Cash-for-Care payments in Europe: changes in resources allocation

Marcello Morciano, Cristiano Gori

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Resources allocation has been a main policy issue in Cash-for-Care Schemes (CfCs) for older people in Europe since their inception. It regards how public support for older people with care needs is allocated between the provision of services in kind and cash-benefits. The raising pressures of an ageing population and the tensions on financial sustainability have further exacerbated the relevance of this topic over the recent years. Nevertheless, comparative research so far has overlooked changes in resources allocation in CfCs over time.
This article contributes to fill this gap, exploring changes in resources allocation of CfCs for older people in a sample of European countries - Austria, England, France, Germany, Italy, and The Netherlands - since the early ‘90s (or since the introduction of the scheme). It examines three analytical dimensions: i) the mix of public services and benefits provided to older people (CfCs, community services in kind, residential care); ii) the level of CfCs coverage; and iii) its generosity. A combined view of these dimensions leads the discussion of two dilemmas: how to allocate the resources devoted to CfCs in the light of the trade-off between its coverage and intensity? And, within the whole LTC system, how to allocate resources between CfCs and services in kind?
Original languageEnglish
Pages (from-to)537-550
Number of pages20
JournalSocial Policy and Administration
Issue number4
Early online date2 Apr 2019
Publication statusPublished - 2 Apr 2019


  • Cash-for-care
  • Europe
  • older people
  • coverage
  • Generosity
  • policy mix


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