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Public Long‐term Care Financing Arrangements in OECD Countries

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With population ageing and reductions in family care, utilisation of formal long‐term care for disabled people is growing in all high‐income countries. Higher demand for formal services is emerging also because of people's expectations for high‐quality care. These factors are pushing up the cost of formal long‐term care across OECD countries and raise questions about who should pay more prominent in policy discussions. This chapter offers an overview of public long‐term care (LTC) coverage in OECD countries. For illustrative purposes, countries are clustered into three main groups, ranging from universal and comprehensive to means‐tested system or systems with a mix. Over time, coverage systems are evolving towards universal systems or benefits and more user‐choice models, with, in many cases, increased targeting of care benefits to those with the highest care needs.

Document Type: Review Article

Publication date: May 1, 2011


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