Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-22T20:43:08.191Z Has data issue: false hasContentIssue false
  • English
  • Français

Long-term Care Policies in Comparative Perspective

Published online by Cambridge University Press:  14 November 2008

Georgel L. Maddoc
Georgel L. Maddoc
Affiliation:
Professor of Medical Sociology, Duke University, Durham, USA.
Get access Rights & Permissions [Opens in a new window]

Abstract

The European Communities provide a contemporary naturally occurring laboratory for the comparative study of social policy formation and implementation. This is particularly the case regarding social policies for ageing populations. The substantive focus of this paper is long-term care policy and, more particularly, policy choices regarding relative emphasis on medical in contrast to social care of dependent older adults. The strategy of the paper is to discuss, first, the limits of comparative theories of social policy formation in predicting policies in a highly value-laden topic like long-term care. The paper then summarises factors which may explain the extraordinary but inconclusive attention given to long-term care policy in the United States. Finally, the paper outlines some questions about LTC policy in the EC which would benefit from comparative policy analysis. Particular attention will be directed to the balance of medical and social care for dependent elderly people, the role of housing policy in the context of general care policy, and the generic issue of public and private sector interaction in welfare states. Systematic exchange of LTC information among EC countries and between these countries and the US is encouraged.

Type
Forum
Information
Ageing & Society , Volume 12 , Issue 3 , September 1992 , pp. 355 - 368
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Banting, K. 1982. The Welfare State and Canadian Federalism. McGill/Queens' University Press, Kingston, Ontario.Google Scholar
Banting, K. 1986. State and Society: Canada in Comparative Perspective. University of Toronto Press, Toronto.Google Scholar
Callahan, D.What Kind of Life: The Limits of Medical Progress. Simon and Schuster, New York.Google Scholar
Doty, , Pamela, . 1988. LTC in international perspective. Health Care Financing Review: Annual Supplement, 145–175.Google Scholar
European Communities. 1990. Communication on the Elderly. 2404April.Google Scholar
Fox, R. 1977. The medicalization and demedicalization of American society. In Knowles, J. (ed.) Doing Better and Feeling Worse. Norton, New York, pp. 9–22.Google Scholar
Glazer, N. 1988. The Limits of Social Policy. Harvard University Press, Cambridge.Google Scholar
Heumann, L. and Boldy, D. 1982. Housing for the Elderly. St Martin's Press, New York.Google Scholar
Jamieson, A. and Illsley, R. 1990. Contrasting European Policies for Care of Older People. Avebury, Aldershot, England.Google Scholar
Kane, Robert and Kane, Rosalie. 1976. Long Term Care in Six Countries. Department of Health, Education, and Welfare, Washington, D.C.Google Scholar
Klein, R. 1990. Research, policy and the National Health Service. J. of Health Politics, Policy and Law, 15 (3), 501–524.CrossRefGoogle ScholarPubMed
Kramer, R. M. 1981. Voluntary Agencies in the Welfare State. Univ. of California Press, Berkeley.CrossRefGoogle Scholar
Lange, P. 1990. Paper on a theory of decisions in federal systems, presented at the EC workshop at Duke University, 11 3, 1990.Google Scholar
Lonergan, , Edmund, T. (ed.). 1991. Extending Lift, Enhancing Life. National Academy Press, Washington, D.C.Google Scholar
Maddox, G. L. and Glass, T. 1989 a. Care of the chronically ill. In Freeman, H. and Levine, S. (eds.) Handbook of Medical Sociology, 4th Edition. Prentice-Hall, New York, 236–261.Google Scholar
Maddox, G. L. and Glass, T. 1989 b. The continuum of care: movement toward the community. In Busse, E. W. and Blazer, D. G. (eds.) Geriatric Psychiatry. American Psychiatric Press, Inc., Washington, D.C., 635–667.Google Scholar
Maddox, G. and Manton, K. 1989. Hospitals: the DRG system. In Eisdorfer, C. et al. (eds.) Caring for the Elderly: Reshaping Health Policy. The Johns Hopkins University Press, Baltimore.Google Scholar
OECD. 1981. The Welfare State in Crisis. Paris.Google Scholar
Palmer, Hans. 1983. Long- Term Care: Perspectives from Research and Demonstrations. Health Care Financing Administration, Washington, D.C.Google Scholar
Rivlin, A. et al. 1988. Caring for the Dependent Elderly. The Brookings Institution, Washington, D.C.Google Scholar
Wilensky, H. et al. 1985. Comparative Social Policy. University of California Institute of International Studies, Berkeley.Google Scholar
Winklevoss, H. and Powell, A. 1984. Continuing Care Retirement Communities. Irwin, Homewood, IL.Google Scholar