Quasi-markets Targets and the Evaluation of Nursing-home Funding in the Valencian Region

Amadeo Fuenmayor ^[1] ; Rafael Granell ^[1] ; María Angeles Tortosa ^[1]
1. [1] Universitat de València
  
  Universitat de València
  
  Valencia, España
Localización: Hacienda Pública Española / Review of Public Economics, ISSN 0210-1173, Nº 216, 2016, págs. 13-38
Idioma: inglés
Enlaces
- Texto completo (pdf)

Resumen
- Spanish long term care is in danger, therefore we propose a change in the nursing home funding system.
  
  We use as an example the extremely complex nursing home financing system of Valencian Region.
  
  In this region, there are many funding mechanisms: two types of public subsidies, two different accessibility plans, a voucher scheme and a cash benefit approach related to residential service. We evaluate these methods through the quasi-market theory. We find that these approaches have negative impact on equity, efficiency and freedom of choice and we propose a new, homogeneous financing method for all nursing homes through voucher.