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Ageing and Care for Frail Elderly Persons: An Overview of International Perspectives

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  • Stéphane Jacobzone

Abstract

This paper examines the various constraints which OECD Member countries must now deal with, faced with the prospects of rapid growth in the number of frail elderly persons. It pays particular attention to recent trends in disability. Most of the available cross-country evidence shows trends towards better functional health in older populations, although the magnitude of the gains and their significance need further assessment. In this context, this paper advocates an “active ageing” approach to long-term care policies. It provides some rough estimates of the macroeconomic costs of long-term care. It also presents some indicators of public/private financing and institutionalisation rates. The public costs of providing long-term care are estimated to be relatively modest as a proportion of GDP (of the order of 1 or 2 per cent or less). However, much care for the frail elderly is provided through informal care-giving arrangements which are not reflected in official figures.

Suggested Citation

  • Stéphane Jacobzone, 1999. "Ageing and Care for Frail Elderly Persons: An Overview of International Perspectives," OECD Labour Market and Social Policy Occasional Papers 38, OECD Publishing.
  • Handle: RePEc:oec:elsaaa:38-en
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    File URL: http://dx.doi.org/10.1787/313777154147
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    2. Layard, Richard & Nickell, Stephen & Jackman, Richard, 2005. "Unemployment: Macroeconomic Performance and the Labour Market," OUP Catalogue, Oxford University Press, number 9780199279173.
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    4. Anders Forslund & Alan B. Krueger, 1997. "An Evaluation of the Swedish Active Labor Market Policy: New and Received Wisdom," NBER Chapters,in: The Welfare State in Transition: Reforming the Swedish Model, pages 267-298 National Bureau of Economic Research, Inc.
    5. Bruce D. Meyer, 1995. "Lessons from the U.S. Unemployment Insurance Experiments," Journal of Economic Literature, American Economic Association, vol. 33(1), pages 91-131, March.
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    Cited by:

    1. Holmlund, Helena & Rainer, Helmut & Siedler, Thomas, 2009. "Meet the Parents? The Causal Effect of Family Size on the Geographic Distance between Adult Children and Older Parents," IZA Discussion Papers 4398, Institute for the Study of Labor (IZA).
    2. Laura Crespo, 2006. "Caring For Parents And Employment Status Of European Mid-Life Women," Working Papers wp2006_0615, CEMFI.
    3. Bolin, K. & Lindgren, B. & Lundborg, P., 2008. "Your next of kin or your own career?: Caring and working among the 50+ of Europe," Journal of Health Economics, Elsevier, vol. 27(3), pages 718-738, May.
    4. Asakawa, Keiko & Feeny, David & Senthilselvan, Ambikaipakan & Johnson, Jeffrey A. & Rolfson, Darryl, 2009. "Do the determinants of health differ between people living in the community and in institutions?," Social Science & Medicine, Elsevier, vol. 69(3), pages 345-353, August.
    5. Barbara Lipszyc, 2002. "Vieillissement,Etat De Sante Et Cessation D’Activite," CREPP Working Papers 0214, Centre de Recherche en Economie Publique et de la Population (CREPP) (Research Center on Public and Population Economics) HEC-Management School, University of Liège.
    6. Annika Meng, 2010. "The Impact of Demographic Change, Co-morbidity and European Care Policies on the Choice of Care Arrangement," Ruhr Economic Papers 0224, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    7. Schulz, Erika & Leidl, Reiner & Konig, Hans-Helmut, 2004. "The impact of ageing on hospital care and long-term care--the example of Germany," Health Policy, Elsevier, vol. 67(1), pages 57-74, January.
    8. Eric Bonsang, 2006. "How do middle-aged children allocate time and money transfers to their older parents in Europe?," CREPP Working Papers 0602, Centre de Recherche en Economie Publique et de la Population (CREPP) (Research Center on Public and Population Economics) HEC-Management School, University of Liège.
    9. Meng, Annika, 2010. "The Impact of Demographic Change, Co-morbidity and European Care Policies on the Choice of Care Arrangement," Ruhr Economic Papers 224, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    10. Eric Bonsang, 2007. "How do middle-aged children allocate time and money transfers to their older parents in Europe?," Empirica, Springer;Austrian Institute for Economic Research;Austrian Economic Association, vol. 34(2), pages 171-188, April.
    11. repec:zbw:rwirep:0224 is not listed on IDEAS

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