The Design of the Long-Term Care System in Spain: Policy and Financial Constraints

Abstract

The provision and financing of long-term care (LTC) in Spain has only recently become a policy concern. However, welfare policy reforms show the need to anticipate the effects of a transition from the traditional ‘family-based’ model of care (78 per cent of Spanish elders who are disabled are treated by their own families) to a modern ‘community-based’ model. This paper examines the current models of providing and funding long-term care in Spain and on the basis of the empirical evidence evaluates the prospects for the future organisation and funding of the system.