Abstract
The growing demand for long-term care is placing significant pressure on traditional funding for health and social services in the European Union. In countries where the social security system is based on the Beveridge model, dependency is essentially community-managed through local services; in some countries in which social protection is based on the Bismarck model, dependency has been recognized as a new risk; in southern Europe and Belgium, dependency leads to tax-funded social assistance. Related positions have been adopted: individual contributions are increasing, and while recourse to private insurance remains marginal but is developing, the need for public financing is not being questioned. The choices made regarding home-maintenance, local intervention levels and caregiver assistance will determine the degree of risk coverage in Europe. If the various European countries adopt similar policies, there can be a convergence of the models of social protection for dependency.
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References
Jacobzone S. Ageing and care for frail elderly persons: an overview of international perspectives. Labour market and social policy. Paris: OECD, 1999, Occasional papers no. 38.
OECD. Ageing in OECD countries: a critical policy challenge. Paris: Social Policy Studies, 1996, no. 20.
Join-Lambert MT, Bolot-Gittler A, Daniel C, Lenoir D, Méda D. Politiques sociales. 2nd ed. Paris: Presses de Sciences Po et Dalloz, 1997.
OECD. Reforms for an ageing society. Paris, 2000.
The World Health Report 2000 — Health Systems: Improving Performance. Geneva, 2000.
Joël ME. L’Europe de la dépendance. In Vivre au grand âge: angoisses et ambivalences de la dépendance. Paris: Editions Autrement, 2001.
Assous L, Ralle P. La prise en charge de la dépendance des personnes âgées: une mise en perspective internationale. Document de travail de la DREES, no. 1, June 2000.
Lambert DC. Les systèmes de santé: analyse et évaluation comparée dans les grands pays industriels. Paris: Editions du Seuil, 2000.
Breuil-Genier P. La gestion du risque de dépendance: le rôle de la famille, de l’Etat et du secteur privé. Economie et Statistique. 1996, no. 291–292, pp.103-17.
OECD. Maintaining prosperity in an ageing society. Paris, 1998.
Cozette E. Joël ME. Gramain A. Colvez A. Qui sont les aidants? Paris: Gérontologie et Société, 1999, no. 89, pp. 35–48.
Joël ME. La prise en charge de la démence dans huit pays européens: coût, financement et situation économique des aidants. Paris: Editions INSERM, 2002.
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Joël, ME., Dufour-Kippelen, S. Financing systems of care for older persons in Europe. Aging Clin Exp Res 14, 293–299 (2002). https://doi.org/10.1007/BF03324453
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DOI: https://doi.org/10.1007/BF03324453