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What Is Out There and What Can We Learn? International Evidence on Funding and Delivery of Long-Term Care

Roland, Daniel, Forder, Julien, Jones, Karen (2021) What Is Out There and What Can We Learn? International Evidence on Funding and Delivery of Long-Term Care. Social Policy and Society, . ISSN 1474-7464. (doi:10.1017/S1474746421000531) (KAR id:90916)


This article describes the social care funding and delivery arrangements of a varied selection of developed countries, focusing on long-term care of older people. International evidence and latest reforms can inform the debate as countries struggle economically. Some have opted for mandatory social insurance that provides universal coverage. A premium is paid and if the insured individual or relatives require support, they are entitled to it. Others opted for a similar universal system but with earmarked taxation, while others fund their social care entirely from general taxation. Many chose a safety-net system in which benefits are means-tested leaving wealthier individuals to secure private arrangements of care. Within the UK, the level of support varies as Scotland provides personal care free of charge, being more generous than England, Wales and Northern Ireland. There is no “one solution”, but understanding different options can help in the discussion of current and future reforms.

Item Type: Article
DOI/Identification number: 10.1017/S1474746421000531
Uncontrolled keywords: Long-term care, social care, funding, delivery, long-term care reform
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Daniel de Araujo Joao Roland
Date Deposited: 15 Oct 2021 16:08 UTC
Last Modified: 15 Nov 2022 12:27 UTC
Resource URI: (The current URI for this page, for reference purposes)

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