Chapter

Long-term care: an international perspective

Ricardo Rodrigues and Frédérique Hoffmann

in Mental Health and Care Homes

Published on behalf of Oxford University Press

Published in print May 2011 | ISBN: 9780199593637
Published online February 2013 | e-ISBN: 9780191754722 | DOI: http://dx.doi.org/10.1093/med/9780199593637.003.0012
Long-term care: an international perspective

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This chapter presents a comparative overview of the heterogeneous picture of institutional care across Europe. As the concept of ‘ageing in place’ has become central to care policies in Europe, only a minority of older people reside in care homes. Residents are increasingly older, not only due to population ageing, but also because the development of community-based care has delayed the need for admission. Residents are further characterized not only by the prevalence of dementia, but also by the over-representation of women as they are at higher risk of institutionalization for socio-economic reasons. A number of recent policy developments impact on care home developments in Europe. These include the introduction of market-based mechanisms to enhance choice and efficiency of care services; the drive to improve quality of care in care homes; and the blurring of the boundary between institutional care and ‘alternatives’ such as housing with care provided in the community.

Chapter.  6247 words. 

Subjects: Psychiatry

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