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Centre for Policy on Ageing | |
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| Choices, policy logics and problems in the design of long-term care systems | | Author(s) | Naoki Ikegami, John Creighton Campbell |
| Journal title | Social Policy & Administration, vol 36, no 7, December 2002 |
| Pages | pp 719-734 |
| Keywords | Services ; Health services ; Long term ; Rights [elderly] ; Social welfare ; Social policy. |
| Annotation | Establishing a public, comprehensive, independent, mainly community-based long-term care (LTC) system, separate from medical care and social services, can lead to the provision of more effective and consumer oriented services, and also to a more appropriate mix of public-private financing. Of the two main approaches to financing LTC, a tax-based model is more flexible in providing benefits according to the individual's need, since income levels and the family's ability to provide care will be taken into consideration, while a social insurance model is more rigid because the individual's rights are more explicitly defined. Policy-makers must decide which approach to take after weighing the positive and negative aspects of each, and the existing organisational infrastructure. Decisions must also be made on the practical issues of coverage, fairness, form of benefits, service delivery patterns, relationship with medical and social services, and controlling costs. How to make this process proactive and planned, instead of ad hoc and reactive, is the challenge for public policy. (KJ/RH). |
| Accession Number | CPA-030122212 A |
| Classmark | I: L: 4Q: IKR: TY: TM2 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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