Governing Home Care

Governing Home Care

A Cross-National Comparison

Globalization and Welfare series

Viola Burau, Hildegard Theobald and Robert H. Blank

Care of the elderly in their own homes has increasingly come into the focus of contemporary welfare policies and raises important questions about the governance of welfare in general. By taking a comparative and thematic approach, this interesting and timely book offers a comprehensive analysis of the principal issues surrounding the governance of home care.

Chapter 4: Governing Formal Care Services: Between Integration and Fragmentation

Viola Burau, Hildegard Theobald and Robert H. Blank

Subjects: politics and public policy, public policy, social policy and sociology, ageing, comparative social policy


Within the overall context of governing home care, the area of formal care services has an ambivalent position. Compared to other areas of governance, particularly informal care, formal care services are much less inclusive in quantitative terms. As Table 4.1 illustrates, across our countries the expenditure on formal care services is well under 1 per cent of GDP and thus well below the expenditure on other welfare services such as health care. Yet Table 4.1 Expenditure on long-term home care as a percentage of GDP, 2000 Country Estonia Germany Italy Japan Netherlands New Zealand Sweden UK US Total long-term care1 expenditure n/a 0.47 0.582 0.02 0.61 0.12 0.82 0.41 0.33 Notes 1. The notion of ‘long-term care’ used in a national context can be substantially broader, e.g., by including residential homes for older people (e.g. Netherlands, Nordic countries). 2. Estimated public spending on long-term care (1992–95) as a percentage of GDP. Long-term care spending refers to the care needed to help older persons to lead an independent life, at home or in an institution. It excludes informal help. For home care, it should include all home care services, including district nurse services, excluding medical visits. For institutions, it includes all the costs related to care and lodging, including help for all self-care activities, but excluding medical costs. Source: International Reform Monitor (nd); OECD (2005b). 68 CHAPTER 4 22/5/07 09:09 Page 2 Governing formal care services 69 Table 4.2 Public and private expenditure on long-term home care as a...

You are not authenticated to view the full text of this chapter or article.

Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.

Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.

Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.

Further information