The vicious layering of multilevel governance in Southern Europe: The case of elderly care in Italy and Spain

Arlotti, Marco; Hendrickson, Manuel Aguilar

doi:10.1111/spol.12351

Cited by 22 publications

(23 citation statements)

References 24 publications

(28 reference statements)

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“…Some international scholars have also turned to governance explanations. For example, Arlotti and Aguilar‐Hendrickson () report evidence that decentralization and institutional fragmentation associated with “multilevel governance” in Southern Europe has yielded substantial territorial inequalities in long‐term care provision. Similarly, Li, Wang, and Zheng () examine local government decentralization in China, finding evidence that the resulting interjurisdictional competition yields higher intraurban fiscal disparities.…”

Section: What Factors Influence Redistributive Social Policy Decisions?mentioning

confidence: 99%

Social Policy Perspectives on Economic Inequality in Wealthy Countries

Giordono¹,

Jones²,

Rothwell³

2019

Policy Studies Journal

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This essay reviews the policy‐oriented literature on economic inequality in wealthy countries published from 2008 to 2018. We focus on this decade because it is a period bookended by both the beginnings of the Great Recession of 2008–2009 as well as the recovery. During this timeframe, attention to inequality by social policy scholars grew substantially, which we argue reflects an interest in both inequality trends as well as redistributive social policy. We observe in the literature sustained efforts to understand both the relationship between social policy and economic inequality, as well as determinants of changes to redistributive social policy. We also note substantial variation in research traditions, as well as opportunities to address substantive, methodological, and theoretical gaps. Our review summarizes the approaches and findings from the literature and discusses the implications of the findings for the study of economic inequality within the academic field of public policy.

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Section: What Factors Influence Redistributive Social Policy Decisions?mentioning

confidence: 99%

Social Policy Perspectives on Economic Inequality in Wealthy Countries

Giordono¹,

Jones²,

Rothwell³

2019

Policy Studies Journal

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“…Inter-professional collaboration in health care is a fundamental tool in user services [38]. In some instances, coordination between services [1] and collaboration in health care both fail in user care [39]. Perhaps the lack of coordination mentioned is due to the large number of users received by social workers and the lack of system resources [29].…”

Section: Discussionmentioning

confidence: 99%

“…Since the global economic crisis in 2008, social inequality has increased and equality of opportunity for many people has dramatically decreased [1,2]. The negative consequences in social regulation have also been affected in many European countries [3,4], which have dismantled their social policies [5,6].…”

Section: Introductionmentioning

confidence: 99%

The Sustainability of Public Social Services: A Qualitative Study

et al. 2020

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The 2008 global economic crisis heightened social inequality and drastically reduced equal opportunities for many people. It had negative consequences for social regulation in many European countries, which have dismantled their public social policies. The objective of the study was to describe social workers’ perceptions of their lived experiences in different areas of the public social services system. A qualitative study was developed, based on a hermeneutic approach. Six in-depth interviews and two focus groups were conducted with 20 social workers employed by community social services and the Andalusian public health service (Spain). The professionals agreed that the public social services system has been eroded, that the lack of resources has consequences for workers and the general public alike, and that the public authorities and the administration are responsible for this situation. Social services have become distributors of scarce resources rather than a social protection system that empowers and accompanies the most vulnerable. The system must provide the necessary resources and structures so that they can escape the situation of poverty, exclusion and social injustice.

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“…36 This complex territorial situation affects LTC, because responsibilities are divided across government levels and in different ways for each of its components. 37 On the other hand, three types of in-kind services exist: home care, day care and nursing homes. Both municipalities and local health authorities (LHAs) have responsibilities for home care that are oriented towards meeting individuals' health-care needs and providing assistance; however, inter-organisational coordination is poor in this regard.…”

Section: Italian Ltc System: Data-gathering and Methodsmentioning

confidence: 99%

Long-term care coverage and its relationship with hospital care: Lessons from Italy on coordination among care-settings

Notarnicola

Furnari

Longo

et al. 2020

Health Serv Manage Res

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Long-term care for the elderly is one among the most important challenges for welfare and health care system across the world. Demographic and epidemiological trends are signalling that demand for long-term care will continue increasing in the next future, while public systems investments and efforts to cope with this issue are not enough. One possible strategy could be to reinforce integration between different care settings so to have positive spill over effects. The paper is focussed on Italian long-term care system analysing and assessing its performance at the regional level both in terms of answering citizens’ long-term care needs and integrating with hospital care. The study is based on National health care records and regional data concerning long-term care to assess the state of the arts of in-kind services, and on qualitative focus groups with care providers and policy makers to provide interpretation about the Italian long-term care system performance and weaknesses. Results show that, due to a widespread and important lack of supply and inability to answer to citizens’ needs, integration between long-term care and hospitals is not working, and substitution effect following investment in long-term care settings is not present. The paper introduces different interpretations of the causes of this phenomenon, suggesting to policy makers and managers the possible solutions to be implemented.

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The vicious layering of multilevel governance in Southern Europe: The case of elderly care in Italy and Spain

Cited by 22 publications

References 24 publications

Social Policy Perspectives on Economic Inequality in Wealthy Countries

Social Policy Perspectives on Economic Inequality in Wealthy Countries

The Sustainability of Public Social Services: A Qualitative Study

Long-term care coverage and its relationship with hospital care: Lessons from Italy on coordination among care-settings

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