THESIS DEFENSE — PUBLIC SEMINAR: LONG-TERM CARE FOR THE ELDERLY: UTILIZATION AND FINANCING

Start Date & Time: 
Wednesday, 14 February, 2018 - 10:30
End Date & Time: 
Wednesday, 14 February, 2018 - 11:30
Speaker: 
Speaker Details: 

WAN CHEN KANG GRAHAM
IBM PhD PROGRAM (INTAKE 2012)

Synopsis: 

Long-term care financing poses significant policy challenges as the availability of informal care diminishes due to population aging, smaller families, and greater labour force participation by women. These challenges can be mitigated by increasing individuals’ ability to pay through long-term care insurance (LTCI); and by decreasing their likelihood of needing care through environmental adaptation (EA). However, studies have found that few people voluntarily choose to purchase LTCI; and that while EA can retard functional decline, whether this translates into lower rates of long-term nursing home admission in the long run is not clear. In this thesis, I first describe Singapore’s current long-term care financing system and show that while current streams of funding offset a substantial portion of LTC expenditure for the indigent, those who are not eligible for public subsidies have much higher out-of-pocket payments. Second, I present findings from a discrete choice experiment showing that the provision of risk and cost information increases people’s willingness-to-pay for higher insurance coverage. Third, I show, through secondary data analysis, that having separate showers lower the probability of self-reported disability in bathing.  This thesis shows that consumer education can increase LTCI coverage and that further studies are needed to elucidate the effects of EAs on LTC utilization.

Thesis Advisor: Asst. Prof. Marcel Bilger