Long-term Care in Central and South-Eastern Europe: Challenges and Perspectives in Addressing a 'New' Social Risk
Long-term Care in Central and South-Eastern Europe: Challenges and Perspectives in Addressing a 'New' Social Risk
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DOI：
10.1111/j.1467-9515.2010.00723.x
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发表时间：
2010-08-01
影响因子：
3.2
通讯作者：
Oesterle, August
中科院分区：
文献类型：
--
作者：
Oesterle, August
中欧和东南欧的长期护理迄今在社会政策文献中基本上被忽视。本文提供了一个检查的背景和长期护理的改革在CSEE的来源，特别是克罗地亚，捷克共和国，匈牙利，罗马尼亚，塞尔维亚，斯洛伐克和斯洛文尼亚。报告着重根据过渡进程所依据的主要原则研究发展情况，并讨论目前发展情况的主要特点，以确定长期护理政策的新模式。文章认为，更全面的长期护理系统的实现在很大程度上受到了阻碍，政府未能在这一领域确定优先事项，民间社会发现在更广泛的公众辩论中，以及担心新的福利计划将大大延长公共支出义务的限制。研究结果表明，与大多数其他欧洲国家的情况类似，长期护理是CSEE福利国家发展的后来者。但是，老龄化社会、日益增长的护理需求和更广泛的社会经济发展也将日益挑战组织长期护理的传统方式，并产生寻找新福利办法的压力。
Long-term care in Central and South-Eastern Europe (CSEE) has to date been largely neglected in the social policy literature. This article provides an examination of the context and the sources of reform of long-term care in CSEE, particularly Croatia, the Czech Republic, Hungary, Romania, Serbia, Slovakia and Slovenia. It focuses on studying developments in the light of the major principles underlying the transition process and discussing key features of current developments in terms of their potential for establishing a new paradigm in long-term care policies. The article argues that the realization of more comprehensive long-term care systems has been largely hindered by a failure of governments to set priorities in this sector, by the limitations civil society finds in bringing the issue into a broader public debate and by fears that new welfare schemes will substantially extend public expenditure obligations. The findings show that - similar to the situation in most other European countries - long-term care is a latecomer in welfare state development in CSEE. But ageing societies, growing care needs and broader socio-economic developments will also increasingly challenge traditional ways of organizing long-term care and create pressure to find new welfare approaches.