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Long-Term Care Reforms in OECD Countries
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Long-Term Care Reforms in OECD Countries

Cristiano Gori, Jose-Luis Fernandez, and Raphael Wittenberg

Abstract

Long-term care (LTC) is a key policy priority for governments internationally. Most countries are faced with demographic and/or socio-economic changes that are resulting in a significant growth in the need for LTC services. The impact on LTC systems of higher demand is compounded by long-run increases in service unit costs, and by reductions in the availability of unpaid care, which still provides the lion share of the support for people with long-term care needs. In addition, the rising political voice of key LTC consumer groups and the mounting pressures on public service budgets mean that L ... More

Keywords: long term care, ageing societies, reforms, oecd, comparative social policy

Bibliographic Information

Print publication date: 2015 Print ISBN-13: 9781447305057
Published to Policy Press Scholarship Online: January 2017 DOI:10.1332/policypress/9781447305057.001.0001

Authors

Affiliations are at time of print publication.

Cristiano Gori, editor
London School of Economics

Jose-Luis Fernandez, editor
Istituto per la Ricerca Sociale

Raphael Wittenberg, editor

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Contents

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One Introduction

José-Luis Fernández and Cristiano Gori

Part One Funding

Three The long-term care financing problem

José-Luis Fernández and Pamela Nadash

Part Two Models of care

Four How different countries allocate long-term care resources to older users: a comparative snapshot

John Campbell, Naoki Ikegami, Cristiano Gori, Francesco Barbabella, Rafal Chomik, Francesco d’Amico, Holly Holder, Tomoaki Ishibashi, Lennarth Johansson, Harriet Komisar, Magnus Ring and Hildegard Theobald

Five How different countries allocate long-term care resources to older users: changes over time

Cristiano Gori, Francesco Barbabella, John Campbell, Naoki Ikegami, Francesco d’Amico, Holly Holder, Tomoaki Ishibashi, Lennarth Johansson, Harriet Komisar and Hildegard Theobald

Six Commissioning long-term care services

Joanna Marczak and Gerald Wistow

Seven Cash-for-care benefits

Barbara Da Roit, Blanche Le Bihan and August Österle

Eight Policy instruments to promote good quality long-term care services

Juliette Malley, Birgit Trukeschitz and Lisa Trigg

Part Three Carers

Ten Policies to support informal care

Ulrike Schneider, Gerdt Sundström, Lennarth Johannson and María A. Tortosa

Part Four Institutional Actors

Thirteen Conclusion: looking ahead in long-term care policies

Cristiano Gori, José-Luis Fernández and Raphael Wittenberg

End Matter