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Financing Long-Term Care in Portugal

dc.contributor.authorBravo, Jorge Miguel
dc.contributor.authorGonçalves, João
dc.contributor.institutionInformation Management Research Center (MagIC) - NOVA Information Management School
dc.contributor.institutionNOVA Information Management School (NOVA IMS)
dc.date.accessioned2025-10-21T21:22:57Z
dc.date.embargoedUntil2026-10-11
dc.date.issued2025-10-11
dc.descriptionBravo, J. M., & Gonçalves, J. (2025). Financing Long-Term Care in Portugal: Is There a Role for Home Equity Release Schemes? In P. M. Gaspar, D. Facal, E. Navarro-Pardo, & V. Ramadani (Eds.), Demographic Transitions, Health, and Well-Being: International Conference on Demographic Transition, Health, and Technologies 2025 (ICDTHT25), February 13-15, Salinas, Ecuador (pp. 107-120). (Springer Proceedings in Business and Economics). Springer. https://doi.org/10.1007/978-3-031-94487-1 --- This research was funded by national funds through the FCT − Fundação para a Ciência e a Tecnologia, I.P., grants UIDB/04152/2020 − Centro de Investigação em Gestão de Informação (MagIC) and UIDB/00315/2020 − BRU-ISCTE-IUL.
dc.description.abstractLong-term care (LTC) needs are high in Portugal and in EU countries and tend to be concentrated among vulnerable populations. Despite public support, particularly for people with more severe needs, out-of-pocket costs with LTC remain high, and the social protection gaps may push older people into income poverty. Reforming LTC schemes to cope with increasing demand due to population ageing, protection gaps, fiscal sustainability, and intergenerational fairness is a significant challenge that many countries face. In an asset-based approach to welfare in which individuals accept greater responsibility for their welfare needs, policy solutions for balancing affordability for users and fiscal sustainability should not ignore the role of home equity release schemes (ERS). This paper investigates the role of ERS in the financing of LTC in Portugal. Using data from the Eurosystem Household Finance and Consumption Survey (HFCS), we analyse household wealth distribution, breakdown home equity estimates by socioeconomic group, and estimate the potential for income release from monetising home wealth through ERS mechanisms such as reverse mortgages and home reversion schemes. The empirical findings suggest that homeowners may tap into their accumulated home wealth to finance LTC costs, smooth consumption, and increase their resilience against financial shocks.en
dc.description.versionauthorsversion
dc.description.versionpublished
dc.format.extent14
dc.format.extent663578
dc.identifier.doi10.1007/978-3-031-94487-1
dc.identifier.isbn978-3-031-94486-4
dc.identifier.isbn978-3-031-94489-5
dc.identifier.isbn978-3-031-94487-1
dc.identifier.issn2198-7246
dc.identifier.otherPURE: 115302973
dc.identifier.otherPURE UUID: dd179e1f-fba2-450f-8aef-45d047d8dea9
dc.identifier.otherScopus: 105020277027
dc.identifier.otherORCID: /0000-0002-7389-5103/work/192136330
dc.identifier.urihttp://hdl.handle.net/10362/189561
dc.identifier.urlhttps://www.scopus.com/pages/publications/105020277027
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer
dc.relationhttps://doi.org/10.54499/UID/04152/2025
dc.relationhttps://doi.org/10.54499/UID/PRR/04152/2025
dc.subjectLong-term care
dc.subjectHome equity
dc.subjectSocial protection
dc.subjectLongevity risk
dc.subjectBayesian model ensemble
dc.subjectReverse mortgage
dc.subjectGeneral Business,Management and Accounting
dc.subjectEconomics, Econometrics and Finance(all)
dc.subjectSDG 1 - No Poverty
dc.subjectSDG 2 - Zero Hunger
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 10 - Reduced Inequalities
dc.titleFinancing Long-Term Care in Portugalen
dc.title.subtitleIs There a Role for Home Equity Release Schemes?en
dc.typeconference object
degois.publication.firstPage107
degois.publication.lastPage120
degois.publication.titleDemographic Transitions, Health, and Well-Being
degois.publication.titleInternational Conference on Demographic Transition, Health and Technology 2025
dspace.entity.typePublication
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