From local to national: Delivering and financing effective long-term care
This study provides an in-depth examination of the fiscal and governance decentralisation
of long-term care (LTC) across OECD countries, offering projections of future fiscal
burdens of LTC spending across levels of government. With rapid population ageing
and a decrease in the supply of informal care, LTC spending has increased significantly.
The paper introduces a novel methodology to estimate LTC expenditures across different
government levels, including central and subnational governments. By analysing country
cases, it explores the responsibilities assigned to each government level and the
implications for service delivery and intergovernmental coordination. The study also
discusses the overall anticipated increase of LTC expenditure to 2.3% of GDP by 2040,
identifying the most impacted countries. This research contributes to our understanding
of LTC systems, highlights the challenges of increasing LTC costs and provides insights
for optimising governance and fiscal expenditure.
Available from July 05, 2023
In series:OECD Working Papers on Fiscal Federalismview more titles