IDEAS home Printed from https://ideas.repec.org/a/gam/jecomi/v12y2024i12p347-d1545672.html
   My bibliography  Save this article

Long-Term Care Policies in Spain: Welfare State and Resilience in the European Context

Author

Listed:
  • Aída Díaz-Tendero

    (Faculty of Political Sciences and Sociology, Universidad Complutense de Madrid, 28223 Madrid, Spain)

  • José M. Ruano

    (Faculty of Political Sciences and Sociology, Universidad Complutense de Madrid, 28223 Madrid, Spain)

Abstract

This paper analyses the long-term care system in the context of Spain’s aging population from a comparative and multilevel perspective. Starting with the European regulatory framework, it examines the main characteristics of long-term care systems in Europe and the challenges of establishing a welfare system in Spain amidst two consecutive crises: the economic and financial crisis of 2008–2014 and the pandemic crisis of 2020–2022. To achieve this, in addition to a thorough review of international literature, the study utilises legislation and reports from the European Commission, the Council of Europe, the World Health Organization, databases from the National Institute of Statistics and the Ministry of Social Rights, and Spain’s Ministry of Health. The article concludes that Spain’s long-term care model has evolved over time and has established a universal system characterised by territorial inequality. This inequality stems from regional preferences for service provision versus monetary compensation and their varying degrees of reliance on direct management or involvement of private organisations.

Suggested Citation

  • Aída Díaz-Tendero & José M. Ruano, 2024. "Long-Term Care Policies in Spain: Welfare State and Resilience in the European Context," Economies, MDPI, vol. 12(12), pages 1-14, December.
  • Handle: RePEc:gam:jecomi:v:12:y:2024:i:12:p:347-:d:1545672
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2227-7099/12/12/347/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2227-7099/12/12/347/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nekehia T. Quashie & Melanie Wagner & Ellen Verbakel & Christian Deindl, 2022. "Socioeconomic differences in informal caregiving in Europe," European Journal of Ageing, Springer, vol. 19(3), pages 621-632, September.
    2. Tiffany Jessop & Carmelle Peisah, 2021. "Human Rights and Empowerment in Aged Care: Restraint, Consent and Dying with Dignity," IJERPH, MDPI, vol. 18(15), pages 1-17, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Giorgio Di Gessa & Christian Deindl, 2024. "Determinants of trajectories of informal caregiving in later life: evidence from England," European Journal of Ageing, Springer, vol. 21(1), pages 1-13, December.
    2. Maike Damme & Jeroen Spijker & Dimitris Pavlopoulos, 2025. "A care regime typology of elder, long-term care institutions," European Journal of Ageing, Springer, vol. 22(1), pages 1-11, December.
    3. Georgia Casanova & Mirian Fernández-Salido & Carolina Moreno-Castro, 2023. "The Risk of Household Socioeconomic Deprivation Related to Older Long-Term Care Needs: A Qualitative Exploratory Study in Italy and Spain," Sustainability, MDPI, vol. 15(20), pages 1-15, October.
    4. Pamela Almeida-Meza & Giorgio Gessa & Rebecca Lacey & Anne McMunn & Baowen Xue, 2025. "Care provision and social participation among older adults in Europe: longitudinal evidence from the Survey of Health, Ageing and Retirement in Europe and the English Longitudinal Study of Ageing," European Journal of Ageing, Springer, vol. 22(1), pages 1-14, December.
    5. Valerie Schaps & Thomas Hansen & Ragnhild Bang Nes & Morten Wahrendorf, 2025. "How are location and type of caring associated with the carer’s mental health? Cross-sectional and longitudinal findings from SHARE," European Journal of Ageing, Springer, vol. 22(1), pages 1-15, December.
    6. Richiardi, Matteo & Bronka, Patryk & van de Ven, Justin, 2025. "Welfare Effects of Social Care Policies," Centre for Microsimulation and Policy Analysis Working Paper Series CEMPA5/25, Centre for Microsimulation and Policy Analysis at the Institute for Social and Economic Research.
    7. repec:osf:osfxxx:xcjaq_v1 is not listed on IDEAS

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jecomi:v:12:y:2024:i:12:p:347-:d:1545672. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.