Nordic Welfare States in the European Context by Nordic Welfare States in the European Context

Author:Nordic Welfare States in the European Context [Retail]
Language: eng
Format: mobi
Tags: Education, Politics & IR, Sociology & Social Policy
Publisher: Taylor and Francis
Published: 2005-07-27T16:00:00+00:00

Changes and differences in service use

The most visible change in service provision is the reduction in hospital care (Figure 7.3). The exception is Germany, which may be partially explained by the inclusion of the former GDR, which used to have a high rate of hospital beds per population. Germany and the Netherlands had far fewer psychiatric beds in the 1980s and all the others have significantly reduced these since then. All countries except Germany have also reduced the number of acute hospital beds (OECD Health Data 1998). The UK, France, and particularly Sweden, have compensated for some of the reduction in hospital bed numbers by an increase of beds in social care institutions.5 The others have reduced their number of social care beds (Rostgaard and Fridberg 1998, Lehto et al. 1999). The overall impression is that the proportion of the elderly being cared for in social and health care institutions has decreased. Denmark and the United Kingdom seem the most de-institutionalised countries among the eight, while Finland has experienced the most rapid de-institutionalisation. One may conclude that the countries with an insurance-based health care model tend to be slower in changing their care structures than those with a tax-funded public health care system.

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