The challenge of ageing in Latin America: long-term care in Costa Rica

Matus-Lopez, Mauricio A.; Chaverri-Carvajal, Alexander; Jara-Males, Patricia C.

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original articles • Saude soc. 31 (1) • 2022 • https://doi.org/10.1590/S0104-12902021201078 copy

The challenge of ageing in Latin America: long-term care in Costa Rica¹ 1 ACC received funding from a fellowship granted by the Organization of Ibero-American States for Education, Science and Culture.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Latin America is beginning to implement long-term care public policies. But only a few studies look at the situation of the countries in the region. This study aims to examine long-term care public programs in Costa Rica and to estimate the country’s demand for formal care. For this purpose, we have revised its National Health Accounts, conducted five interviews with representatives of governmental institutions, reviewed the scientific literature and official reports, and analyzed the data drawn from a national care survey. The results show the existence of fragmented, poverty-focused programs that were not designed for long-term care needs. The estimated percentage of older adults in the region that currently require help to perform activities of daily living is 13.4%. The informal care work is intensive, mostly provided by a family member, and unpaid.

Keywords:
Costa Rica; Long-term Care; Dependency; Latin America; Middle-income Countries

Survey	Stage 1	Stage 2
Households	6,548	2,203
Observations	21,660	7,175
Sex
Male	10,420	3,424
Female	11,238	3,751
Age
Under 5	1,258	454
5 to 19	4,494	1,422
20 to 39	6,754	1,974
40 to 59	5,043	1,689
60 to 74	2,746	1,091
75 and more	1,161	545

Sector	Financing	Providing
Public Sector	Public funding	Not direct provider
Nonprofit Sector	Public funding and donations	Majority of Long-Term Care Homes
		All Day-care centers
		All Domiciliary care
Private Sector	Individual's expenditures	Few Long-Term Care Homes

Account	2011	2012	2013	2014	2015	2016	Var.
Account	2011	2012	2013	2014	2015	2016	2011/16
Long-term care	54.7	58.3	61.7	60.8	65.6	63.3	15.7%
In-patient long-term care	46.3	49.4	50.6	51.0	54.9	49.0	5.9%
Out-patient long-term care	5.7	6.1	8.3	6.8	7.7	11.3	100.2%
Home-based long-term care	2.7	2.8	2.8	3.0	3.0	2.9	6.6%

Older adult dependency	65 - 69	70 - 74	75 and more	Total
Total	5.2	8.9	22.8	13.4
Gender
Men	5.2	8.9	21.2	12.4
Women	5.3	9.0	24.2	14.2
Relation with head of the household
Head of household	4.1	7.0	17.7	10.3
Wife or Husband	5.0	11.9	18.2	11.0
Father or Mother / In-laws	6.2	11.5	39.8	30.7
Brothers or Sisters / In-laws	19.9	10.7	23.2	19.1
Others / No relatives	16.6	34.4	92.5	51.2
Medical diagnosis
One or more disease	7.2	10.6	26.1	16.4
None	0.6	3.7	6.6	3.2

Faculdade de Saúde Pública, Universidade de São Paulo. Associação Paulista de Saúde Pública. Av. dr. Arnaldo, 715, Prédio da Biblioteca, 2º andar sala 2, 01246-904 São Paulo - SP - Brasil, Tel./Fax: +55 11 3061-7880 - São Paulo - SP - Brazil
E-mail: saudesoc@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence Mauricio A. Matus-Lopez Ctra. de Utrera, km 1, 41013, Seville, Spain.

Brasil

Brasil

The challenge of ageing in Latin America: long-term care in Costa Rica1 1 ACC received funding from a fellowship granted by the Organization of Ibero-American States for Education, Science and Culture.

Abstract

The challenge of ageing in Latin America: long-term care in Costa Rica¹ 1 ACC received funding from a fellowship granted by the Organization of Ibero-American States for Education, Science and Culture.