This study examines the implications of the rising person-centered care model on the long-term care market, specifically focusing on the promotion of higher single-room occupancy in nursing homes. We exploit the staggered implementation of a state-level policy that requires nursing homes to meet...

Growing needs for long-term care coupled with a dwindling supply of nursing personnel is a common challenge for developed countries. To uphold care standards, many countries introduced measures to safeguard staffing levels, e.g. by introducing minimum staffing regulations for nursing homes....

There is a growing scientific consensus that climate change induced crisis and environmental degradation impact males and females differently and exacerbate pre-existing gender inequalities in the world of work. One main area of this gendered impact is paid and unpaid care work, which is...

Assistance with daily activities is crucial for persons living with dementia and disabilities, yet many face significant challenges in accessing adequate care and support. Using harmonized longitudinal survey data (2012-2018) from the United States, England, 18 European countries and Israel, and...

We leverage decades of administrative data and quasi-experimental variation in the introduction of universal long-term care (LTC) insurance in Germany in 1995 to examine whether health insurance expansions can stimulate local economies. We find that the LTC insurance rollout led not only to...

We leverage decades of administrative data and quasi-experimental variation in the introduction of universal long-term care (LTC) insurance in Germany in 1995 to examine whether health insurance expansions can stimulate local economies. We find that the LTC insurance rollout led not only to...

As populations in Asia and Europe face unprecedented levels of ageing, the demand for long-term care (LTC) is escalating, thereby challenging the sustainability of social protection systems. This paper employs a novel dynamic microsimulation model to project LTC demand and supply in Austria and...

Background Individuals receiving geriatric care are often frail and afflicted with multiple chronic conditions demanding care from several medical disciplines, and from several different care providing units across the health systems. Objective To explore the six-month service utilization and...

Aging populations in Asia are worried that they are facing a "care crisis," with many older people in need of care having no one to care for them. However, we do not have a clear picture of current care patterns: How much care is currently being consumed? Who is providing that care? Are women...

This paper analyses the long-term care system in the context of Spain's aging population from a comparative and multilevel perspective. Starting with the European regulatory framework, it examines the main characteristics of long-term care systems in Europe and the challenges of establishing a...

The European Commission's 2015 aging report forecasts a substantial increase in public spending on Long-Term Care (LTC) for OECD countries by 2060, posing significant fiscal challenges. This study aims to assess the efficiency and productivity of the LTC sector from 2010 to 2019 and explore...

This study explores the challenges and strategies of home care models for older adults with disabilities in China. The following challenges have been identified: limited policy support and lack of effective connections between different systems, pressure on caregivers, underestimation of...

China's aging population has gained significant attention. Population aging implies that the demand for elderly care services will be on the rise. However, China's aging exhibits a notable characteristic of getting old prior to achieving affluence, which directly constrains the enhancement of...

This report outlines the outcomes of a conference held on November 12, 2024, organized by the European Commission to assess progress under the European Care Strategy (ECS). Key discussions centered on challenges and solutions for improving access, affordability, and quality in long-term care...

The hidden value of adult informal care (IC) refers to the unaccounted value of informal care in overall costs of long-term care (LTC) estimates. This paper estimates the net wellbeing value of adult IC in Europe, drawing on a wellbeing-based methodology. We use an instrumental variable strategy...

The hidden value of adult informal care (IC) refers to the unaccounted value of informal care in overall costs of long-term care (LTC) estimates. This paper estimates the net wellbeing value of adult IC in Europe, drawing on a wellbeing-based methodology. We use an instrumental variable strategy...

Demographic aging results in a growing number of older people in need of care in many regions all over the world. Germany has witnessed steady population aging for decades, prompting policymakers and other stakeholders to discuss how to fulfill the rapidly growing demand for care workers and...

This report presents the key findings from the 'Mutual learning workshop on long-term care workforce', which took place on 23-24 April 2024 in Brussels. The workshop was the third of its kind, previous events focused on quality in long-term care (June 2023), and adequate social protection in...

This report summarises findings from the 'Mutual learning workshop on adequate social protection in long-term care', which was held from 23 to 24 of November 2023 in Brussels. The event followed a meeting of the national long-term care coordinators for the implementation of the Council...

Long-term care facilities (LTCFs) such as nursing homes or residential care homes, often serve as residencies for elderly individuals who have medical and social vulnerabilities. Before the COVID-19 pandemic, the EU/EEA lacked national incidence surveillance systems for healthcare-associated...

Family considerations are known to influence the decision to buy long-term care (LTC) insurance. This paper uses a Swiss survey to identify the characteristics of individuals willing to purchase LTC insurance, either to protect their children's bequest or because they cannot rely on family for...

Many countries have implemented quasi-markets to enhance entrepreneurship and innovation in welfare service provision. However, the benefits have generally been limited; this can also be observed in Sweden, a country which stands out for its extensive use of quasi-markets. Based on the Swedish...

Baumol's (1967) model of 'unbalanced growth' yields a supply-side explanation for the 'cost explosion' in health care. Applying a testing strategy suggested by Hartwig (2008), a sprawling literature affirms that the 'Baumol effect' has both a statistically and economically significant impact on...

In many European countries, men and women differ significantly in the amount of informal care work they provide for relatives, with women acting as caregivers far more frequently than men. This difference, known as the gender care gap, varies considerably between European countries, with Germany...

This paper examines the evolving landscape of long-term care (LTC) provision in Austria, Spain, UK and Canada, four countries included in the collaborative research project WellCARE. Its aim is to provide a basis to understand the features and vulnerabilities of different care systems,...