Jaime Ruiz-Tagle

Impact Evaluation of Chile Solidario: Lessons and Policy Recommendations

This article evaluates the impact of the Chile Solidario anti-poverty programme. The evaluation is based on propensity score matching and a difference-in-difference estimator along with databases of Social Assistance Committee forms. The results show a positive but small impact on employment and housing along with a slightly negative impact on self-generated income. They also suggest that gains tend to be concentrated in the first phase, during which beneficiaries work with a family support professional, and that these benefits may not be sustainable. Participant families show absolute gains in income and employment, but these may be attributed to environmental conditions rather than the programme; this raises doubts about the premise that these families were initially marginalised from the economy and social networks.

Debt trajectories and mental health

In the last few decades, there was a marked increase in consumer debt in the United States, Latin America and other emerging countries, spurring a debate about the real costs and benefits of household credit. Using a unique longitudinal dataset with detailed health and balance sheet information from a large sample of 10,900 Chilean households we study the relationship between debt trajectories in a three-year time window and mental health. We find that depressive symptoms are higher for those who have been persistently over-indebted, followed by those who transit from moderate to high debt levels. We also find that those who transition from over-indebtedness to moderate debt levels have no additional depressive symptoms compared to those with trajectories of moderate debt throughout (never over-indebted). This suggests that the debt-related contribution to depressive symptoms vanishes as debt levels fall. The association between debt and depressive symptoms seems to be driven by non-mortgage debt -primarily consumer credit- or late mortgage payments; secured debt (secured by collateral) per se is not associated with depressive symptoms. Policy interventions to reduce the negative association of over-indebtedness on mental health are discussed.

The cost of dementia in an unequal country: The case of Chile

We study the economic cost of dementia in Chile, and its variation according to socioeconomic status (SES). We use primary data from a survey of 330 informal primary caregivers who completed both a RUD-Lite and a socio-demographic questionnaire to evaluate the severity of dementia and caregiver’s burden. The costs of dementia are broken into three components: direct medical costs (medical care, drugs, tests); direct social costs (social service, daycare); and indirect costs (mostly associated to informal care). The average monthly cost per patient is estimated at US

The cost of dementia: The case of chile. Results of the cuideme study

1,463. Direct medical costs account for 20 per cent, direct social costs for 5 per cent and indirect costs for 75 per cent of the total cost. The mean monthly cost is found to be inversely related to SES, a pattern largely driven by indirect costs. The monthly cost for high SES is US

Chile: 40 años de desigualdad de ingresos

1,083 and US

Borrowing Constraints and Credit Demand

1,588 for low SES. A multivariate regression analysis suggests that severity of dementia and caregiver’s burden account for between 49 and 70 per cent of the difference in the indirect cost across SES. However, between one-third and one-half of the variation across SES is not due to gradient in severity of dementia. Direct medical costs increase in higher SES, reflecting differences in purchasing power, while indirect costs are inversely related to SES and more than compensate differences in medical costs. Moreover, in lower SES groups, female caregivers, typically family members who are inactive in the labor market, mostly provide informal care. The average annual cost of dementia in Chile (US

Micro-Entrepreneurship Training and Asset Transfers: Short Term Impacts on the Poor

17,559) is lower in comparison to high-income countries (US

Estudio Actuarial de los Fondos de Cesantía 2005

39,595) and the proportion of cost related to informal cost is higher (74 per cent compared to 40 per cent). SES is a key determinant in the cost of dementia. In the absence of universal access to treatment, part of the social cost of dementia potentially preserves or increases income and gender inequality.

The dynamic role of specific experience in the selection of self-employment versus wage-employment

The desriptive statistics, limitation, strenghts especially in primaty care units be discussed. Results: The database was initiated in May 2007 and covers almost all of Sweden. There were 50 000 patients registered during 2007– 2014. The role of primary care units increased in that time and helped for diagnosis of new cases. Conclusion: SveDem provides knowledge about current dementia care in Sweden and serves as a framework for ensuring the quality of diagnostics, treatment and care across the country. The special role of primary care in dementia work up is important.