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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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PRINTED FROM POLICY PRESS SCHOLARSHIP ONLINE (www.policypress.universitypressscholarship.com). (c) Copyright Policy Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in PPSO for personal use.date: 20 May 2022

Cash-for-care benefits

Cash-for-care benefits

(p.143) Seven Cash-for-care benefits
Long-Term Care Reforms in OECD Countries

Barbara Da Roit

Blanche Le Bihan

August Österle

Policy Press

This chapter analyses the development of cash-for-care programs across OECD countries, their effects and their future perspectives. A major commonality of these programs is that they emphasize choice for users, a concept that can be variously declined. With regard to the choice idea behind cash-for-care programs, the chapter distinguishes among three perspectives: market orientation, empowerment orientation and family orientation. After having discussed these three perspectives, the chapter examines how they can be translated into different policy designs and what are the implications. The comprehensive review of several national experiences carried out shows that cash-for-care programs are often put forward as a measure that strengthens choice and autonomy of the user. In reality, cash-for-care in combination with limited public coverage and limited social rights in terms of services and the individual ability and willingness to pay can lead to re-familisation and create considerable risks for professionalization, for the quality of care work relationships and for the quality of care.

Keywords:   cash for care benefits, choice, market orientation, empowerment orientation, family orientation, professionalization, quality of care

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