Reforming Long‐Term Care Provision and Work in Post‐Pandemic Times
Scope and Drivers of Policy Change in the Spanish Decentralised System
Bibliographic Data
| ID | 6452047 |
|---|---|
| Authors | Roberta Perna (0000-0001-6700-1997, Consejo Superior de Investigaciones Científicas Instituto de Políticas y Bienes Públicos (IPP‐CSIC) Madrid Spain, corresponding author), Jorge Hernández-Moreno (0000-0002-2085-1203, Consejo Superior de Investigaciones Científicas Instituto de Políticas y Bienes Públicos (IPP‐CSIC) Madrid Spain), Gibran Cruz-Martínez (0000-0002-4583-2914, Facultad de Ciencias Políticas y Sociología Universidad Complutense de Madrid Pozuelo de Alarcón (Madrid) Spain) |
| Year | 2025 |
| Volume | 59 |
| Issue | 7 |
| Pages | 1180-1190 |
| Publication date | 2025-01-12 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Policy and Administration (JOURNAL) |
| Journal identifiers | ISSN: 0144-5596 • E-ISSN: 1467-9515 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/spol.13117 |
| OpenAlex | W4406298470 |
| Language | EN |
| Citations received | 2 |
| References cited | 40 |
The COVID‐19 pandemic unveiled and magnified structural challenges of long‐term care (LTC) provision and work across Europe, bringing the need for reforms on the quality‐of‐care provision and work to the fore in several countries. Focusing on the case of Spain, this paper analyses to what extent the window of opportunity opened by the pandemic resulted in structural LTC reform, focusing on the scope and drivers of policy change/continuity. Relying on a multidimensional framework to analyse policy change, we performed qualitative policy analysis to assess our expectations on the mechanisms facilitating/hindering policy change in the country, where a reform process on LTC provision and work took place between July 2021 and June 2022. Our findings reveal that the pandemic fostered a radical policy change; yet, its scope was constrained by the opening of veto points, partisan incongruence, and financial limitations. The reform led to the introduction of a new care model and a new configuration of service provision. However, results were mixed, with some areas only seeing incremental adjustments due to resistance from vested interests and institutional veto players operating along the country's multi‐level governance of LTC. Our findings contribute to understanding welfare policy change beyond the ‘expansion–retrenchment’ debate, delving into the complexities of pursuing crisis‐induced reforms on LTC provision and work in decentralised welfare systems
Business · Coronavirus disease 2019 (COVID-19 · Long-term care · Pandemic · Scope (computer science · Term (time · Work (physics · Computer Science · Employment and Welfare Studies · Engineering · Medicine · Migration, Aging, and Tourism Studies · Nursing · Social Policy and Reform Studies
When the rally-around-the-flag effect disappears, or
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| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |