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Organization and Supply of Long‐term Care Services for the Elderly

A Bird's‐eye View of Old and New EU Member States

Bibliographic Data

ID11197014
AuthorsMonika Riedel (Institute for Advanced Studies Department of Economics and Finance Vienna Austria, corresponding author), Markus Kraus (0000-0001-5358-4773, Institute for Advanced Studies Department of Economics and Finance Vienna Austria, corresponding author), Susanne Mayer (0000-0002-4448-0478, Medical University of Vienna Centre for Public Health, Department of Health Economics Vienna Austria, corresponding author)
Year2016
Volume50
Issue7
Pages824-845
Publication date2016-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Policy and Administration (JOURNAL)
Journal identifiersISSN: 0144-5596 • E-ISSN: 1467-9515
PublisherWiley (PUBLISHER • GB)
DOI10.1111/spol.12170
OpenAlexW2131785703
LanguageEN
Citations received14
References cited28

This article provides an overview of the organization of formal long‐term care (LTC) systems for the elderly in ten old and 11 new EU member states (MS). Generally, we find that the main responsibility for regulating LTC services is centralized in half of these countries, whereas in the remaining countries, this responsibility is typically shared between authorities at the central level and those at the regional or local levels in both institutional and home‐based care. Responsibilities for planning LTC capacities are jointly met by central and non‐central authorities in most countries. Access to publicly financed services is rarely means tested, and most countries have implemented legal entitlements conditional on needs. In virtually all countries, access to institutional care is subject to cost sharing, which also applies to home‐based care in most countries. The relative importance of institutional LTC relative to home‐based LTC services differs significantly across Europe. Although old MS appear to be experiencing some degree of convergence, institutional capacity levels still span a wide range. Considerable diversity may also be observed in the national public–private mix in the provision of LTC services. Lastly, free choice between public and private providers exists in the vast majority of these countries. This overview provides vital insights into the differences and similarities in the organization of LTC systems across Europe, especially between old and new MS, while also contributing valuable insight into previously neglected topics, thus broadening the knowledge base of international experience for mutual learning

Business · Diversity (politics · Economic growth · Economics · Health care · Long-term care · Political science · Public economics · Public sector · Geriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving · Law · Medicine · Migration, Aging, and Tourism Studies · Nursing

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Unique citing works14
Citations per year1,56
Citation span2017 - 2026 (10)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 14

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