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A comparative case study of care systems for frail elderly people: Germany, Spain, France, Italy, United Kingdom and Sweden
- Authors:
- LE BIHAN Blanche, MARTIN Claude
- Journal article citation:
- Social Policy and Administration, 40(1), February 2006, pp.26-46.
- Publisher:
- Wiley
Comparative studies of European social policies towards frail elderly people typically focus on the systems and their implementation. The study presented in this article, conducted in 2001 in six European countries (Germany, Spain, Italy, France, the United Kingdom and Sweden) aims at comparing the rights of the individuals within the different care systems. The methodology used is a case study approach, which draws on a series of situations of dependent elderly people. The analysis focuses on the public authorities' responses – the care packages, which determine the type of care required and the financial contribution of the user – in each of the six countries, in relation to the concrete situations of frail elderly people. As local variations are important, in all the countries studied, local authorities have been chosen in each of the countries. This approach provides interesting concrete elements on the services and financial help which can be given to frail elderly people, and provides an understand of the national care systems organized in the different countries and the main difficulties encountered by public authorities in facing this problem of frail elderly people.
The effects of rationing home-help services in Spain and Sweden: a comparative analysis
- Authors:
- SUNDSTRÖM Gerdt, TORTOSA Maria Angeles
- Journal article citation:
- Ageing and Society, 19(3), 1999, pp.343-361.
- Publisher:
- Cambridge University Press
Compares Spain and Sweden, two countries with different experiences of providing home-help services for older people, and to consider how they ration these services when there is a short supply. Spain provides relatively few hours of help with household tasks, primarily to poor old people. Sweden focuses on the oldest and frailest people of all social classes who live alone. Spain uses strict needs assessment and eligibility criteria to target clients and Sweden has sharpened its needs assessment and raised fees to discourage users with lesser needs.