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Restructuring the welfare state
 — reforms in long-term care in Western European countries
Author(s)Emmanuele Pavolini, Costanzo Ranci
Journal titleJournal of European Social Policy, vol 18, no 3, August 2008
Pagespp 246-259
Sourcehttp://esp.sagepub.com
KeywordsServices ; Health services ; Long term ; Social policy ; Comparison ; France ; Germany ; Netherlands ; Sweden ; Italy ; United Kingdom.
AnnotationFaced with problems associated with an ageing society, many European countries have adopted innovative policies to achieve a better balance between the need to expand social care and the imperative to curb public spending. Although embedded within peculiar national traditions, these new policies share some characteristics. First, a tendency to combine monetary transfers to families with the provision of in-kind services. Second, the establishment of a new social care market based on competition. Third, the empowerment of users through their increased purchasing power. Lastly, the introduction of funding measures intended to foster care-giving through family networks. This article presents the most significant reforms recently introduced in six European countries (France, Germany, Italy, the Netherlands, Sweden and the UK) regarding long-term care. It analyses the impact at the macro- (institutional and quantitative), meso- (service delivery structures) and micro-level (families, caregivers and people in need). As a result, the authors find a general trend towards convergence in social care among the countries, and the emergence of a new type of government regulation designed to restructure rather than to reduce welfare programmes. (RH).
Accession NumberCPA-080808022 A
ClassmarkI: L: 4Q: TM2: 48: 765: 767: 76H: 76P: 76V: 8

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