Reforms in Long-Term Care Policies in Europe

Investigating Institutional Change and Social Impacts

  • Costanzo Ranci
  • Emmanuele Pavolini

Table of contents

  1. Front Matter
    Pages i-xvi
  2. Concepts and Measures

    1. Front Matter
      Pages 1-1
    2. Emmanuele Pavolini, Costanzo Ranci
      Pages 3-22
  3. Country Analysis

  4. Conclusions

    1. Front Matter
      Pages 267-267
    2. Costanzo Ranci, Emmanuele Pavolini
      Pages 269-314
  5. Back Matter
    Pages 315-317

About this book


Reforms in Long Term Care Policies in Europe describes and interprets the changes recently introduced in long-term care policies in Western Europe. The volume argues that recent reforms have brought about an increasing convergence in LTC policies across Western Europe. Most of the new programs have developed a new general approach to long-term care, based on a better integration of social care and health care.

Over the last two decades, many changes have happened to the social welfare policies of various industrial countries. Citizens have seen their pensions, unemployment benefits, and general healthcare policies shrink as “belt tightening” measures are enforced. But in contrast, long-term care has seen a general growth in public financing, an expansion of beneficiaries, and, more generally, an attempt to define larger social responsibilities and related social rights.

The book explores increasing public support given to family care work (in the past, the family would take care of the elderly or infirm) and increasing growth and recognition of a extended social care market (by which care has shifted from a moral obligation based on family reciprocity to a paid, professional activity). A new social care arrangement has therefore been developing in Western countries, based on a new mix of family obligations, market provision, and public support. In order to understand such changes, the analysis in Reforms in Long Term Care Policies in Europe will take into account the social and economical impact of these reforms.

Reforms in Long Term Care Policies in Europe is a great resource for health-care practitioners, demographers, public policy makers, public health scientists, gerontologists, researchers in health care management, and anyone interested in the impact of aging on societies.


European social policy for long term care innovation in welfare and health care policy in Europe long term care in France long term care in Germany long term care in Italy long term care in Scandinavia long term care in the United Kingdom providing health care and support for the aging in Europe public health care in Europe reforms of long term care in Europe welfare reform in Europe

Editors and affiliations

  • Costanzo Ranci
    • 1
  • Emmanuele Pavolini
    • 2
  1. 1., Economic SociologyMilan PolytechnicMILANOItaly
  2. 2., Economic SociologyUniversity of MacerataMacerataItaly

Bibliographic information