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This title was first published in 2001: Employing an interdisciplinary and comparative approach to equity in long-term care, this book addresses the fact that demographic changes leading to ageing populations, financial pressures and changes in traditional support systems have brought long-term care and the redesign of care systems to the top of the European social policy agenda. Despite the importance of this issue, however, the question of equity in long-term care has until now received relatively little attention in social policy research. Rather than focusing on theories of social justice or the analysis of specific interpretations of equity, this book develops key dimensions of equity choices in a framework for systematic comparative analysis. This tool is then used to investigate long-term care policies in Europe, exploring equity choices in both the provision and the finance of long-term care. These choices are discussed comparatively with regard to the implications for the various actors and are also contrasted with basic welfare state objectives. This book represents an important addition to comparative research into several key areas of welfare and welfare state design. It explores the division of responsibilities in long-term care systems between the public and private and formal and informal sectors, the relationships between different welfare state objectives, the different types of welfare state intervention, and the principles and choices surrounding the allocation of resources and burdens.
No two markets for voluntary health insurance (VHI) are identical. All differ in some way because they are heavily shaped by the nature and performance of publicly financed health systems and by the contexts in which they have evolved. This volume contains short structured profiles of markets for VHI in 34 countries in Europe. These are drawn from European Union member states plus Armenia Iceland Georgia Norway the Russian Federation Switzerland and Ukraine. The book is aimed at policy-makers and researchers interested in knowing more about how VHI works in practice in a wide range of contexts. Each profile written by one or more local experts identifies gaps in publicly-financed health coverage describes the role VHI plays outlines the way in which the market for VHI operates summarises public policy towards VHI including major developments over time and highlights national debates and challenges. The book is part of a study on VHI in Europe prepared jointly by the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe. A companion volume provides an analytical overview of VHI markets across the 34 countries.
People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.
Over the last two decades, many changes have happened to the social welfare policies of various industrial countries. Citizens have seen their pensions, unemployment benefits, and general healthcare policies shrink as “belt tightening” measures are enforced. But in contrast, long-term care has seen a general growth in public financing, an expansion of beneficiaries, and, more generally, an attempt to define larger social responsibilities and related social rights. The aim of this book is to describe and interpret the changes introduced in long-term care policies in Western Europe. The volume argues that recent reforms have brought about an increasing convergence in LTC policies. Most of the new programs have developed a new general approach to long-term care, based on a better integration of social care and health care. The book explores increasing public support given to family care work (in the past, the family would take care of the elderly or infirm) and increasing growth and recognition of a extended social care market (by which care has shifted from a moral obligation based on family reciprocity to a paid, professional activity). A new social care arrangement has therefore been developing in Western countries, based on a new mix of family obligations, market provision, and public support. In order to understand such changes, this analysis will take into account the social and economical impact of these reforms.
Cover -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- List of Tables -- List of Figures -- Acknowledgements -- 1 Introduction -- 2 Long-Term Care and the Welfare State -- 2.1 The growing importance of long-term care issues -- 2.2 Defining and measuring long-term care -- 2.3 The long-term care system -- 2.4 Long-term care as a welfare state issue -- 2.5 Conclusions -- 3 Equity and Long-Tenn Care: A Framework for Analysis -- 3.1 The basic terminology of equity -- 3.2 Studying equity in long-term care - A survey of the literature -- 3.3 The concept of 'equity choices' -- 3.4 Equity and the allocation of resources -- 3.5 Equity and the allocation of burdens -- 3.6 Conclusions -- 4 Investigating Long-Tenn Care Policies in Europe -- 4.1 Cross-country comparative analysis in long-term care -- 4.2 Objectives, regimes and choices -- 4.3 Lang-term care in Austria, Italy, the Netherlands and the United Kingdom: An overview -- 5 Equity Choices in Long-Term Care: A Comparative Perspective -- 5.1 Equity choices in the provision of long-term care -- 5.2 Equity choices in the finance of long-term care -- 5.3. Equity choices and equity objectives in European long-term care systems -- 6 Conclusions -- Glossary -- Bibliography -- Index
The workings of multi-level governance -- institutional choices concerning centralisation, decentralisation and subsidiarity -- are widely debated within European public policy, but few systematic studies assessing the effects of changing divisions of power for policy-making have been carried out. This volume offers an assessment of the workings of multi-level governance in terms of social welfare policy across different clusters of European states -- Nordic, Southern European, Central and East European. This book reports on a major comparative study at the European Centre for Social Welfare policy and Research, which included partners from univerisities in Finland, France, Italy, Norway, Sweden, Poland, Spain and Switzerland. It reports on three particular policy areas: social assistance and local policies against poverty; activation and labour market policies; and care for the elderly. The authors describe different starting points, strategies and solutions in European countries which are facing similar challenges and could thus learn from each other. They explore the differences between European welfare regimes in terms of territorial responsibilities, the changes that have taken place over the past few years and their effects. The book is distinctive in highlighting comparative transversal and transnational issues of multi-level governance in social welfare policies, rather than presenting country reports.
Social Policy Review provides students, academics and all those interested in welfare issues with critical analyses of progress and change in areas of major interest during the past year. Contributions reflect key themes in the UK and internationally. The first part of the collection focuses on developments and change in core UK social policy areas. Part two provides in-depth analyses of topical issues from both UK and international perspectives, while this year's themed section examines 'Migration and social policy'.
The provision of care has been widely referred to as facing a 'crisis'. International migrants are increasingly relied upon to provide care – as domestic workers, nannies, care assistants and nurses. This international volume examines the global construction of migrant care labour and how it manifests itself in different contexts.
The new welfare settlement in Europe involves a re-direction of policy in the context of a unified market and currency system and of more stringent economic competition. Realignment of the policy assumptions and goals of the key actors is central to this process. This book reviews the main policy paradigms and analyzes the processes whereby they have changed in the most salient policy areas, and is based on recent interviews with more than two hundred and fifty senior policy actors in seven West European countries.
While there may be consensus on the broader issues of the core objectives of the health care system, expectations differ between EU countries, and European national policy-makers. This book seeks firstly to assess the impact of the enlargement process and then to analyse the challenges that lie ahead in the field of health and health policy.