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A Comparative Perspective on Long-Term Care Systems

Author

Listed:
  • Kotschy, Rainer

    (Harvard School of Public Health)

  • Bloom, David E.

    (Harvard School of Public Health)

Abstract
This paper investigates challenges of aging for long-term care. Our analysis proceeds in three steps. In the first step, we estimate the prospective care demand for 30 developed countries based on projected aging and disabilities among the elderly. In the second step, we outline challenges for care systems with respect to shortages of care workers, increasing skill requirements for care workers, barriers to universal and equitable access to care, and cost containment subject to adequate care quality. In the third step, we identify solutions for these challenges by comparing the care systems of Germany, Israel, Japan, the Netherlands, and South Korea.

Suggested Citation

  • Kotschy, Rainer & Bloom, David E., 2022. "A Comparative Perspective on Long-Term Care Systems," IZA Discussion Papers 15228, Institute of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp15228
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    References listed on IDEAS

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    1. Daniel Barczyk & Matthias Kredler, 2019. "Long‐Term Care Across Europe and the United States: The Role of Informal and Formal Care," Fiscal Studies, John Wiley & Sons, vol. 40(3), pages 329-373, September.
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    11. Bonsang, Eric, 2009. "Does informal care from children to their elderly parents substitute for formal care in Europe?," Journal of Health Economics, Elsevier, vol. 28(1), pages 143-154, January.
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    More about this item

    Keywords

    long-term care insurance; population aging; care demand; ADL; IADL;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare

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