Equity, efficiency, and financial risk of alternative arrangements for funding long-term care systems in an ageing society

Fernández, José-Luis, Forder, Julien E. (2010) Equity, efficiency, and financial risk of alternative arrangements for funding long-term care systems in an ageing society. Oxford Review of Economic Policy, 26 (4). pp. 713-733. ISSN 0266-903X. (doi:10.1093/oxrep/grq036) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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Official URL
http://dx.doi.org/10.1093/oxrep/grq036

Abstract

Partly a reflection of the increasing volume and hence political influence of the older population, recent reforms of long-term care (LTC) systems across developed countries have sought to expand the coverage of the services provided, and have defined increasingly universal levels of state support for people with social-care needs. At the same time, some of the factors leading to the expansion of the objectives and ambitions of the care system, such as the ageing of the population, pose significant challenges to its long-term financial sustainability. In this context, the paper first reviews the main factors likely to contribute to the growth in LTC demand and expenditure, and reflects on the policy priorities associated with state-backed funding systems in the area. Using results from a bespoke dynamic micro-simulation model, it then illustrates the discussion through a quantitative analysis of the equity and efficiency implications of alternative funding models discussed in the context of the ongoing reforms of the LTC system in England.

Item Type: Article
DOI/Identification number: 10.1093/oxrep/grq036
Uncontrolled keywords: long-term care; financing; ageing policies; micro-simulation
Subjects: H Social Sciences
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Jane Dennett
Date Deposited: 13 Dec 2012 15:11 UTC
Last Modified: 29 May 2019 09:47 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/32423 (The current URI for this page, for reference purposes)
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