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date: 14 October 2019

Abstract and Keywords

This article investigates the role of the welfare state in long-term care (LTC). Following a brief historical outline and a view of LTC in comparative welfare state analysis, it explores the ways in which LTC is defined and addressed in welfare state policies by looking at regulatory, financing and delivery structure. Additionally, the relationship between welfare state, families, non-profit, and for-profit market sectors as well as novel arrangements between market and family are at the centre of the analysis. It finally focuses on selected future policy and research challenges including a discussion of future care needs and potential sources of provision. Path dependency in LTC relates primarily to the general understanding of family, state, and market relationships, while most countries do not look back to decades of comprehensive and strong sector specific policies in LTC.

Keywords: long-term care, welfare state, financing, delivery structure, market, family, policy

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