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Long-term Health and Social Care for the Elderly: An International Perspective*

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  • Laurence Assous

    (At the time of the preparation of this article the author was an economist of the Ministry of Social Affairs, DREES)

Abstract

This paper describes how industrialized countries have taken different paths towards meeting the needs of their dependent elderly. Dependency-related needs come under the heading of social protection, since they involve general home help and medical care, even if homecare is essentially provided by members of the person's family. Thus, the diversity of medical care and social protection systems, their level, their “Bismarckian” or “Beveridgian” nature, has an impact on long-term care systems. We can therefore distinguish three main groups of countries that differ from an institutional point of view. In the future, because of demographic and sociological changes, it seems unlikely that family care could continue to play such an important spontaneous role, especially in the southern European countries. The Geneva Papers on Risk and Insurance (2001) 26, 667–683. doi:10.1111/1468-0440.00147

Suggested Citation

  • Laurence Assous, 2001. "Long-term Health and Social Care for the Elderly: An International Perspective*," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 26(4), pages 667-683, October.
    • Handle: RePEc:pal:gpprii:v:26:y:2001:i:4:p:667-683
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    Cited by:

    1. Lars-Erik Borge & Marianne Haraldsvik, 2009. "Efficiency potential and determinants of efficiency: an analysis of the care for the elderly sector in Norway," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 16(4), pages 468-486, August.

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