A Fuzzy Approach to Long-Term Care Benefit Eligibility; an Italian Case-Study

Ludovico Carrino*, Silvio Giove

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


We propose a fuzzy approach to quantify a cash-benefit for older people in need of Long-Term Care, e.g., affected by limitations in daily-living activities. Many approaches exist at national or regional level in Europe, and most legislation determine eligibility to public care-programs using rule-based approaches which aggregate basic health-outcomes into main pillars and then into eligibility categories. Population ageing and improvements in longevity make access to care a crucial problem for Western economies. In this paper we focus on Italy, where public-care eligibility is decentralized at regional level and often based on check-lists, and in particular on the Toscana region. We investigate the extent to which the existing legislation violates basic properties of monotonicity and continuity, thus potentially increasing inequity in care access. We then propose the introduction of a fuzzy approach to the eligibility determination, which allows for smoother results and reduced inequality.

Original languageEnglish
Title of host publicationSmart Innovation, Systems and Technologies
Number of pages13
Publication statusPublished - 1 Jan 2021

Publication series

NameSmart Innovation, Systems and Technologies
ISSN (Print)2190-3018
ISSN (Electronic)2190-3026


  • Eligibility
  • Inequality
  • Long term care
  • Membership functions


Dive into the research topics of 'A Fuzzy Approach to Long-Term Care Benefit Eligibility; an Italian Case-Study'. Together they form a unique fingerprint.

Cite this