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Long-Term Care Reforms in OECD Countries$
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Cristiano Gori, Jose-Luis Fernandez, and Raphael Wittenberg

Print publication date: 2015

Print ISBN-13: 9781447305057

Published to Policy Press Scholarship Online: January 2017

DOI: 10.1332/policypress/9781447305057.001.0001

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

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

Chapter:
(p.47) Four How different countries allocate long-term care resources to older users: a comparative snapshot
Source:
Long-Term Care Reforms in OECD Countries
Author(s):

John Campbell

Naoki Ikegami

Cristiano Gori

Francesco Barbabella

Rafal Chomik

Francesco d’Amico

Holly Holder

Tomoaki Ishibashi

Lennarth Johansson

Harriet Komisar

Magnus Ring

Hildegard Theobald

Publisher:
Policy Press
DOI:10.1332/policypress/9781447305057.003.0004

This chapter examines public resource allocation among LTC users in Australia, England, Germany, Japan, Italy, Sweden and the U.S. In public Ltc expenditure for older people Sweden is in a league of its own as its spending on both community care and institutions is more than double the others. Outside of Sweden, Japan and then Australia and England are the highest spenders. The low spenders are Italy and the U.S. After looking at the overall public expenditure, the chapter examines expenditure and coverage both in community care and in institutions. It then moves on exploiting the evidence gathered in order to discuss the most controversial issues concerning cost control in LTC policy, such as controlling eligibility and adjusting the policy mix between cash and care.

Keywords:   resource allocation, coverage, expenditure, cost control, eligibility, policy mix

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