Social Protection for Dependent Elderly People: Perspectives from a Review of OECD Countries

Patrick Hennessy

No 16, OECD Labour Market and Social Policy Occasional Papers from OECD Publishing

Abstract: There is growing concern about the future provision of care for frail elderly people. Many countries have planned to reform services or the financing of care, but have found that the implementation of these plans has coincided with economic slow-down and fiscal constraints. This has heightened the difficult choices that have to be made in relation to new services for care.All OECD countries are agreed in having as a main objective that elderly people should be able to stay for as long as possible in their own homes, and that they should be able to receive good residential care close to their own community ("ageing in place"). How successful have OECD countries been in pursuit of this goal? What barriers can be identified? Are services as effective as they could be?Most policy debates have been over-shadowed by the question of how to pay for the necessary services. OECD countries currently deploy a range of financing mechanisms for relevant health and social services, involving ... Les soins de longue durée à assurer dans l’avenir aux personnes âgées dépendantes suscitent une inquiétude croissante. De nombreux pays ont préparé des réformes des services ou des modes de financement des soins, mais se sont aperçus que leur mise en oeuvre coïncidait avec une lenteur de la croissance économique et des contraintes budgétaires, rendant d’autant plus difficile les choix qu’impliquent les nouveaux types de soins. Tous les pays de l’OCDE sont d’accord sur un grand objectif selon lequel il faut permettre aux personnes âgées de continuer à vivre chez elles aussi longtemps que possible ou, à défaut, de bénéficier de soins de qualité dans un établissement proche de leur entourage ("vieillir chez soi"). Dans quelle mesure les pays de l’OCDE ont-ils atteint cet objectif? Quels obstacles ont-ils rencontrés? Les services sont-ils aussi efficaces qu’ils pourraient l’être?La plupart des débats de fond ont été dominés par la question du mode de financement des services requis. Les ...

Date: 1995-01-01
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