期刊
HEALTH POLICY
卷 125, 期 5, 页码 609-617出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.healthpol.2021.02.009
关键词
OECD countries; Comparative analysis; Long-term care; Elderly; Typology; Classification
资金
- Deutsche Forschungsgemeinschaft (DFG) [BA 1622/3-1]
- NORFACE (New Opportunities for Research Funding Agency Cooperation in Europe) Welfare State Futures programme [462-14-110]
This article presents a new typology of LTC systems in the OECD world based on recent OECD data and institutional indicators, aiming to make comparisons more accurate and identifying six different types of LTC systems for future reference in research.
Providing long-term care (LTC) to the elderly is a major challenge for the welfare state. LTC systems differ widely among countries. Due to recent maturation, economization, and marketization processes, earlier LTC comparisons and typologies are no longer suitable to give a comprehensive overview of LTC systems and their major characteristics. In this paper we introduce a new typology of LTC systems in the OECD world, based on most recent OECD data and a unique set of institutional indicators. This typology aims to make LTC systems more comparable to welfare state and healthcare system typologies and thereby improve our understanding of how LTC is embedded in the wider welfare state and how it is related to other welfare state institutions. Based on 24 cluster analyses, we identify six (method-driven) and nine (content-driven) LTC types, which can be adapted in future studies according to the needs. In the six-types solution, we suggest a public supply type (e.g., Sweden), a private supply type (e.g., Germany), a residual public type (e.g., Poland), an evolving public supply type (e.g., Korea), a need-based supply type (e.g., Switzerland), and an evolving private need-based type (e.g., United States). ? 2021 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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