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Welfare Reform on the Web (August 2007): Care of the elderly - overseas

Contested professionalism: payments for care and the quality of home care

T. Knijn and S. Verhagen

Administration and Society, vol. 39, 2007, p. 451-475

In the recent past policymakers in the Netherlands has emphasised the benefits of direct payments for care of frail elderly people. However this analysis suggests that older people receiving direct payments will pay cheaper female informal home care providers rather than more expensive trained professional carers.

Distributional effects of reform in long-term care

M. Karlsson

Ageing Horizons, issue 6, 2007, p. 33-41

The subject of long-term care is receiving increasing attention both in the research community and in the governments of various countries due to an assumption that population ageing will greatly increase demand and lead to huge public expense. One of the pressing issues is to determine by how much demand for long-term care will increase. Since all long-term care systems necessarily entail a large degree of redistribution (over the life cycle, from the young to the old and between generations) another pressing issue is to address distributional concerns. This article reviews recent research findings relating to these two issues.

How equitable is Sweden's changing care-mix? Linking individual and regional characteristics over time

A. Davey and others

Ageing and Society, vol. 27, 2007, p. 511-532

Sweden has long been noted for its well-developed and comprehensive system of domiciliary care and community-based services that strive to provide universal and equitable access. In recent years, however, service provision has not kept pace with rising needs. Although some recent research has suggested that services will respond to local variations in needs, it is not clear whether various groups of the older population have been differentially affected. To address this specific issue, this paper presents an analysis of variations in the mix of formal and informal services received by older adults in 1994 and 2000 as a function of gender, advanced age and disability.

Long-term care policy: the difficulties of taking a global view

K. Howse

Ageing Horizons, issue 6, 2007, p. 1-11

What should governments do about the provision of long-term care for frail elderly people in ageing societies? This question encourages us to consider ageing societies en bloc but we should resist this invitation, especially if we are thinking of generalising across both developed and developing countries. The difficulties of taking a global view on this matter are the subject of this paper.

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