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Analysing equity in the use of long-term care in Europe
- Authors:
- RODRIGUES Ricardo, ILINCA Stefania, SCHMIDT Andrea
- Publisher:
- European Commission
- Publication year:
- 2014
- Pagination:
- 39
- Place of publication:
- Brussels
There are significant differences across social protection systems in Europe in the scope, breadth and depth of coverage of the risk to need long-term care in old-age. Together with other factors, such as education, household structure or societal values regarding care for frail older people, these differences can have a significant impact on the use of long-term care. Using SHARE data, this Research Note compares differences between European countries in the use of long-term care across income groups, for older people living at home. It analyses not only inequalities in the use of long-term care, but also differences in use that persist after differences in need have been taken into consideration, i.e. horizontal inequity. For this purpose, concentration indices, concentration curves and horizontal inequity indices are estimated for home care services and informal care. The countries analysed here are Austria, Germany, Sweden, the Netherlands, Spain, Italy, France, Denmark, Greece, Belgium and Czech Republic. The findings suggest that differences in use of home care services across income groups mostly reflect differences in need between those same groups. For informal care, the differences in use persist even after accounting for needs, and less affluent individuals are much more likely to use informal care. Some possible causes for these differences and policy implications are considered.
Defining responsibility for care: approaches to care of older people in six European countries
- Author:
- BLACKMAN Tim
- Journal article citation:
- International Journal of Social Welfare, 9(3), July 2000, pp.181-190.
- Publisher:
- Wiley
This article examines the social care of older people in six contrasting European countries. Family, institutional and community care are compared, focusing on vulnerability, empowerment and the gatekeeping of resources. The article considers the position of older people in each care system by presenting individual case studies. The six countries include the family-oriented systems of Ireland, Italy and Greece, and the individual-oriented systems of Denmark, Norway and England. Overall, the different levels of provision of organised social care services are a major aspect of inequality within and between the countries. Whilst there is little prospect for any major policy transfer across national boundaries, there is potential for selective cross-national learning with regard to particular service developments.
A crisis in care: the future of family and state care for older people in the European Union
- Authors:
- McGLONE Francis, CRONIN Natalie
- Publisher:
- Family Policy Studies Centre
- Publication year:
- 1994
- Pagination:
- 52p.,tables,bibliog.
- Place of publication:
- London
Report investigating Europe's looming crisis in care for older people. Argues that family and state care is in decline at the very moment when the number of people needing such care is increasing. Looks at disability and dependency; family care; the pressures of caring; support for carers in the European Union; the changing ability of the family to care; changing attitudes towards care; and European social policy. Also contains a chapter comparing social provision in the EC member states.