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Deinstitutionalisation of Long-term Care for Older Adults : A Comparative Study Between Germany and the Netherlands

Loman, R.M.J. (2019) Deinstitutionalisation of Long-term Care for Older Adults : A Comparative Study Between Germany and the Netherlands.

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Abstract:Unprecedented challenges are posed to European long-term care systems due to the ageing population. This thesis is involved in the topic of deinstitutionalisation of long-term care for older adults in two European countries: Germany and the Netherlands. The objective has been to gain insight into the relation between national long-term care policies and older adults’ choices for long-term. Based on theories on choice processes, a theoretic framework is set up that helps to understand older adults’ choices for long-term care alternatives. The choices for either institutional care, formal homecare, and informal homecare in Germany and the Netherlands are measured using data from national databanks. National long-term care policies are analysed to determine the favourability of alternatives. The main finding is that changes in long-term care policies strongly correlate to changes in choice processes. Especially policies directed at the accessibility and costs of alternatives appear to have effect. The greatest achievements towards deinstitutionalisation of long-term elder care, however, were reached by a combination of policies aimed at influencing multiple aspects of long-term care alternatives.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:70 social sciences in general
Programme:European Studies MSc (69303)
Link to this item:http://purl.utwente.nl/essays/80257
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