As populations age over the next several decades, the demand for long-term care (LTC) services (assisting individuals with their activities of daily life) will increase dramatically and is likely to reach crisis levels in many countries. Societies will have to confront this emerging need because historical methods for providing and financing LTC may not be adequate to address future LTC needs.

The aging population and the epidemic of chronic diseases requires an accompanying fi nance reform of long-term care
that will become increasingly dominant. Many countries have faced this situation and have set up a separate public
funding for such care on the basis of a universal insurance covering both home care and institutions. Canada and Quebec
must adopt such autonomy insurance and create a separate fund fi nanced partly by a more judicious use of current

Le vieillissement de la population et la pandémie de maladies chroniques
qui l’accompagne obligent à prioriser le financement des soins à long terme
qui deviendront de plus en plus importants. De nombreux pays ayant fait
face à cette situation ont mis sur pied un financement public distinct via une
assurance universelle couvrant les soins à domicile et en institution comme
c’est le cas en France avec l’Allocation personnalisée d’autonomie (APA).
À la lumière des comparaisons internationales, nous identifions certaines

La misE En oeuvrE des politiques sociales destinées explicitement à « traiter » la problématique du vieillissement remonte, en Europe, à la fin du xixe siècle et au début du xxe siècle. directement liée à la naissance et à l’affirmation des états-nations, elle répondait à deux grandes préoccupations:

The OECD Health Division has an ongoing programme of work to support countries in developing long-term care systems that can meet the needs of their populations now and in the future.  

 VOX, CEPR Policy Portal (03.10.2018) Many European countries are revisiting how best to finance long-term care, balancing financial sustainability and the economic welfare of households. Using examples of Spain and Scotland, this paper demonstrates that an expansion of public funding for long-term care has an effect on caregiving choices, household finances, and hospital care. Unconditional or cash subsidies may entail a ‘caregiving moral hazard’, but both cash and care subsidies can bring savings to the health system by reducing the frequency and intensity of hospitalisation. 

Presidencia de la República (28.10.2018) Según las últimas cifras difundidas por el Ministerio de Salud Pública, la mitad de los pacientes que requieren cuidados paliativos acceden a ellos, tanto en servicios públicos como privados. En 2012 la cifra no llegaba a uno de cada cinco. Uruguay se ubica en el primer lugar de América Latina en la materia. El ministro Jorge Basso señaló como fundamental que las familias conozcan sus derechos al respecto

Euro WHO (October 2018) This brief serves as an overview and introduction to the Economics of Healthy and Active Ageing series. It reviews the main evidence on the health and long-term care costs associated with ageing populations to better understand the expected cost pressures due to changing demographics. At the same time, the brief explores how older populations can and do contribute meaningfully both in economic and societal terms, particularly if they are able to remain healthy and active into later life.

Long-Term Care in Latin America and the Caribbean?: Theory and Policy Considerations

AUTHOR Caruso Bloeck, Martín; Galiani, Sebastián; Ibarrarán, Pablo

DATE Aug 2017

Europa (07.09.2018) The study, which includes country reports and a synthesis report, provides a brief description of the main features of the national long-term care systems in 35 European countries - EU Member States as well as EFTA and enlarging countries.