Abstract
Declining relative size of the working-age population, decreasing family-based care supply due to higher female labor force participation, and reduced family size will increase the demand and cost of long-term care (LTC). Governments in European countries have responded differently to these challenges.
Highlights
Long-term care (LTC) is defined as a range of services and supports for people who, as a result of mental and/or physical fragility and/or disability, require assistance in the activities of daily living (ADL) for an extended period of time (Social Protection Committee 2014, p. 58)
In contrast to protection against "classic" social risks such as illness, maternity protection and unemployment, protection in the case of long-term care does not look back on an international or an international legal tradition. This backlog is due to the fact that the need for LTC as a social risk is of comparatively recent origin (Schulte 2009, p. 6)
While research on the Slovak LTC system is in its beginnings, this paper aims to contribute to the acquisition of more knowledge about LTC systems within the European Union (EU) and, in particular, to present how the social and financial risk of LTC dependency is covered in the Slovak Republic
Summary
Long-term care (LTC) is defined as a range of services and supports for people who, as a result of mental and/or physical fragility and/or disability, require assistance in the activities of daily living (ADL) for an extended period of time (Social Protection Committee 2014, p. 58). In contrast to protection against "classic" social risks such as illness, maternity protection and unemployment, protection in the case of long-term care does not look back on an international or an international legal tradition This backlog is due to the fact that the need for LTC as a social risk is of comparatively recent origin While the health sector (including the medical LTC component) remained centralized, responsibilities for the provision and financing of the social sector were increasingly shifted to the state and local levels. The combination of limited experience in the establishment of a social sector and a lack of financial resources that would have supported the decentralized authorities led to years of restrictions in the modernization and development of the infrastructure This delayed the emergence of comprehensive social protection in Slovakia Awareness of LTC as a social risk has grown (Costa-i-Font & Courbage 2012, pp. 236-241) and is increasingly moving into the focus of policy makers (Gerbery & Rastislav 2018, p. 5)
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