Help Wanted?
Providing and Paying for Long-Term Care

This book examines the challenges countries are facing with regard to providing and paying for long-term care. With populations ageing and the need for long-term care growing rapidly, this book looks at such issues as: future demographic trends, policies to support family carers, long-term care workers, financing arrangements, long-term care insurance, and getting better value for money in long-term care.
“WHO recognizes that long-term care represents a major challenge for all countries in the world, with important implications for economic development and for the health and well-being of older people. This well-documented book provides a comparative analysis of the common challenges and diverse solutions OECD countries are adopting to respond to the growing demand for long-term care services, and particularly its implications for financing and labour markets. It provides much needed evidence to guide policy makers and individuals.”
-Dr John Beard, Director, Department of Ageing and Life Course,
World Health Organization
“This carefully researched book offers invaluable data and insights into the organization and financing of long-term care in OECD countries. The book is an indispensable resource for anyone interested in international long-term care”.
-Dr. Joshua M. Wiener, Distinguished Fellow and Program Director
of RTI’s Aging, Disability, and Long-Term Care Program, United States
Also available in: French
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Summary and Conclusions
Help Wanted? Providing and Paying for Long-Term Care
With population ageing, no clear signs of a reduction in disability among older people, family ties becoming looser and growing female labour-market participation, it is not surprising that the need for care for frail and disabled seniors is growing.* Growth in older age cohorts is the main driver of increased demand for long-term care across OECD countries. Indeed, policy discussion around long-term care reforms is often framed in the context of pressures arising from ageing societies. The statistics speak for themselves. In 1950, less than 1% of the global population was aged over 80 years. In OECD countries, the share of those aged 80 years and over is expected to increase from 4% in 2010 to nearly 10% in 2050.
Also available in: French
- Click to access:
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Click to download PDF - 287.23KBPDF
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Click to Read online and shareREAD