Eligibility to Long-Term Care in Italy: A novel fuzzy approach and its implications on coverage

Ludovico Carrino, Silvio Giove

Research output: Chapter in Book/Report/Conference proceedingConference paperpeer-review


We propose a fuzzy approach for allocating home-care allowances to older people affected by functional or cognitive limitations. Population ageing makes access to care a crucial challenge for Western economies. Public programmes of care in Europe determine access to carebenefits using rule-based approaches which aggregate basic health-outcomes into eligibility categories. Focusing on the Italian Toscana region, we show how such legislations violate basic properties of monotonicity and continuity, thus potentially increasing inequity in care access. By using micro-data from SHARE, we show how a fuzzy approach to the eligibility determination would increase care-coverage to sick individuals previously left uncovered, lower the average benefit among receivers, and increase total spending.
Original languageEnglish
Title of host publicationAIQUAV 2019 - VI Convegno Nazionale dell’Associazione Italiana per gli Studi sulla Qualità della Vita
Subtitle of host publicationBenessere Collettivo e Scelte Individuali
EditorsFilomena Maggino, Enrico di Bella, Marco Trapani, Leonardo Salvatore Alaimo, Alberto Arcagni
Place of PublicationGenova
PublisherGenova University Press
ISBN (Electronic)978-88-94943-76-4
ISBN (Print)978-88-94943-75-7
Publication statusPublished - 27 Nov 2019


  • home-care
  • Ageing
  • Eligibility
  • Inequality
  • Membership functions


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