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The vicious layering of multilevel governance in Southern Europe
 — the case of elderly care in Italy and Spain
Author(s)Marco Arlotti, Manuel Aguilar-Hendrickson
Journal titleSocial Policy and Administration, vol 52, no 3, May 2018
PublisherWiley, May 2018
Pagespp 646-661
Sourcehttp://www.wileyonlinelibrary.com/journal/spol
KeywordsAgeing process ; Personal Social Services ; Family care ; Community care ; Long term ; Government ; Policy ; Italy ; Spain.
AnnotationAgeing and changes in family arrangements and female employment have brought about important policy developments in long-term care (LTC). Southern European countries have relied for a long time on family care and residual social care for older dependents. Two paradigmatic cases, Italy and Spain, have shown two apparently different trends during the last 15 years: while in Italy reforms seem to have been persistently blocked, in Spain an ambitious reform has fallen short of expectations. Based on data on services and institutional arrangements, this study shows that a complex and inconsistent allocation of responsibilities across government levels, a sort of `vicious layering' of multilevel governance, may be playing a key role in this situation. The study discusses the dysfunctional effects of such arrangements, namely territorial inequalities, cost-shifting between government levels and towards users, and misallocation of resources. It is suggested that the development and reform of LTC in Southern European countries must address these problems if they want to avoid getting marooned by a complex network of vetoes and resource allocation problems. (JL).
Accession NumberCPA-180504210 A
ClassmarkBG: PA:TY: P6:SJ: PA: 4Q: VJA: QAD: 76V: 76S

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