In 2021, half of the families gave up on treatment. Because of Covid, but also for costs and inadequacy of the offer (especially for the elderly)

Also because of Covid, in 2021 over half of the families Italian (50.2%) ha renounced health care services per problems cheap, unavailability of the service or inadequacy of the offer. At the same time household spending for the salute, elderly care and education is increased. The gap between the growth in demand and the adequacy of the offer is the novelty of the 2022 edition of the welfare report for Italian families. Cerved presented to Roma.

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According to the report, the number of families who have given up on welfare benefits has increased: 50.2 percent in healthcare, 56.8 in assistance to the elderly, 58.4 in assistance to children, 33.8 in education. In the last year, more than half of the families gave up on healthcare services and in 13.9% of cases these were significant ones.

They affect waivers three main reasons: for health, the pandemic has resulted restrictions in the availability of health services e postponement of treatment by the citizens themselves for fear of contagion. A second cause for renunciation is economic, and concerns the difficulty in sustaining the cost of performance. But for the most part the main reasons concern theinadequacy of the offer. This is evident in theelders assistance: more than 60 per cent of families give up these services judging them to be of insufficient quality or due to unavailable services.

The survey was conducted on a sample of 4,005 families of all Italian regions, stratified by economic condition and by composition of the family unit. The surveys were carried out in different phases over the last two years, from the spring 2020 lockdown to November 2021, to analyze the influence of the Covid emergency on family behavior and to distinguish the consequences of the emergency from long-term trends. According to the report, the family, with all its difficulties, remains the primary network of social protection, solidarity between genders and generations, the education of children and support for the social mobility of young people.

The sore point of the relationship between services and the new family structure is represented by growing number of elderly people that they find no adequate answer in the system of welfare: four million elderly people, 28.9 per cent of the total, live alone and there are 6.5 million families with elderly people or other people in need of help. In 67.3 percent of these, assistance is provided exclusively by family members, without the aid of services.

In 2021, the Cerved report reconstructs, Italian families spent 136.6 billion for welfare benefits, over 5 thousand euros per family, equal to 17.5% of net income. The report analyzes the welfare expenditure of families, which is worth 7.8 per cent of GDP, recording an increase in expenditure on health (38.8 billion), assistance for the elderly (29.4 billion) and education (12.4 billion). billions, while those for childcare (6.4 billion), family assistance (11.2 billion), culture and free time (5.1 billion) are down. It is above all the change in family structures that generates new needs, increasing the gap with the supply: change in lifestyles and models of family relationships; fragmentation of family structures; impact on the family of the aging of the population. The expenditure for welfare services, equal to 5,317 euros per family, has an incidence of 17.5% on net family income which, in 2021, was on average € 30,434.

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