using nationally representative survey data collected by the Italian National Statistical Institute in 2003 and 2016, we investigate changes and differences in the use of public and private home care services among people aged 75 or older in Italy by size of the municipality. Our results reveal inequalities in service use between Northern and Southern areas of the country and in particular between metropolitan areas, medium and small municipalities. Such differences reinforce post-pandemic calls for new investment and changes in the design of the Italian Long-Term Care system.
• dc.format.mimetype application/pdf
• dc.identifier.citation Lallo C, Pasqualini M, Tomassini C. Trends in the use of home LTC services in large, medium and small municipalities in Italy: lessons for the post-COVID-19 reappraisal. IJERPH. 2022 Oct 6;19(19):12796. DOI: 10.3390/ijerph191912796
• dc.identifier.doi http://dx.doi.org/10.3390/ijerph191912796
• dc.identifier.issn 1660-4601
• dc.identifier.uri http://hdl.handle.net/10230/59869
• dc.language.iso eng
• dc.publisher MDPI
• dc.relation.ispartof International Journal of Environmental Research and Public Health. 2022 Oct 6;19(19):12796
• dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Italy
• dc.subject.keyword LTC
• dc.subject.keyword Care provision
• dc.subject.keyword Ageing in place
• dc.subject.keyword Municipality size
• dc.subject.keyword Regional differences
• dc.subject.keyword COVID-19 pandemic
• dc.title Trends in the use of home LTC services in large, medium and small municipalities in Italy: lessons for the post-COVID-19 reappraisal
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion