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Comparative political economy of long-term care for elderly people
 — political logic of universalistic social care policy development
Author(s)Takeshi Hieda
Journal titleSocial Policy and Administration, vol 46, no 3, June 2012
PublisherWiley Blackwell, June 2012
Pagespp 258-279
Sourcewileyonlinelibrary.com/journal/spol
KeywordsSocial welfare ; Long term ; Health [elderly] ; Ill health ; Chronic illness ; Services ; Social policy ; Cross national surveys.
AnnotationDespite there being common socio-demographic pressures across industrialised countries, public programmes for care of older people tend to vary. This study explored the causal relationship between political institutions and public long-term care programmes. It examined time-series and cross-section data of advanced democracies, from 1980 until 2001. It argued that countries with fragmented party systems have difficulties in developing universalistic public elder care programmes, whereas countries with party-vote-oriented electoral systems and cohesive party systems are likely to develop better elder care programmes. For whilst the former types of political institutions prioritise patronage-based, particularistic benefits, the latter types encourage political actors to appeal to broader constituencies through universalistic welfare programmes. The empirical results suggest that politicians' reliance on personal votes obstruct the expansion of public spending for elder care. (JL).
Accession NumberCPA-121214211 A
ClassmarkTY: 4Q: CC: CH: CI: I: TM2: 3K

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