Background A large part of the long-term care is provided by non-professional caregivers, generally without any monetary payment but a value economic of time invested. The economic relevance of informal caregivers has been recognized in Spain; however, public provision may still be scarce. The objective of this paper is to estimate the economic burden associated with informal long-term care that should assume the families through a new concept of cost sharing that consider opportunity costs of time provided by informal caregivers. Methods The study sample includes all dependent adults in Spain. Socioeconomic information and the number of hours of informal care was collected through the Spanish Disability and Dependency Survey. The terms of shadow and extended shadow cost sharing were defined as the difference between the maximum potential amount of money that families could receive for the provision of informal care and the amount that actually they received and the value of informal care time with respect to the amount received, respectively. Results 53.87% of dependent persons received an economic benefit associated to informal care. The average weekly hours of care were 71.59 (92.62 without time restrictions). Shadow cost sharing amounted to, on average, two thirds, whereas the State financed the remaining third. In terms of extended shadow cost sharing, the State financed between 3% and 10% of informal care provided by caregivers. Conclusions This study reveals the deficient support received for the provision of informal care in Spain. More than 90% of informal care time is not covered by the economic benefits that families receive from the State.

中文翻译：

---

与非正式长期护理有关的影子和扩大影子成本分摊：西班牙。

背景技术长期护理的很大一部分是由非专业护理人员提供的，通常无需支付任何货币费用，但可以节省时间成本。西班牙已经认识到非正式照料者的经济意义；但是，公共提供仍然可能很少。本文的目的是通过新的成本分摊概念来估计与非正式长期护理相关的经济负担，这些新概念应考虑家庭的非正式护理人员提供的机会成本。方法研究样本包括西班牙的所有成年成年人。社会经济信息和非正式护理时间是通过西班牙残疾人与家属调查收集的。影子和延长影子成本分摊的术语定义为家庭可用于提供非正式照料的最大潜在金钱金额与实际收到的金额之间的差额，以及相对于该金额的非正式照护时间的价值分别收到。结果53.87％的受抚养人获得了与非正式护理有关的经济利益。平均每周护理时间为71.59（无时间限制的92.62）。影子成本分摊平均为​​三分之二，而国家为其余的三分之一提供了资金。在扩大影子成本分摊方面，纽约州资助了护理人员提供的非正式护理的3％至10％。结论该研究表明，西班牙在提供非正式护理方面缺乏足够的支持。