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Population ageing coupled with a growing burden of disease and disability will cause long-term care needs to increase considerably around the world. Yet despite changing demographics, many countries do not invest adequately in long-term care systems. This chapter sets out the reasons that long-term care is often underprioritized by governments and begins to consider why countries need a re-think when it comes to the way they care for older adults.
This chapter explores how common challenges facing long-term care systems across the world have given rise to common trends in the development of long-term care service delivery - a focus on improving integration, the shift from residential care to home- and community-based care, the growing role of the private sector in care provision and the emergence of digital technologies with transformative potential. Recent developments in five countries (Germany, Japan, Sweden, Norway, and Romania) are used to exemplify and distil overarching lessons for strengthening long-term care service delivery.
This chapter concludes by summarizing the evidence presented in the book and considering the way forward by re-visiting the arguments in favour of investing in long-term care and the costs of inaction.
Long-term care often falls by the wayside in national policy dialogues. As populations age around the world and the prevalence of chronic conditions increases, greater numbers of people will need care and support, putting added pressures on acute-care facilities, communities, and families, among others. This increase in demand for long-term care raises questions about the capacity of governments to provide access to needed care, how these services will be properly resourced and who should receive these benefits. The Care Dividend provides a roadmap for investing in long-term care systems. It argues for increased public investment in high-quality, universally accessible long-term care and explains why these systems benefit everyone: households, health systems, economies, and societies. Bringing together a team of academics and policy experts from around the world, this book explains why and how governments can, and should, take action.This title is also available as Open Access on Cambridge Core.
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