1,721,049 research outputs found
Le politiche regionali per gli anziani non autosufficienti: Lombardia, Veneto ed Emilia Romagna a confronto
No full textLa regolazione nazionale delle politiche sociali e sociosanitarie in Italia è piuttosto debole e frammentata. L’approccio si è a lungo caratterizzato per la settorialità nella definizione dei destinatari, dei sistemi di finanziamento e delle responsabilità istituzionali per le diverse aree di intervento. Soprattutto nell’ambito degli interventi a favore della popolazione anziana, il quadro normativo nazionale è rimasto particolarmente “leggero” o “debole”, lasciando margini consistenti di sviluppo a politiche regionali differenziate. Ci si può pertanto attendere che gli interventi regionali siano differenziati quanto a obiettivi perseguiti, strumenti impiegati, assetti organizzativi dei servizi, risorse umane, strumentali ed economiche a disposizione
Long-term care policies meet austerity
No full textCutbacks and retrenchment in long-term care “ the provision of services and cash benefits aimed at facing care needs of older people with reduced autonomy (LTC) - have been reported in several European countries following the 2008-2009 financial crisis. Yet, the policy trajectories of European countries in this area and the institutional features of the policy field are far from homogeneous. This chapter explores the distribution, features, origin and influence of LTC cutbacks and retrenchment by considering 11 countries, embed in the different welfare and care regimes that characterize Europe, and their policy trajectory from the mid-2000s, through the economic crisis and in subsequent years. The analysis suggests that austerity in the field of LTC has not substantially changed the policy trajectory of single welfare states, but rather exacerbated, supported, boosted trends that were already ongoing before the outburst of the crisis
Traiettorie delle politiche di long-term care in Europa: protezione, familizzazione e lavoro di cura
No full textWith their recent origin and low level of institutionalization, long-term care (LTC) policies are key in the social policy debate in Europe. Growing care needs in relation to population ageing emerged as a policy problem, in the 1990s, in a critical phase of development of welfare states, characterized by a funding and legitimization crisis. The recent economic and financial crisis deepened this problem. However, countries face cost containment and austerity in diverse ways due to their specific pre-existing policies and institutional set up, giving rise to diverse trajectories. Based on a systematic review of the literature, the article offers a comparative analysis of LTC policies in European countries with specific reference to three dimensions: social protection and social citizenship, the tendency towards (de)familization and views on care work
Le riforme per la non autosufficienza nei Paesi Bassi
No full textLa fondazione dell’attuale sistema di assistenza per la non autosufficienza olandese risale alla fine degli anni ’60, momento in cui venne introdotta un’assicurazione sociale obbligatoria per coprire i costi delle «spese mediche straordinarie» (Awbz). Da allora il sistema ha sistematicamente subìto un processo di riforma. L’articolo ricostruisce la logica originale del sistema attraverso l’analisi storica e istituzionale. Successivamente vengono prese in considerazione le tendenze di riforma, ponendo particolare attenzione a come si sia sostanziato il problema del cambiamento e ai soggetti che giocano un ruolo rilevante in tale processo. Tutti questi aspetti sono descritti e rivisti in chiave critica al fine di capire in che direzione si muova e che impatti abbia il cambiamento istituzionale
Privately Paid Care for Older People in Italy: Testing the Equivalence between Macroregions
No full textThe rise of a large market for elderly care mainly based on migrant female labour represents a substantial transformation in the Italian elderly care system from being family-based to a mix of family- and market-based solutions. Given the internal differentiation of Italy's policy framework, socioeconomic structure and institutional features, the article addresses the question of whether this is a sub-national or national phenomenon. After discussing the factors related to the rise of market care in the Italian we turn to the factors that might enhance a national or a sub-national character of the phenomenon. This theoretical discussion leads us to the hypothesis the market shift observed in Italy in recent years is mainly driven by national-based factors and that sub-national variations are unlikely to emerge. An equivalence-test applied to data from a survey conducted on a nationally representative sample supports the hypothesis of the national character of the phenomenon. This approach and the result obtained lead not only to better understanding of the factors playing a role in the development of the care market but also to theoretical developments concerning the emergence of sub-national care and welfare systems. © 2012 Springer Science+Business Media Dordrecht
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